What EVERY Potential Employee MUST Sign!

Every dentist should check references and do background checks on job applicants, prior to making a hiring decision. Too many times, a non-confrontational dentist will hastily hire the first applicant that impresses him, without conducting the necessary background and reference checks.I recommend that all dentists use a disclaimer/release form as a part of their job application. The disclaimer accomplishes two purposes. It releases former employers from any liability for providing information about the applicant. It also gives the dentist permission to conduct background and credit checks, as well as drug testing. I recently had a client dentist hire a new dental assistant without conducting background checks. This employee lasted less than one-week. After she left, the dentist discovered that the employee had multiple DUI convictions. There is no question, that this employee would not have been hired had the background check occurred before the job was offered.

There is an added benefit to having job applicants sign the release form at the time they complete the job application. Often, applicants wanting to hide details from their past, will balk at signing the release form. This would immediately alert the dentist to not pursue these applicants for employment.

Dr. Mike Goldstein
Goldstein Management

Director In Charge of First Impressions

I recently visited a huge accounting firm in Atlanta to meet with their dental division. I was very impressed with the level of customer service demonstrated by everyone I met, starting with my initial telephone conversation. Most impressive was their “gatekeeper,” Sandy, positioned at the main desk located in the entrance area to the huge suite of offices. In the middle of Sandy’s desk sat a large name plate which stated her job title, “Director In Charge of First Impressions.” What a perfect description of her MOST important job duty. Plus, what a wonderful way to set the tone for all interactions that will follow.Sandy obviously understands the importance of her making the best first impression possible as her firm’s representative to potential new clients. Isn’t your receptionist the director in charge of first impressions in your office? And at times, isn’t every member of your team a “co-director of first impressions?”

Not only do I love this job title, I love having a plaque or sign stating it. What a wonderful reminder to your receptionist(s) what their main job duty is. Just as importantly, the sign sets a positive tone when new, or potentially new clients see the  title  and  comment on it.
What do you do at your office to create a positive first impression? Do you have someone like “Sandy” at your front desk?

Dr. Mike Goldstein
Goldstein Management

Quit Sending Patients Out the Door!

A wonderful way to increase profitability in your dental practice is to strategically refer fewer procedures out of your office. Review your referral habits by analyzing the type and volume of procedures you’re currently referring to specialists. Chances are, you’ll be able to identify procedures that you can be trained to perform comfortably in your own office. If you’re referring a high volume of ortho cases, why not take an Invisilign course or perhaps Six-Month Smiles? There is a very small learning curve to become proficient and profitable doing these procedures. If you’re referring a lot of extractions to the Oral Surgeon, why not take a course to learn about the new Golden Misch Physics Forceps, which make the uneventful extraction of difficult teeth, easy and predictable. If you’re like many dentists and refer out tons of endodontics, why not take a course to become proficient at performing at least some of the endo cases now being sent out your door?A number of years ago when my former partner, Kit Weathers and I were having one of our two-day, hands-on endo courses in Griffin, Georgia, one of our female dental students told us that she came all the way to Griffin from Los Angeles, because she was tired of receiving a $50,000 holiday gift basket each year from her endodontist.

This frustrated dentist was implying that she thought she should be doing most of the cases she was referring…and she was right! The good news is that endodontics is one of the most productive procedures on an hourly basis that a GP can do. In fact, the profitability doing endo is so good, that endodontists typically have the greatest profitability of all the specialties, at around 58.5%, compared to general dentists, at 39% or less. During the eleven years, while I was partnered with Kit doing Root Camps, I did my own research on the economics of our students’ endo, both before and after their training. What I found was that after a two-day hands-on course, most of our students became confident performing many of the root canal cases they were referring. In addition, for the cases they had been doing, they increased their hourly production performing endodontics by between 47% and 54%, depending on which tooth they were working on. That translated to an additional net profit for each hour of production of between $255 and $303. Surprisingly, the greatest improvement was for the anterior tooth cases. The average “post-Root Camper” was producing about $949/hr doing anterior root canals.

So, if you’re looking for a quick and sure-fire way to increase your profitability, consider learning to do more efficient endodontics, or learn how to comfortably, enjoyably, and profitably perform many of the procedures you’re currently referring to your various local specialists.

