
Promoting My Practice –
What Do I Do Now?
by Howie Horrocks and Mark Dilatush
Whether you are down from last year, flat from last year, or up
from last year, the basic foundation principles for managing your
marketing budget are the same. Since March 2008, most of you
have experienced some type of impact from the overall economy.
Is there something you should be doing now that is different from
what you were doing before? Maybe, it depends, read on.
As a pre-requisite, when we say “year,” we do not mean a calendar
year. You can start to promote your practice properly
whenever you want. For planning purposes, a “year” simply
means 12 months, no matter which month you start.
Does Your Web site Suck?
How is your Web site doing? Do you get new patients
referred by your Web site? Over the years, I have heard from
many dentists who are disappointed with their Web site’s results.
Many have paid a lot of money and not seen results. The sad
part is the vast majority of those Web sites were created by hired
professionals. If professionals developed these sites, why do they
fail to produce? You need to know this!
Start With Your Budget
A middle-of-the-road promotion budget range for a dental
practice should be five percent of previous 12-month revenues
to five percent of your goal revenues for the next 12 months.
Using an example, a dental practice with revenues of $600k in
the previous 12 months and a goal of $800k in the next 12
months should have a marketing budget range of $30k to $40k
for the upcoming year. You should not spend less than $30k or
more than $40k. This is not an overly conservative budget, nor
is it an overly aggressive budget.
Practices with revenues greater than $1.5 million can start
dropping their marketing budget one quarter point each year as
long as they continue to grow into whatever capacity (time,
space, providers) they need to feed.
History Helps Point You Toward
the Future
Since a productive promotion is a terrible thing to waste,
you have to figure out what is working and what is not working
from your promotion expenses from last year. Typically, a dental
office will run a production-by-referral report for the previous
12 months and study the data on the report. We are going
to discuss a much better way to do this later in this article, but
you have to start somewhere right? So, go run a production by
referral source report from your practice management software
and look for the source of most of your new patients. While you
are doing that, look at your accounts payable software for the
cost of each of those promotions.
You are planning for the upcoming year, so keep any and all
promotions (and their associated expenses) that make sense. Be
careful here. Make sure you look at the average revenue per new
patient, not just the number of new patients. Many promotions
will generate high volumes of patients, but return little revenue.
These can kill you financially. If
none of your promotions worked
well last year, it’s time to wipe the slate clean and start fresh with
new promotions in the coming year.
Where Should Dentists Invest
Their Budget?
Every dentist is different. Every situation is different. Every
starting point is different. So, what follows is a very general
guideline that you might use to allocate all or any remaining
dollars in your marketing budget. The following is in least to
most risk order. It is also very important for you to understand
that some mediums are actually pre-requisite mediums to the
mediums further down the list. In general, if you apply these
properly and in this order – those at the top will support (and
therefore lower the risk) those farther down the list.
- Internal Promotion: Typically, a dentist should allocate
about five to 10 percent of their budget every year to internal
promotion. Examples of internal promotion might be
electronic services that help you communicate electronically
(SmileReminder, DentalSenders, DemandForce, etc.), referral
reward campaigns, new patient brochures/portfolios,
local public relations events/organizations, etc. Internal promotion
should always have a place in your budget.
- Web: As the wane in investment in Yellow Page directories
continues, those dollars should be re-invested in yellow page
alternatives – the Internet. Five percent to 15 percent (depending
on the severity of competition in your market) of your
budget should go here each year. Obviously, you will need a
Web site first. After that, competitive positioning on search
engines (SEO), a professionally done video series for your Web
site, and potentially search engine marketing (SEM) are all
places you can allocate your budget. In general, the above
would be in the order that we would typically recommend.
