Power up your Practice Ownership with Jayme Amos

Quotes & Notes:Power up your Practice Ownership with Jayme Amos - RD Podcast

  • You know you are ready to do a startup when you look in the mirror and know you are ready.
  • A startup is not right for most, because a startup is complicated and it is challenging.
  • Are you a born fixer or a born creator?
  • If there are things, even outside of practice ownership, that are important to you in life, go do it.
  • We always say that a soon to be startup doctor should be very, very intense and intentional about what they want.

One of the most compelling tools is what we call the ideal patient. If we know exactly the kind of patient that you can serve best and you want to be caring for, then we can try to attract those kinds of patients.

  • We go into three different categories: personal vision, clinical vision, and financial vision.
  • There are as many different clinical preferences as there are dentists in this world.
  • Pretty buildings are not all they are cracked up to be in dentistry.
  • There are really good banks that are great at specific startup visions.
  • I think it needs to be at least 2000:1 (patient to dentist ratio) to create a little bit of a safety net.
  • Your landlord, I believe, is much more important than the dollars per square foot or even the town you are in.
  • I am a bit of a contrarian, but I think signage doesn’t matter at all unless you have amazing signage.
  • If you believe you need to say five operatories then each operatory should need on average between 400 to 450 sq feet.
  • Having a break room when possible is that important.
  • When possible you should have a sterilization center that has an in and an out.
  • You can get a free copy of Jayme Amos’ book Choosing the Right Practice Location, at howtoopenadentaloffice.com/free.

If you would like to contact Jayme Amos or find out more, you can go to idealpractices.com and listen to his podcast. If you would like to apply to have Jayme and his team help you with a start-up practice you can go to howtoopenadentaloffice.com/apply.

If you enjoyed this episode, we would love a 5-star review on iTunes:


Dentists’ Stress Reduction Series with Jen Butler: Part III

Quotes & Notes:Dentists' Stress Reduction Series with Jen Butler: Part III

  • When it comes to coping methods for stress, the first thing is to know what kind of stress you have.
  • Coping with stress is not a blanket where I am going to use coping method A and that is going to impact all of my stress.
  • There are three kinds of stress, one which is situational stress, and this is the most common and most popular type of stress that people have in their lives.
  • Coping methods for situational stress is somehow related to efficient time management.
  • The next kind of stress is psychological stress. Psychological stress is the kind that is most avoided because psychological stress is that type of stress which is self-induced. It is typically the really bad negative, yucky things we say to ourselves.
  • The only appropriate coping methods for psychological stress are psychological activities. The best thing to do to reduce your psychological stress is to increase your curiosity.
  • The third one is physiological stress, which is the kind of stress that people aren’t even aware that they have. And physiological stress is that kind of stress directly related to health and wellness.
  • It’s about diagnosing the problem and the appropriate solution for the condition.
  • A lot of times what stresses people out really comes from that psychological stress because most people have skill in the situational stressors.
  • The top five coping methods are breathing, humor, mindfulness, connecting with people, and make sure you get a minimum of eight hours of sleep.

If you would like to learn more from Jennifer Butler feel free to go to her website, jenbutlerpartners.com. Follow her on Facebook – https://www.facebook.com/JenButlerCoaching.

Go to our Contact Page and ask questions to be answered on a later podcast interview.

If you enjoyed this episode, we would love a 5-star review on iTunes:


Dentists’ Stress Reduction Series with Jen Butler: Part II

Quotes & Notes:Dentists' Stress Reduction Series with Jen Butler: Part II - RD Podcast

  • Time Pressure is number one. Time pressures can be ranging from too much time to not enough time.
  • Patient demands [the second dental stressor], meaning patients that demand your time, demand discount, demand your personal cell phone number, demand you open on Saturdays.
  • The third dental stressor is uncooperative patients.
  • The fourth dental stressor as identified by studies is the high level of concentration and focus that dentistry requires.
  • The last one is team issues. When you have any more than two or more people working together you are going to have an issue. Issues are normal in a relationship.
  • In the first episode, we talked about the first step, know your stress. Now we are talking about the second step, assess your stress.
  • When someone assesses their stress and know their stress response, they can then look out for their own stress triggers.
  • That stress threshold is very unique to each individual.
  • You can’t be proactive if you are in the crud of things.
  • Stress is a biological reaction that we have implemented over.
  • The most documented, the most researched, the most effective coping method to do for us, is breathing.

