In this week’s TMD I am in Huntington Beach, California helping my parents who have fallen ill and talking about how I am addressing the topic of managing stress and mental health in my own life.
Compartmentalization
My parents have fallen ill and my sister, who has been amazing in taking care of them, needed some help and of course I wanted to come out and make sure my parents are ok. So, this week I am in California and wanted to talk about the topic of managing stress.
For me, I’m a big compartmentalizer. I take these stressful issues and I wrap them up in a tiny little box and I stick them away in the depths of my brain so that I can go about my day. It lets me go about my business and manage the things that need to be addressed. That’s my way of dealing with it.
At the end of the day, I realized I have a fair amount of tiny little boxes that are stored away in my brain in my conscious and or my subconscious mind that need to be addressed. So, I’m going to be seeking out counseling to help me address and deal with the issues, both recent and past. The reason I say these things to you is not that I want you to feel bad or sorry for me but because we all go through challenging times in our lives. I want to awaken some of those tiny little boxes in your brain and make sure that you are taking steps to get the help that you need.
I know it can be very difficult to find the right type of support. The right type of counselor. I’ve had counseling in the past and it has been very beneficial for me. Recently I’ve tried and haven’t been successful in finding the right person, but I realize I need to persevere and be gritty in my approach to find the right person that I can talk to to help address these issues.
I want you to do the same. If you have these tiny little boxes deep in your brain, make sure you reach out and get the support that you need. Ultimately it will help you improve your mental health, your wellbeing, and your happiness.
That’s today’s TMD. Again, I don’t want anyone feeling bad for me, this is part of life and I’m going to be just fine but I want you to be even better than just fine. If you need help reach out. Head over to our Facebook page and let us know how you are managing your stress.
Your questions and feedback are always welcome and appreciated!
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Two Minute Drill: Sharing the chiropractic message
Dr. Jay has one important question for you this week, “How are you sharing the chiropractic message?”. Listen to this week’s Two Minute Drill to hear how you can help grow the understanding and impact of chiropractic.
How do we get the word out?
One really important question for you today, how are you sharing the chiropractic message?
Recently Dr. Jay had a friend who was having some issues, went to see a doctor and the doctor told her she was a good surgical candidate. That was a joke because when he talked to this person they were not a surgical candidate whatsoever.
There is so much guideline discordant care going on in our country and around the world and that is not ok. So, how do we get the word out? How do we educate other healthcare providers and the general public about what great care looks like, based on the evidence?
How do we do that?
First and foremost, there are two channels we can address. The first is the general population. Creating content that comes from the evidence is not so hard to do. When you are speaking through your voice it can have a really great impact on your patient population and those who want to be part of your patient population. So, find articles that are relevant to chiropractic, to your patients, and to the population at large and answer some of their key questions like, “Am I a surgical candidate?” and “What does a surgical candidate look like for spine surgery?”. That might be a really good post that you can put out there that will help the general public.
The second thing is sending brief narrative reports of exams and re-exams to your patients referring physicians or their PCPs, OBGYNs, orthos, even if they didn’t refer the patient to you. Letting them know what you are doing, how you are treating and evaluating their patients, and helping them understand how you are a valuable part of the healthcare team is critically important. Don’t stop at just sending over the narrative form, also reach out. Try and connect with them, have a conversation about your mutual patient. It’s called care coordination and it’s really important and can not only be great for the outcome of the patient but can also be great for the income of the practice. Once those providers connect with you and they know you know your sh*t they are going to want to send you more patients. The more they understand about chiropractic, the fewer drugs and surgery there will be in the world and more referrals to your practice, and better outcomes.
So let the general population know about chiropractic. Use the evidence that is out there. You can go to https://clinicalcompass.org/, there are tons of resources on that site that you can pull from and answer the questions your patients have, communicate with other members of the healthcare team, and grow the understanding and impact of chiropractic.
That’s this week’s TMD. Head over to our Facebook page and let us know how you are going to share the chiropractic message this week.
Your questions and feedback are always welcome and appreciated!
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This week Dr. Jay is coming to you from Virginia Beach for the Two Minute Drill. His good friend Brad Cost is playing cameraman as they were attending the UVCA convention. In this week’s TMD we are talking about beauty and the need to celebrate achieving your goals.
Take time to celebrate
Look at this beautiful beach and beautiful ocean, at this amazing setting in Virginia Beach at the UVCA convention.
What Dr. Jay is trying to convey to you in today’s Two Minute Drill, is when things are beautiful, when you are doing great things, when you are achieving your goals, take time to celebrate.
One of the most intelligent brightest behavioral scientists, BJ Fogg, talks about the importance of celebrating victories and building great habits. So, every time you build a habit in your practice or your life, celebrate the fact that you have achieved the goal.
Take the time to smell the roses people!
Celebrate the victories and you will not only be happier, but you will build in even more great habits that achieve even greater levels of success.
That’s this week’s TMD. Head over to our Facebook page and let us know what you are celebrating this week.
