How to Build a Thriving Practice by Analyzing Your System

Chiropractic Efficiency Chiropractic Expansion Chiropractic Training

No matter how hard you look, you’ll probably never find an autopilot button to set your chiropractic business on cruise control.

Cruise control – implemented haphazardly or carelessly – rarely works in business. Steering your way to success requires a hands-on approach, a smart management style and a system that allows you to monitor the progression of your enterprise.

Taken together, the journey to success becomes smooth sailing. Your destination is always within sight. The difference between the chiropractor running a thriving business and the one who is barely able to keep the ship afloat is focus, precision and action.

What are you looking at and what are you doing in response to what you see? If your answer is nothing and you set your expectations on others just doing their jobs, then you’re in for one stormy ride with a disastrous destination awaiting you on the horizon.

Developing the Analytic Edge

Building a successful practice requires developing systems to measure and reward productivity and to eliminate and penalize inefficiencies and waste. Chiropractors also must implement processes to enable practice managers to analyze various conditions of the business.

The Titanic of 1912 sank because the luxury ship’s captain was unable to analyze the threat adequately, make course adjustments in time and respond with appropriate processes – such as having sufficient lifeboats and life jackets – to save the lives of more than 1,500 passengers.

Establishing a system at your practice equips you to respond to financial or staffing shifts in your business and enable you to manage sometimes sharp market fluctuations.

The Nuts and Bolts

Businesses – and people – generally move along the boom and bust cycle of productivity and profits. Your objective is move your practice to the boom side and reverse movement in the wrong direction.

You must identify where you are in the cycle, the direction you’re moving and what specific and detailed strategies to implement to either sustain healthy growth or get you back on track.

 First stage: Your business is going strong. Profits are up, traffic is high, and your office is buzzing. Your goal, obviously, is to maintain that state. You have to realize that one false move, one lowering of your defenses or one decision to rest upon your laurels and you could see that bubble pop. Recall Apollo Creed in the early Rocky movies?

What to do? When you’re on the upswing, don’t take vacations, don’t make investments, don’t go out on the limb. It’s time to economize. Pay your bills. All of them. Invest in practice facilities. In a phrase, if it ain’t broke, don’t fix it. Your business machine is running on all eight cylinders.

Second stage: Your business is growing – slightly. Nothing to write home about. Maybe a few dollars more each week. One new patient maybe every week or month. You’re not happy, but you’re not pulling your hair out either. But you also know that inflation and marketplace uncertainties just may blow a hole in your happy ship at any time.

What to do? Don’t change anything. Let the ship keep sailing. You’re going in the right direction. But take a close look at how it’s sailing. We introduce the focus and analytical side of the equation. What is being done right in your business? What processes are the most profitable? Who are your top performers?

Focus on these parts of your practice. Put the emphasis on the high producers. Throw the wood in the furnace that’s cranking. For the under performers and loose ends in your practice, do some tweaking. What’s wrong and how can you fix it?

Third stage: Your business is stable – in the ugly sense of the word. At least it appears that way. You’re getting no new patients. Revenue is steady, maybe. If you monitored your practice’s progress on a graph, it looks like a straight line to the right, with occasional drops. You’re not sure if something’s just not right or something’s going wrong. Although it may look OK on the ledgers, your practice is teetering. And you discover this condition after careful examination.

What to do? This is time to roll up your sleeves, to take your practice to the next level, to put your business into high gear (you may use whatever metaphor that suits your vision). Begin promoting your business, just like you did when you first opened. It’s time again to start spreading the word. Turn up the fire in your marketing department.

Dig into your operations and find out what’s working and what’s gone wrong; and fix it. Cut costs, reduce expenses and prepare to deliver on your overhaul plans, which may involve hiring new people to cover understaffed areas. Last of all, crack the whip. Cruising along Easy Street is going to take you to some unhappy places.

Fourth stage: Something has gone wrong at your practice. You’re answering the telephone as your front desk receptionist is off chatting with a buddy in one of the treatment rooms. If you continue on this course, you’re going to hit that iceberg. And you’re going down. This is red alert.

What to do? Someone is obviously not doing his job. Identify where that is happening and who is responsible. Identify and label the red herring and immediately institute a new course of action to avoid taking this dead end again. Develop an explicit policy that identifies and rectifies the production flaw. It’s time to repair this breach before your practice takes on even more water.