If you would like to learn more from Jennifer Butler feel free to go to her website, jenbutlerpartners.com. Follow her on Facebook – https://www.facebook.com/JenButlerCoaching.

Go to our Contact Page and ask questions to be answered on a later podcast interview.

If you enjoyed this episode, we would love a 5-star review on iTunes:


Dentists’ Stress Reduction Series with Jen Butler: Part I

Quotes & Notes:Dentists' Stress Reduction Series with Jen Butler: Part I

  • Jen Butler Inc. is a company that is dedicated to helping dental professionals to reduce stress from working individually with doctors to the office manager or just throughout the whole team.
  • When stress is present in the practices, regardless of who has the stress, it is pervasive throughout the office.
  • One thing that is really important to understand is that people see stress as external events, situations, or problems.  They don’t see it as an internal response to something.
  • There are four key indicators that are really unique to the dental office and stress: 1) Having a loss of energy 2) loss of focus 3) loss of concentration and 4) forgetfulness.
  • Stress comes out, and it comes out in body language, it comes out in those non-verbals, it comes out in just the way we carry ourselves.

There are three main ways that stress can show itself: physically, mentally, and emotionally.

  • The challenge with a dental office is that when someone is stressed it requires everyone else to pick up the slack.
  • The first step I have with every client is to know your stress. You can’t change what you don’t acknowledge.
  • Be mindful of what we personalize.
  • There are no problems, only opportunities.

If you would like to learn more from Jennifer Butler feel free to go to her website,  jenbutlerpartners.com. Follow her on Facebook – https://www.facebook.com/JenButlerCoaching.

Go to our Contact Page and ask questions to be answered on a later podcast interview.

If you enjoyed this episode, we would love a 5-star review on iTunes:


15 ways to actually measure dental practice success – Part II

Quotes & Notes:15 ways to actually measure dental practice success - Part II

  • At the beginning for start-up practices, typically the biggest thing you can do for your practice is work on getting new patients in, upping the revenue for your patients, upping your effectiveness and efficiency.  Overhead goes away.
  • KPI, if you google it, you will see, the key performance indicator is a financial measure or non-financial measure that goes towards measuring how well an institute of business is doing.  They can tell where you are right now and tell where you are going to be going.
  • We find a lot of practices really struggle with having their hygiene team be aware of what they to be producing, what they need to be offering the patients.
  • We typically say that 75% of efficiency is what you need to be looking at, which means that three out of the four patients reschedules.
  • Every business has a life cycle. There is the growth stage, where it will be an upward slope. Most practices will have six months spurts because that is when you see your appointments come back in for a second time and plus the new appointments coming in. There will be the maturity stage, which means you will still be growing, but you are not growing as fast as in the growth stage. And then eventually there will be stagnation and decline.
  • We usually say for new practices, the magic number to keep growing is somewhere around one to two new patients a day per working dentists.
  • If you are busting that number out of the park, and you are continuing to see your practice not grow, I guarantee that you have an issue with getting people rescheduled back in.
  • This [numbers for accepted cases] is more of a mental grasp, or some type of note, some type of shorthand to write on a piece of paper or spreadsheet that you carry around with you all day. If you are really looking at this number, and say I presented this much money to this person, track that in some type of format, come back in six months and see what has happened.
  • Being able to tell them [patients] about the problem, and tell them what would happen if they don’t solve that problem, and then offering them the solution is very very important. You have to talk in their terms.
  • If you know it is a financial problem, then there are solutions out there: financial payment plans that you can adopt, in house payment plans, etc.
  • Another more powerful communication method is by asking questions at the beginning. You would be surprised at how many people can talk themselves into something just by asking the right questions.
  • Sometimes it is a software problem where the people up front aren’t entering the information correctly for you to track your AR effectively. If the number is that high, and the software is correct, nine times out of ten it is a process problem.
  • A lot of practices will do their billing on Friday, so the patients will get it on Saturday, and then they have two days to forget about it.
  • At one point I was looking at a practice, and I noticed how much they were paying on credit card fees. That one practice, just by changing the phone number that that card service calls, basically is going to save almost $10,000 a year. When I saw that I thought that this must be a problem everywhere.
  • Ideally, you want five percent so that if there are twenty appointments, only one of them is broken.
  • You need to understand your capacity in order to know what you are trying to strive for. If you only have three ops, then your capacity is way different than what a ten op practice is.
  • An active patient is a unique patient that has been seen for the past 18 months.
  • We really tell most practices to strive for 45% in GP practices for a net take home.
  • A lot of people base this (adding new dentists to their practice) by how tired they are . . . The biggest mistake we see is that they don’t know how much this relief is costing them.
  • It really doesn’t make sense to bring in someone as a partner until you get to around the one and a half million points. That means you have a strong base and control over your overhead.
  • Some fast-growing practices I see spend almost nothing on advertising. At the same time, some fast-growing practices I see spend a lot on advertising.