Dr. Mike Goldstein
Goldstein Management

The Perfect TimeTo Budget

Fall is the perfect season to calculate your practice budget for the approaching New Year. The process can be as simple as listing your annualized expenses for the current year, and next to these numbers, writing the anticipated changes for the following year, whether they are higher or lower. When you total the difference, you will know how much additional revenue you must earn in the New Year to cover your expenses. There are a number of simple strategies to assure you easily attain this “breakeven budget.” The important point is that with this simple budgeting exercise, you eliminate the guesswork about knowing where you stand financially during the New Year.Additional budget planning should include calculating the financial impact of implementing strategies which will increase your practice revenue beyond your current salary and office expenses. This “growth budget” may include ideas such as adding capacity to your office by equipping an extra operatory, or perhaps adding high-profit clinical procedures to your procedure mix, such as efficient, rotary endodontics. You may employ strategies to increase the number of high-dollar, therapeutic procedures being performed in your hygiene department, which will increase your hygienists’ hourly production.

Once you total the estimated annual financial gains that the growth budget items will add to your practice revenue, you can finalize your office budget for the New Year. It is simply a matter of long division to estimate your monthly, weekly, and daily goals for the New Year.

Mike Goldstein
Goldstein Management

The Best Internal Marketing Call You Can Make

A post-op telephone call made by the dentist to the patient is a great motivator to inspire patient loyalty. The unexpected display of concern demonstrates the level of caring that the patient can expect from you and your dental office. There are some important logistics to keep in mind concerning the calls.

As you go through your day, identify each patient who meets your criteria to receive a post-op call. In fact, you can make a notation on the patient routing slip at the conclusion of the appointment. Your dental hygienist(s) should do the same for her patients. Have your appointment coordinator prepare a list of the names and appropriate contact telephone numbers of these patients. She should confirm the best number and time of day to reach the patient and note this, along with the patient’s name and the procedure you performed.

The call itself should go like this:

Introductory statement: “Hi Anne – this is Dr. Mike Goldstein. I’m calling to see how well you’re getting along following your dental treatment?”

Closing statement: “I’m glad to hear that everything is fine and under control. Don’t hesitate to call me if you have any questions. I look forward to seeing you next Wednesday, at 3:30, when you come in to have your teeth cleaned.”

Make these post-op calls the following day. By doing the calls the next day, you are assured of a short and upbeat conversation.

You can expect the patient’s response to be, “…well my mouth was a little sore last night like you said it would be, so I took the medicine your recommended and got along fine. Everything feels great today!

Typically, for a list of four to six patients, the total time involved making the calls might be six to ten minutes. After two no-answer attempts to reach the patient, I suggest you delegate these contacts to a team member for follow-through. In this case, the conversation sounds like this, “Hi Mary. Dr. Goldstein asked me to personally call you to see how well you’re getting along…”

You also should know that a doctor message, as discussed, left on a patient’s voice mail is almost as effective as having a conversation with the patient. In this case, you should leave your contact telephone number should the patient wish to call you back.

Dr. Mike Goldstein
Goldtein Management

Minimize Cancellations and No-Shows With This Form!

Every office should have an “Appointment Agreement” or “Appointment Policy” form as a part of their new patient packet. The form should be a one-page, easily understood request for a minimum of two business-days notice, should a patient need to change or cancel a dental appointment. I also suggest including a statement such as the following:“If shorter notice is given, and your previously reserved time goes unused, you may be charged for the value of the time lost to the practice, usually the fee for the procedure that you missed.”

To make the signed form three times more effective, when the appointment coordinator presents the form to the patient, they should allow the patient to read the form before signing, and then invite any questions about the office’s appointment scheduling practices.

(Sample Form available upon request – DrMike@GoldsteinManagement.com)

Dr. Mike Goldstein
Goldstein Management

What’$ More Important Than Financial Freedom?

If you read articles on finances and retirement planning, you understand the term, “financial freedom.” Simply stated, financial freedom is achieved when you acquire enough wealth to provide for personal and family needs for the remainder of your life. This is a dollar amount that is defined by a series of projections and calculations. There are two additional terms I believe everyone should define for themselves, and strive to achieve.

The first, I call “financial comfort.” You reach financial comfort when, if you lose a significant portion of your income or net worth, you’re not forced to make major changes to your lifestyle. You won’t have to move to a less expensive house or remove Junior from private school. You get what I mean. Achieving financial comfort is an indication that you’re living well within your means.

The most important financial position to strive for is “financial satisfaction.” Financial satisfaction exists, when despite a sudden, significant increase in your salary or net worth, you have no desire to change any major aspect of your life. Achieving financial satisfaction indicates that you’ve developed a lifestyle where your ultimate happiness is not derived from your material possessions. To me, there is no more satisfying position to reach.