Your questions and feedback are always welcome and appreciated!
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It’s completely appropriate that Dr. Jay is wearing this helmet in today’s Two Minute Drill. This is John Riggins’ helmet, Super Bowl MVP. He was a gamer in the fourth quarter. Watch this week’s TMD as it is all about the fourth quarter and how you can make in-game adjustments to make sure you finish the year strong.
Are you winning the game?
Whether the team was winning or losing John Riggins was running over people. He was scoring touchdowns, he was making first downs, he was doing whatever it took to win the game.
So, we ask you where do you stand at the beginning of the fourth quarter? Are you winning the game? And if you are, are you identifying and understanding the inputs that got you there and then finding ways to continuously improve on those inputs so you can finish the year even stronger?
If you are not winning the game, if you are not having the year you hoped you would have, well guess what? You get to rethink your strategies, you get to rebuild your tactics, and you get to restart your action plan so you can finish the year stronger. Just because we didn’t have the best first quarter, second quarter, or third quarter doesn’t mean we don’t make in-game adjustments so that we can finish the game strong.
So, we want you to think about the inputs that got you to your successes. We want you to think about what you need to start doing, stop doing, change what you are doing, or do something even better to get you to that winning score by the end of the year.
That’s this week’s TMD, hut-hut! Head over to our Facebook page and let us know what adjustments you are making to finish the year strong.
Your questions and feedback are always welcome and appreciated!
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Today’s topic of conversation is about bad behavior. Dr. Jay is a HUGE Ohio State University fan and so this weekend’s football game is the inspiration for this week’s Two Minute Drill. Make sure you listen until the very end as Dr. Jay also included a little bonus about his trip to Sicily at the request of a few friends.
People forgive, but don’t forget
Dr. Jay has had a few moments of bad behavior in his life, mostly in college but maybe a little bit in his later adulthood. No one is perfect, however, Saturday’s incident at the Ohio State football game is the inspiration for this week’s Two Minute Drill.
On Saturday K’Vaughan Pope, a senior linebacker for Ohio State decided he was going to quit the team, throw his equipment (his gloves specifically) into the stands, and then send out two tweets to the universe. One was “F*CK Ohio State” and the second one was “good luck to my teammates”. Now, he has subsequently apologized, and he also said in his apology that he was going to be working on his mental health and we appreciate that. We don’t know what he was going through or what his experience has been like at Ohio State. What we do believe is that people will often forgive but they rarely forget. So, his ability to go into the transfer portal and find another team or another coach that sees this behavior and says, “I don’t know if I want that on my team” could be a problem for him.
So, when we think about this in terms of our leadership skills, capabilities, or even our leadership faux pas, when run into a situation that makes our heads want to spin like the exorcist there are a couple of things we can do to prevent us from having bad behavior that people will often forgive but rarely forget.
Take a deep breath, walk away from the situation. Go into your car and close the doors and windows and scream as loud you need to (we’ve done that several times) but do something that doesn’t create a bad behavior memory. It will save you a lot of humiliation and a lot of apologies and a lot of regret in the future.
That’s today’s topic for the Two Minute Drill. Let’s minimize the bad behavior so we don’t have to worry about the apology, the forgiveness, and people not forgetting.
BONUS SECTION
This is a special bonus section. A request from Dr. Jay’s very close friend who wanted him to comment on his time in Sicily. “It was a great experience, beautiful country, food was incredible, wine was fantastic, views were amazing, and it was not that expensive. One thing that I will share with you if you are going to go, try and check out the north coast, the east coast, and the southwest coast. Just see the whole island because it is truly a beautiful place. Of all the places we went to, Ortigia was my favorite. We stayed in a gorgeous hotel, had a great room, great views, and just enjoyed ourselves. If anyone is interested in going to Sicily, reach out to me. I’d be happy to share all the places we went to with you, so you can enjoy them too.”
Head over to our Facebook page and let us know what you thought of this week’s Two Minute Drill
Your questions and feedback are always welcome and appreciated!
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This week Dr. Jay is traveling again, bringing you the Tuesday Two Minute Drill from Detroit, Michigan. In today’s TMD he is completing the circle on the discussion of self-discharges.
Patient goals
Today we are completing the circle on the discussion of self-discharges. We talked about the importance of tracking the ratio of self to doctor discharges. Then we talked about the importance of tracking the reasons why your patients self discharge from care. Now Dr. Jay is talking about how to move the needle to reduce the number of self discharges in your practice.
There are three steps to reduce the number of self discharges in your practice:
Make sure that somewhere on your intake paperwork or patient portal you have a spot for your patients to report what their goals of care are.
When you do your report of findings discuss their specific goals with them and make sure you share the vision-making with them. Also, at this time make sure you employ shared decision-making. This means when you tell them this is the treatment plan, this is the treatment we are going to employ, this is the frequency and duration of your care based on the evidence and my clinical experience, make sure they say yes I understand, yes I agree, yes this is going to help me achieve my goals.