Fifth and final stage: This is the lowest point right before posting the “Out of Business” sign on the door or hiring a bankruptcy attorney. This is when everything’s going wrong. The line on your revenue document would make great fodder for downhill skiers. Even your patients are having doubts about your survival. You’ve even briefly entertained the thought of changing your practice’s name to “Doldrums Chiropractic.” Remarkably, this stage feels like you’re starting from scratch. And you are.

What to do? The fix for this condition may appear the shortest, but it requires some major rethinking and serious introspection.

First, communication. How are you going to do it? Obviously, to have reached this stage meant you weren’t communicating. The strong, silent types can’t expect their staff or the public to read their minds.

Second, which is similar to the first, broadcast you. Let everyone know what you’re doing, what you expect and what you’re offering.

Third, find out what is needed and wanted in your marketplace. Don’t expect to sell daisies and daffodils to cement contractors. Understand your patients. Who are they? What do they want? The same goes for your employees. This stage resembles the startup stage. You must lay the groundwork before you can build your practice.

That involves hard work, some fancy footwork and a little song and dance. You have to tell your future (or lost) patients who you are, what services you provide and why you’re so wonderful.


Taking a Close Look

Scrutinize how your practice functions by measuring staff and department productivity will reap powerful results.

The Chiropractic Business Academy has helped thousands of chiropractors build thriving, staff-driven, patient-centered practices. Our aim is to put you on the right track to success!

Chiropractic Management Success Story

Chiropractic Management Success Story

Chiropractic Efficiency Chiropractic Expansion Chiropractic Seminars Chiropractic Training

Chiropractic Management Success Story

Successes from our In-Office Delivery

At CBA we focus on Chiropractic expansion, proper organization is key to this.  One of the ways we accomplish this is through our  week of in-office training and implementation to help your staff work together as a cohesive group to get production done and help more people.  Here are some wonderful testimonials from a few of the staff of just one of the offices we have done In-Office delivery for.

“I have learned so much in these couple of days that I can apply not only to my job, but life in general.  All of the principles that were covered can easily be applied to any situation.  I think that this course will definitely help my current job position in order to help me get more oranized and get work done more efficiently and in the ling run will help the company that I work for grow and expand.  I would definitely recommend this course to anybody who wants to do better in their job and life. Thanks CBA!

Stephanie, Dr. B.K.’s Office, NC

“I truly enjoyed all that was taught here this weekend.  We had a great coach.  Eric really helped us to learn how to wear our hats in the company.  We learned how to be more efficient with our work and being more organized and using our organizing board. I learned the responsibilities of my valuable final product and how to gain control over my station.  I learned how to show great morale in a company and when to use proper ethics.  I learned how to use proper judgement and to always utilize my memos when I do not understand certain things.  I learned that my appearance is key in a company and to always smile and keep a high level of professionalism.  All in all it was a great experience and I had a great time!”

Patricia, Dr. B.K’s Office, NC

“Eric brought a lot of powerful knowledge to our office this weekend.  He provided us with the knowledge and tools to make our office even better than it already is.”

“Implementing the training that we received this weekend will allow us to become more organized, efficient and boost the morale of our staff. Thanks Eric and CBA”

-Sherri, Dr. B.K.’s Office, NC

“I am very thankful for being a part of the training provided by CBA. I believe I am better prepared professionally for every aspect of my life.  Many of the points of this course can be applied both at home and the workplace. I also feel I learned a little more about myself during this course.  And that may be the greatest thing I received from this course. I learned that no matter what your rank you can be a leader whether you lead a corporation or if you’re a leader of yourself.  Furthermore, I learned more about in the practice, how to function as a cohesive unit.  We are an even more well-oiled machine.  I have a greater sense of responsibility of and for myself and just how important I can be to not only my department, but the practice as a whole even at home.  Again, I am thankful for all the wealth of knowledge and leadership training I gained in this course. The future is bright!”

Stephen, Dr. B.K.’s Office, NC


The Chiropractic Business Academy is your source for effective chiropractic marketing, business development (think entrepreneur!), chiropractic seminars, and now: chiropractic products!