All of the most successful practice owners I have ever met were master marketers in their own right. They understood that marketing is a very essential part of any business.

  • “We always overestimate the amount of change that can occur in two years.  We always underestimate the change that can occur in ten years.” -Bill Gates
  • Marketing and advertising, there are two facets to it. There is external, which is any patient who has never been in your practice before, and there is internal, which is making sure your patients stay your patients.
  • To learn more from Jonathan Van Horn, you can email him at [email protected], visit his website, dentistmetrics.com, or even find him on Facebook or Linkedin.

Download Jonathan’s FREE KPI resource at dentistmetrics.com/relentlesskpi.

If you enjoyed this episode, we would love a 5-star review on iTunes:


15 ways to actually measure dental practice success – Part I

Quotes & Notes:

First, download Jonathan’s gift for our podcast listeners:  DentistMetrics KPI Guide

  • downloadIf you are not leveraging your time with your CPA, in order to get the most out of them, then you are going to have to find that time elsewhere.
  • No one’s ever going to have the absolute pinnacle business.
  • We focus on the business in order have that have the maximum amount of returns for the owner because in the end it is going to be what funds everything else.
  • There are multiple different approaches you can take with marketing; you can do a shotgun approach, you can do a sniper-rifle approach, you can do a machine gun approach, you can do a lot of different approaches. A lot of this is testing to see what is working.
  • In a dental practice, if you are not at absolute capacity, then it makes absolute sense to fill to your capacity.
  • Try and set your schedule up like the day that was most productive.

KPI –  a key performance indicator.  KPIs can be financial, they can be non financial, they can be actions, they can be a lot of different things.

  • The main number that we look at is two fold. Number one we look at net productions, number two we look at the total of those wages and salaries plus benefits plus payroll taxes. Then we compare that to the revenues. We do not include family of the owner, we do not include the owner’s salary, and we also don’t include associates in this.
  • Startups for the first few months will not really be in these numbers. These numbers really start kicking into gear when you get into around $650,000-800,000 dollars in revenue.
  • There are a few universal truths in the world. One of them is that they think they are busy. Strangely enough, everyone also thinks that they are efficient.
  • The practice as a whole has to really start heading towards a specific path. They have to be set on some type of system, some type of game-plan to be able to get them to that number. Typically when we talk about that it is going to be a production type goal.
  • If you are in a not competitive market then you are probably not in a very good market.
  • We have a general rule on five percent on supplies. There are some practices that aren’t going to be able to reach that.
  • It is very difficult to trade convenience for money. There are a lot of places that you can buy supplies, and they can frame it in a way that you feel like you are saving money but in the end, if you are paying $26 for a barrier, and you can get it someplace else for $19, then you are paying seven dollars more.
  • If you are thinking about saving 20% on your supply costs each year, and your supply costs are $10,000 then you are better off going out and finding three new patients to replace that $2,000 dollars.

Five percent (for supplies) is the number that we always strive for, and for some practices this is not attainable, but you would be surprised at what you can obtain by trying.

