Episode 80: Start With the 4 Keys to Practice Success

How did I come up with the four keys to private practice success? Well, after hitting rock bottom in my own practice, I invested in becoming the best owner that I could be by learning everything I needed to know. This led me to consulting where I learned, after working with hundreds of practices, that there was a sequence to follow and key elements that needed to be in place to be successful. The better one followed them, the more successful they became. The four keys to success are: 

  • Environment
  • Structure and Organization
  • Personnel Management
  • Systems of Operation/SOP’s

So many practice owners who talk to us are focused on doing, doing, doing. But that is not going to make you a better owner, nor is teaching your staff. Training advances skills, teaching just educates.


  • You can not manage over disagreement. Does the person you are trying to train have a preexisting fixed idea?
  • People are like fabric. Everyone is made from different fabric. It is  your job as the leader of your group, to identify who is made of what fabric so you best communicate with them and get the best outcomes.
  • Personnel is the most challenging and problematic and the biggest barrier to success in your practice.
  • Environment is the first stumbling block to success. Is your space too small? How is the parking lot? How is signage? Have something in your sign that describes Physical Therapy and what you do.
  • You need to know what goes on in each division, what their products are, what are the duties, the statistics and who is overseeing it. If you don’t know how to structure yourself within the 7 divisions.
  • Have your vision on the individual and your group as a whole in a manner that you’re seeking to get the most happiness out of life for them, and the group. Seek out what the joys and pleaseures that you can offer within your group and find out how to give them freedom from discomfort.
  • Train your staff on the principles that fall within the four keys to business success. One is treated the way that they treat others. If someone yells, there is an immediate impulse to yell back.
  • Any good leader knows that’s it’s vital to set a good example. Setting a good example will have a positive influence on others.
  • If your practice is not succeeding to the level you want there are five steps: group agreement on honesty and loyalty to go the distance; lay out a full BSP that ties into annual marketing plan, and break that down into two month campaigns. Train the staff on statistics and targets, and then holding in structure and accountability across the board.


As always, reach out to us or schedule a demo to learn about our Intro Program or any of our other services.

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