Get Chiropractic Staff Trained and Expand!

Chiropractic Marketing Chiropractic Staff Training Chiropractic Training

Get Chiropractic Staff trained and Expand!

Do you know what to train your staff on?

Chiropractic Staff Training Everyone knows they should train their staff. But on what exactly? Why is it important?  Look at your staff as the foundation of a house.  If you built a house on a wobbly foundation, no mortar to keep the bricks together, the bricks didn’t quite match up and maybe some of the bricks were deteriorating, would your house stay up or be stable? No, it absolutely would not.  You would start building and maybe you would get it completely built but then it would come tumbling to the ground.  The same goes with expanding any business.  If your staff are only partially trained, have limited skill and limited knowledge anytime you tried to expand or grow, you may make some head way but then it would come crashing down again.  Then you have that ebb and flow of production going on.  Does this sound familiar?


Employee Training

There are two main things that each of your staff should be trained on.  Their own particular position and every other position in the office.  You may think that your staff already know how to do everything for their position because you  have had them for a year or more.  But how often do they come to you with questions or problems for you to handle that you feel they should know how to deal with by now?  Think back and create a list of all the different things your staff bring to your attention that you think they should be able to handle on their own.  Take the items you wrote and decide what would be the procedure to handle each one. Put those procedures in writing, ALWAYS.  Start by getting your staff trained on those procedures.  Make sure they know it completely and feel confident to handle everything listed without your help.  This is a gradient process, the key is to keep doing it.  The more you do it the more stable your staff become and thus your foundation becomes more stable.                                                                                                                                Now lets build that house (or practice that is)!


performance trainingNow, this is just a little tidbit to get you going.  Remember that the more stable your staff are the more they can handle, the better their performance and the more you can grow and MAINTAIN your growth.  At Chiropractic Business Academy we have many  courses to train your staff.  We have precise and successful systems for Reception, Marketing, Patient Educator, efficiency, organization, chiropractic management, planning, financial planning for profits, policy writing, business planning, hiring staff and more!







The Chiropractic Business Academy is your source for effective chiropractic marketing, business development (think entrepreneur!), chiropractic seminars, and now: chiropractic products!

Masterminding Chiropractic Marketing at Surf Camp!

Masterminding Chiropractic Marketing at Surf Camp!

Chiropractic Expansion Chiropractic Seminars Chiropractic Training

Chiropractic Marketing and Business Mastermind!

Costa Rica Chiropractic Surf Camp

This past September, 24 Chiropractors joined us for the 1st annual Chiropractic Marketing and Business Mastermind (yea, okay, it was a surf camp!)


chiropractic marketing surf camp


If you didn’t hear, there was a big earthquake in Costa Rica while we were there.  We took this picture to let everyone know we were all alive and well.  We look great don’t we?!

The days were filled with fun and lots of surfing.  It just so happens that we came when the swells were big from a prior storm off the coast(sorry newbies!) but everyone took it on in style.  By the end of the week everyone was able to stand up on their boards and actually surf! HECK YES! There were tons of thrilling and leisurely activities going on.  Groups of doctors were zip lining, four wheeling and getting relaxing massages on the beach.  And if you just wanted to hang out, there was always a group at the pool kickin’ back. Don’t you wish you were there?!

The nights were full of intense, work your butt off masterminding on chiropractic marketing, working out personal and business ideal scenes, how to get to next year’s goals and overall business expansion.   Everyone was working as a team to confront and handle any stops and barriers to their office expansion!  I think this made them sweat as much as taking on those big waves. Yikes!  All in all, they had as much fun and excitement hammering out their business expansion as they did during the day’s fun filled activities! HOORAY!

chiro marketing surf camp
















Here is one of our doctors ready to take on the waves of Costa Rica!  He is a natural, by the end of the week we saw him doing head stands on his board as he was riding it in! CRAZY!

This was such a hit that we already have doctors signing up for next years Surf Camp/Business Seminar! For all you snow lovers look out for our Ski Camp coming to Utah this winter!

Signing off another fantastic week here at CBA!

Yours in Expansion,

CBA Team


The Chiropractic Business Academy is your source for effective chiropractic marketing, business development (think entrepreneur!), chiropractic seminars, and now: chiropractic products!