Change for the Better by Jay Geier

Change for the Better 

Two of the dental industry’s most profitable discoveries


by Jay Geier


Growth and profitability are two essential outcomes of everything you do to run a successful practice. We coach clients on a wide array of growth strategies, but these two have proven to be the most profitable for independent practice owners:

  1. Remove the phones from the front desk.

  2. Convert the doctor’s private office into a treatment room.
I discovered the first strategy early in my career, as a way of ensuring that patients who call in, as well as those who come in, receive an excellent experience. The second I discovered over the years of working with clients when, as they grew successfully with new patients and referrals, capacity became an issue. They were stymied on how to accommodate growth if not yet in a position to buy or open another location, but the solution is easy, affordable and fast.


Discovery 1: Remove the phones from the front desk. 

The end-to-end experience that wows new patients and generates referrals has less to do with your clinical expertise than you might think. It starts with the first phone call and continues through every touch point with each and every team member, on every visit.

The front desk team is responsible for providing an excellent experience from the moment a patient walks through the door. When they are simultaneously responsible for delivering an excellent experience to those calling in, they have to prioritize one over the other, and unfortunately can’t serve both at the same time. Your patients suffer the consequences (as does your bottom line), and team members feel frazzled by competing priorities.

You may think your team is handling everything fine because you’ve heard no complaints, but the adage “No news is good news” couldn’t be further from the truth when it comes to patient satisfaction. Just because no one is complaining—or you think they aren’t—doesn’t mean everything is fine.

In his outstanding book How To Win Customers and Keep Them for Life, Michael LeBoeuf talks about why some people buy once and never return. Or, in your case, they come to your practice once but never again. Here’s an adaptation of a few passages:

“I’m the nice patient. I’m the one who never complains, no matter what kind of service I get. I don’t throw my weight around. I’m polite as I can be. I don’t believe in rudeness as the answer to bad service. I wouldn’t dream of making a scene. But I’m the patient who never comes back.”

Don’t be fooled by the illusion that patients are happy with their experience just because you think they are. If you’re not hearing complaints from patients, one or more of these four scenarios applies:

  1. Patients aren’t complaining about any part of the end-to-end experience with which they were disappointed—they just aren’t coming back. They are also not recommending your practice and are probably telling others in person and online why they weren’t happy.

  2. Patients are complaining to your staff, but you’re not hearing about it. It’s human nature not to want to ’fess up to the boss about a complaint, but this speaks to your leadership style. A good leader makes team members feel comfortable talking about complaints, trusting you will listen and work to help solve the root cause of the issue versus blaming them for whatever went wrong.

  3. Patients are complaining and you are hearing about it, but you’re not “hearing” it. You take it personally, get defensive, rationalize and make excuses. Instead of accepting the complaint as a gift because it lets you know where you need to improve, you tell yourself the patient is wrong and change nothing.

  4. Patients aren’t complaining because they’re genuinely satisfied with their total experience. You would know this because they’ve been coming to your practice for years, referred many others and perhaps have given stellar social media reviews. If your patients don’t have longevity with you, and you don’t have a steady stream of new patients from referrals, be honest with yourself about the first three scenarios.
Removing the phones from the front desk eliminates the biggest bottleneck that impedes practice growth. Train the team how to deliver a superior experience in the office and on the phone; in addition, separate responsibilities and accountabilities for results (that is, separate increased referrals from new patient generation). You may be surprised how quickly the practice will grow to the point of needing to implement Discovery No. 2 to add capacity.


Discovery 2: Convert the doctor's office into a treatment room.

I often get pushback on this initially because every doctor thinks they need an office at their office. Even when I do the math to prove an additional treatment room could be worth $30,000 or $40,000 a month or more in additional revenue—or $360,000 to $480,000 a year—they have a hard time imagining how they could live without one.

Next, we delve into what’s in their office and how it gets used. The answers are virtually the same for almost every doctor:

  • It looks more like an attic, cluttered with stacks of items begging to be purged. If these papers are important, they need to be organized and filed appropriately. Move it all to your office manager’s desk, and delegate the task of making it useful to the business. Or give another team member a special project opportunity.

  • Office clutter is a stark reminder of everything you haven’t done; instead of providing inspiration or relaxation, being in there increases your stress level. This makes your office an unhealthy and unproductive place to be.

  • Most team members think the doctor uses the office as a hiding place from patients and team members—hardly a desirable leadership behavior.

  • Doctors use the computer throughout the day mainly for personal business (same with the phone, if there’s one in there), checking email and playing games. We coach clients to have an office at their home and to establish a daily routine of taking care of personal business before going into work. You can be more focused while at home and eliminate the distractions that keep you from being fully present for your patients and team when you get to work.
Your practice makes all of its money in your treatment rooms. If growth is stagnating because you, your associates and your hygienists have maxed out your ability to see patients, you cannot get back on a growth trajectory without another treatment room. If you have years left on your lease, that’s no excuse to make a poor financial decision, which is to do nothing.


Discover what your growth could be

To remove the biggest bottleneck in your business, remove the phones from the front desk. Then engineer the entire experience around the patients—those in the office and those on the phone. As you grow with additional new patients and referrals, don’t let the lack of treatment rooms become a new bottleneck. Do the math to discover the additional income you should expect from another treatment room, then put your personal office space to far more valuable use.

Author Bio
Author Jay Geier is the founder and CEO of Scheduling Institute, a private practice consultancy dedicated to helping doctors successfully grow their practices with guaranteed results, starting with the No. 1 area of growth and profitability in the practice—the front desk. To request a free front desk audit, go to auditmypractice.com/dtown.

 

Support these advertisers included in the March 2022 print edition of Dentaltown magazine.

Click here for an entire list of supporters.

 
Sponsors
Townie Perks
Townie® Poll
Who or what do you turn to for most financial advice regarding your practice?
  
Sally Gross, Member Services Specialist
Phone: +1-480-445-9710
Email: sally@farranmedia.com
©2025 Dentaltown, a division of Farran Media • All Rights Reserved
9633 S. 48th Street Suite 200 • Phoenix, AZ 85044 • Phone:+1-480-598-0001 • Fax:+1-480-598-3450