Dr. Mike Goldstein
Goldstein Management

Please Write This Down!

Last week I attended the 102nd Hinman Dental Society Meeting in Atlanta. During the three-day meeting, I attended three excellent CE courses with an average attendance of greater than 300 dentists. The three meetings allowed me the opportunity to catch up on the latest information on Endodontics, local anesthesia, and current strategies for achieving growth in a dental practice. During each session, I took many pages of notes in an effort to retain the most important new information so that I could take action on it following the meeting.Looking around the lecture rooms, I was amazed to notice that only about two out of every twelve dentists were jotting down notes. Perhaps their memories were superior to mine, but more than likely, they didn’t consider the new information important enough to retain. I can only assume that they would not be making procedural changes in their offices based on the new information.

This observation demonstrated a major reason why some practices are stagnant, or even faltering, and others are continuing to prosper in this crazy, unpredictable economy we’re in. I’ve found that the dentists that are diligent about keeping their practices fresh with new information and ideas tend to better “weather the economic storms.” I speculate that if we were to analyze the practices of the note takers and non-note takers, we would find the note takers as a group would be doing much better in their practices than the non-note takers.

Attending a great CE course or even hiring a practice management consultant become great investments only at such a time when you’re mentally ready to embrace new ideas with the hope of making positive changes in your dental practice.

Michael D. Goldstein, DDS, FAGD
Goldstein Management

I’M GLAD YOU’RE HERE!

The other evening, my wife and I decided to try out a neighborhood restaurant for the very first time. Once we were seated, our young waiter greeted us and enthusiastically questioned if we had visited the restaurant before. He then stated, “I’m really glad you decided to try our restaurant tonight. I know you’re going to love it!” Even though we were aware that this young man probably used this greeting routinely with his customers, we got the feeling that he was genuinely pleased that we were dining at his restaurant tonight. Further, when we questioned him about some of the dishes on the menu, he proudly bragged about the quality of the food offerings.This waiter’s positive attitude had a lot to do with us having a wonderful dining experience. This young man understood the two most important messages that he could have possibly communicated to us that evening.

He was genuinely happy that we selected his restaurant.
He was proud of the quality and taste of the food offered.
When you and your team members interact with your dental patients, do you routinely convey these two messages? At every visit, can your patients tell that you and your team are glad that they chose your office for their care? Does your team brag about the dentistry you perform and the skills of the other team members in your office? If not, you should learn a lesson from the young waiter in Atlanta, and communicate this to all your patients.

Dr. Mike Goldstein
Goldstein Management

The Art of Saying Thank You!

Today, I had an appointment to have my blood drawn in preparation for my semi-annual physical examination scheduled for the following week. After waiting with about six other patients for my turn to “get stuck,” my opportunity finally arrived. The rather “stand-offish” technician called my name and pointed to the chair in which I was to sit. No smile, no introduction, no welcome, just taking care of business. When she asked me which arm I preferred she stick, I suggested whichever arm she felt would be the easier one for her. She selected my right arm and methodically penetrated my vein on the first attempt, and quickly filled the four empty vials with my blood. After she bandaged the miniscule wound, I looked up at her, made eye contact, paused, and said, “very nice job!” My comment took her completely by surprise, and the big smile that came across her face and the enthusiastic, “why, thank you” showed me that she greatly appreciated the compliment. She was obviously not accustomed to receiving compliments for doing her job. Her complete change of attitude toward me following my praise was very evident.

Like many dentists, I would have to work at complimenting my team members enough, and showing appreciation for jobs well done. My greatest satisfaction came when I would schedule a meeting with a well-performing employee, and then say the following: “Sally, I just wanted to take a minute to let you know what a great job I think you’re doing keeping me on schedule in the operatories. I know things have gotten very busy, but you always keep your cool.” I would frequently conclude with the presentation of a bonus check or a gift, in recognition of her excellent performance. The positive feedback is much more important than the check, but combining the two makes for a wonderful “thank you.” I’ve read numerous articles on the logistics of giving negative criticism to employees. I don’t remember ever reading suggestions for giving positive feedback or criticism. So here goes:

1. Set a schedule to regularly recognize team members deserving of special praise

2. Set up a time (just 5-10 minutes is enough) to chat without interruption

3. Consider accompanying the praise with a gift or a bonus check

4. Be specific about the behavior you are complimenting

5. Be sincere

6. Be brief

Once you’ve experienced the positive vibes following a session like the one I described here, you will seek future opportunities to do it again. Repeat often…

Dr. Mike Goldstein
Goldstein Management