  • For the hygiene rule of three, the first level we have is that hygiene typically contribute about a third of the production of the practice. The second three is that the hygiene department should typically be compensated at about a third of net productions or collections in some fashion. The third one is that you like to have less than three hours a week of unscheduled hygiene per hygienist.
  • If you would like to learn more from Jonathan Van Horn, email him at [email protected], visit his website, dentistmetrics.com, or even find him on Facebook or Linked-in.

Again, you’ll find Jonathan’s FREE KPI Guide here:  http://dentistmetrics.com/relentlesskpi

If you enjoyed this episode, we would love a 5-star review on iTunes:


Is your practice website working for you? . . . or against you?

Quotes & Notes:Is your practice website working for you? . . . or against you?

  • Dentists don’t know what they don’t know, and they are not at fault.
  • Don’t have a dark website.  It’s gloomy and also a dark background with lighter text in front of it, it’s very hard for the eyes to read the text.
  • Get rid of those slider images on the front page.  Let’s pick your favorite one, and stick with it.
  • Over fifty percent of people searching for a local business are searching on mobile.  Find out if your website is mobile [optimized].

The goal of your website is to get a phone call.  The most important thing on your website is your phone number.

  • Put a call to action to the left of the number.
  • The name address phone number has to be the exact same across the web on any occurrence anywhere on the internet.
  • You have five seconds when someone lands on your website.
  • There is no need to have a big image on a dental website.  The main images on the first fold should be one of the dentist, or maybe one of your staff, or even one of your office.
  • On the home page, there should be one or two paragraphs on really what is specific about your practice.
  • A potential patient wants to see your work. It has to be something that will show you will take care of them.

55% of the average internet person leaving within the first 15 seconds.

  • Just imagine a 60-second video.  You just got them on your page for 60 seconds. Google is going to like your page.
  • Another one is an info-graphic.  Infographics are great for they cover quite a large amount of information but in an image format.  If you designed the info-graphic to lead them down a slippery slope, that’s going to keep them on the website longer.
  • If it [videos] looks too commercial, it is going to turn people off.  They might treat it like an ad.
  • People need to be led by the hand.  There should be a call to action at the bottom of every page. Always put the phone number there.
  • The About Us page should have a picture of every one of your staff, and then have them write a hundred-word blurb about them.
  • Dentistry is a medical profession and it is a personal profession.
  • I want every dentist to think when was the last time they updated their website? There are reasons to update your website on a monthly basis.

If you would like to learn more from Mike Pedersen you can go to www.aznetmarketing.com and even get a free report.

If you enjoyed this episode, we would love a 5-star review on iTunes:


Everything you do in your practice is a marketing function!

Quotes & Notes:Everything you do in your practice is a marketing function! - RD Podcast

  • “When an underdog fought like David, he usually won. But most underdogs don’t fight like David.”
  • The book is all about working smarter, not harder.
  • Let’s treat marketing as a system. That’s what Duct-tape Marketing became.
  • If you can picture an hourglass, that top of the hourglass looks like a funnel. But what if the bottom half of the funnel became something that opens back up and instead of getting a one time customer at the end of that funnel, you get a repeat customer that also refers customers to you.

The marketing hourglass has seven steps in it, and the steps are:

Know, Like, Trust, Try, Buy, Repeat, Refer.