- External/Direct/Targeted – Mail: While there are many
variations (postcards, brochures, magazines, etc.), a significant
part of your budget should be devoted to a properly designed,
targeted, and deployed mail campaign. If everything is done
properly, the patients you receive will support the highest
average revenue per patient. Depending upon the size of your
annual marketing budget, you might have to stop here and
save the rest for future years. A solid annual mail campaign
will run $25k to $30k. You can of course have fewer targets and send fewer pieces, but the average successful mail campaign
consumes about $25k to $30k within a budget.
- External/Untargeted – Print Media: Once you have
reached this point and have budget left over, it is time to
expose the practice within the local print media. This could
be newspapers, community newsletters, magazines, almost
anything that is distributed to households within the same
general footprint your mailers hit.
- Mass Media – Radio, Television, Billboards, etc.: If you still
have room in your budget, and if everything else above is producing
for you – now you can expand into mass media. Which
mass media you use is really dependent upon several things.
Cost is usually the first concern because in most markets, radio,
TV and billboards are not cheap. Typically, you are looking at
a minimum $3k to $4k per month investment in these mediums.
Of course, if you are in a more rural area of the country,
these mediums can be exploited for less – a lot less.
What’s Next?
What’s next is definitely as important as what you’ve already
read. The answer is actually the result of other questions. What
are you after? What do you want? What do you need? Do you
want lots and lots of patients to fill unused capacity? Do you
simply want another 10 great new patients a month to augment
your existing new patient flow?
These are serious questions. They are serious questions
because the answers will dictate design, deployment volumes,
and deployment timing.
If you want 10 or so great patients every month, your
designs and deployment have to reflect that. If you want or need
large volumes of new patients, your designs and deployment
have to reflect that as well. You can also do both!
In general, promotions based on the benefits of today’s dentistry
will generate slightly less volume but better patients. In
general, promotions based on financial incentives will generate
slightly higher volume of patients that support lower average
revenue. Think of it like a sliding scale.
Design, Deployment,
Campaign Management
We could fill this entire issue of Dentaltown Magazine talking
about design, deployment, and campaign management. We
have been statistically testing and tracking design elements for
the past 21 years. Much of what we’ve learned through consumer
testing would surprise you. The best advice we can give
you is to choose a firm (or someone) that tests. This is not the
time for you to be a guinea pig (so to speak). You shouldn’t look
for cookie cutter and you shouldn’t look for totally custom. A
cookie cutter design doesn’t allow for the promotion of your
unique marketable attributes (yes, believe it or not – you are
unique). A totally custom design is, well, totally and completely
untested (which adds significant risk to your marketing investment). What you are looking for is a customized design using a
fully tested set of design elements.
You also need someone (either you, someone you delegate to
in your employ, or a firm) to deploy your advertising in such a
way that it complements the other ways you promote your dental
practice. As an example, a dentist might mail once a month
and deploy insert drops every other month. These need to be
coordinated and orchestrated in order to gain the best result
while not creating a spike/valley of phone calls.
What Do I Do as I Implement
These Changes?
At the beginning of this article, we reference looking at history
to determine part of your future. We discussed running
reports from your practice management software to determine
the advertising source and value of your new patients. Well, the
honest to goodness truth is none of you do that very well in your
practices. We understand you think you do. That’s OK. There is
a very affordable and powerful alternative. That alternative is to
put a tracking phone number on all of your external mediums.
This opens up a tremendous opportunity for the dentist/owner.
Now, using a Web browser, you can sit at home and:
- View the number of incoming inquiries by source between
any date range.
- Listen to how your staff handles the phone during a new
patient inquiry.
- See what day and time an inquiry came in that was not answered by your staff.
- Determine the quality of the incoming inquiries.
- Verify/cross reference number of inquiries with the real
number of new patients.
How would you like that? One year from today, how would
you like to know (as opposed to guess) which of your promotions
are working and not working? Wouldn’t that make this
whole process of promoting your dental practice a lot less stressful,
expensive, and uncertain?
Successfully and professionally promoting a dental practice
does not have to be a mystery. We hope this article gives you the
foundation for getting your promotions back on track.
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