When patients are coming in for regular visits and re-exam make sure you discuss what they believe their progress is toward their goals are. It’s not enough to just ask what is your pain level from 0-10. That’s not enough. You want to make sure you are also tracking their perceived progress toward their goal. So if they want to run a marathon, are they able to run a certain distance now that you’ve delivered a certain amount of care.
Tracking those goals that are important to your patient is critically important to reducing self-discharges. Employ these tactics to make sure your patients complete their care and get the best possible long-term outcome.
Head over to our Facebook page and let us know if you track this information already or how you are going to start tracking your patient’s goals.
Your questions and feedback are always welcome and appreciated!
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Dr. Jay in Ortigia, Italy for this week’s Tuesday Two Minute Drill. He is continuing the conversation on metrics that matter. This week he is adding one more thing you should be tracking on your weekly spreadsheet.
Metrics that matter
This week Dr. Jay is continuing the conversation around metrics that matter. Last week he talked about the importance of tracking self vs doctor discharge patients.
Self-discharges are critically important to track for a variety of reasons. There is certainly a business use case, but it is really about the patients at the end of the day. It’s about making sure we can reduce this self-discharge number as much as possible because we know one of the most common reasons patients discharge is because they feel better.
We also know from the scientific literature that the most accurate predictor of any future injury is a past injury. Many times this is because patients stop treating a problem when the symptoms go away.
Having a baseline number to know where you stand with the patients that are not completing their care is an important first step. We talked last week about running a report and tracking these numbers at the end of the week in an excel spreadsheet but the next thing we want you to do is to start adding in the reasons WHYpatients are self-discharging.
We know from our own data it could be a wide variety of reasons:
They feel better
They don’t feel better/you didn’t get a good clinical outcome with them
Insurance reasons
These are common reasons why patients may self-discharge but you have got to track this information to know about your own patients. So, don’t just create the spreadsheet that identifies if they are doctor or self-discharge but make sure you design the spreadsheet so you know exactly the reasons why.
At the next Two Minute Drill, Dr. Jay is going to talk about what to do for these different categories of reasons of self-discharge so you can attack the issues, get a better result, and get a better clinical outcome for these patients that are self-discharging too soon.
Head over to our Facebook page and let us know if you started tracking your self discharges after last week’s TMD.
Your questions and feedback are always welcome and appreciated!
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It’s a new week and a new location for Dr. Jay. This week Dr. Jay is in Sicily for his Tuesday Two Minute Drill talking all about metrics that actually matter. Listen to find out what one metric isn’t being tracked nearly enough.
Metrics that matter
Today we are talking about metrics that matter. When Dr. Jay is speaking across the country or having conversations with other chiropractors, there is one metric that isn’t being tracked nearly enough. It’s the self-discharge to doctor discharge ratio.
People know their metrics like MVA and other metrics like billings, collections, and new patients but if you are not tracking the percentage of patients who self-discharge versus those who doctor discharge you are missing out on a huge opportunity.
Why?
First, you are missing an opportunity to improve the doctor discharge number and reduce the self-discharge number because self-discharge patients typically are not adherent patients and therefore may not have the best outcomes.
Secondarily there is a business use case for checking this. When you know where you stand with doctor vs self-discharges you can then take steps to improve.
So first thing we want you to do if you are not tracking this metric, at the end of each week run a list of your patients who are no longer in the practice and identify them as either self or doctor discharge and do this for the next 90 days. If you have an EHR system that tracks it for you and the reason why then great. Track it, run the reports, and check them so you know where you stand.
In next week’s Two Minute Drill, we are going to talk about how to move the needle and improve it.
Head over to our Facebook page and let us know if you track this important metric.
Your questions and feedback are always welcome and appreciated!
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This week Dr. Jay is in Florida for The National FCA conference and is joined by his good friend Aaron Reynolds. In this week’s TMD, he is sharing four words he used when recovering from a recent injury and that you can use when trying to change something you are doing in your business or in your life.
When life gives you lemons
Aaron has a really important story to tell about a recent injury and how when life throws us lemons we make lemonade.
“Jay asked me to share about these last couple years where I had this crazy accident where out of nowhere both my legs blew up, but we’ll talk about that another day. What I really want to talk about is what got me through that recovery. There are 4 words. Patience, Disciple, Grace, and Acceptance. If you are trying to change what you are doing in your business or in your life, you need to be intentional about trying to get those results. Those 4 words were in my mantra. They were things I talked about and looked at every single day”
It’s amazing how Aaron has recovered and he has even transformed himself. When the injury happened he was 301 pounds and is now down to 230 pounds. The reality was he knew he had to make an intentional change to improve his life if he was going to live a good life.
Those are the same attributes that you use in your personal life and your business life.
Learn from this guy, he knows what he is talking about. It’s all about your mindset.
Head over to our Facebook page and let us know what four words are part of your mantra.
Your questions and feedback are always welcome and appreciated!
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