  • When you start to think of marketing like this, everything you do in your business becomes a marketing function.
  • A strategic partner is another business owner who serves the same target market that you do, but who is not your competition.
  • This prospect of a strategic partnership is a long-term endeavor, not something that you can do overnight, and it does take time, effort and energy from both parties to make it work really well.
  • When you think of sponsorships, that what you think of, your logo slapped on somebody else’s stuff. And those types of sponsorships are great, that is some that you should do. It is not marketing.
  • It is very very difficult to get people happy with your service to take the time and energy to leave a positive review with you online. So the flip-side to that is that somebody who has had a terrible experience, or a bad experience, and who feels like they have some sort of injustice, they are going to feel very motivated to take revenge by going online and leaving a negative review.
  • If you have 10 or 15 positive reviews, if you get one, one-star review, nobody is going to pay attention to that.
  • You want to build up that positive online reputation so that when the totally unjustified negative reviews come in, it’s really no big deal.
  • Whatever you do, don’t get into a public argument with your customers who leave negative reviews, and don’t take legal action against them. The only thing worse than a negative review online would be a story in the media about you suing one of the patients.
  • You really need to go onto wherever this review is appearing publicly and respond in a way that’s saying, “I’m really sorry about your experience.” You want to apologize not necessarily for what happened but apologize for that they had a bad experience. Let them know that you would like to do everything possible to resolve the situation, and invite them into a private forum where they can do that with them.
  • There are so many people using mobile devices now, in fact, more people in the US access the internet with a mobile device than desktops and laptops combined. Google came out and said, “If your website is not mobile-friendly then we are going to make it more difficult for it to show up in search results.”

If you would like to learn more from Kevin Jordan or get his book, you can go to localleadgenbook.com or redpointmarketingconsultants.com.

If you enjoyed this episode, we would love a 5-star review on iTunes:


Google Domination: Wipe your competition off the map

Quotes & Notes:Google Domination: Wipe your competition off the map - RD Podcast

  • It’s near impossible to own a number one google ranking forever.
  • Google is upwards of 70% of all searches on the internet. So that’s the one that [dentists] should be focused on.
  • Really that map section, or the “seven-pack” should we say, floats on the page. It is never in a set spot.

Dentistry is a real business and you need to treat it like that. You need to have experts in your different areas to make sure that you really maximize your business.

  • It’s [your website] your storefront on the internet.
  • If you think about your marketing pieces, every single one of them should go to your website, and theoretically, in a dream world, it should go to a landing page.
  • Your marketing offline to online needs to be seamless and congruent.
  • Number one . . . your google local page should be 100% percent completed.
  • You could have the most beautiful bells and whistles website and even your google local, it could have twenty reviews, if it is not on that first page, nobody is going to ever see those awesome reviews.
  • Google, on the surface, has no rhyme or reason for how they are ranking.
  • You can make some small on page optimization changes and instantly see a boost.
  • If you have a website that is static, and you haven’t changed a word on that website for six months, google won’t spider your website very often.
  • Any webpage needs to have 400 hundred words or more on it.
  • Check out how many times the keyword is on your page. It should not be more than three to five times.
  • You have to be really careful how many times the keyword and geolocation is on your website.
  • Even a non-optimized website on a tablet looks ok. But on an iPhone or Android, that’s a whole different ball game.
  • You can build a free mobile website. It’s called dudamobile.com.
  • People are not going to spend twenty minutes reading a webpage on their phone. Now if you have a video that you have embedded, sure they will watch a 90-second video on their phone.

With the last update from Google, a mobile-optimized website is basically a must now.

  • SEO is a tough one because depending on the competitive nature of your city, it can take upwards of six months to really get some momentum and some ranking.
  • When you are working with someone, ask as many questions as you can just to test their knowledge.

One thing I have learned in the last four years working with dentists, relationship is everything. A good consultant becomes an advisor.


If you enjoyed this episode, we would love a 5-star review on iTunes:


Dr. Scott Leune’s Bold Biography

Quotes & Notes:Dr. Scott Leune's Bold Biography - RD Podcast

We are just in the business of dentistry in a BIG way.

  • We’ve got a program called the affiliate program, where we basically spend five years with a dentist helping build their ideal practice, and helping them manage and grow it.
  • I don’t put up with BS. I don’t play political games.
  • Auditing creates lasting implementation and efficiencies.
  • I was born in Amsterdam. I moved to the United States in fifth grade.
  • I grew up in kind of the opposite of entrepreneurial thinking. But I did grow up with a lot of support.

I didn’t change my thinking until my senior year of dental school. I was going to be an endodontist, because I thought it would be secure income with little work . . . The dental school professor just handed me a book and said “Hey you should read this book.”  And that book was Rich Dad, Poor Dad.  And I read that book and thought, “Oh my god why haven’t I thought about the business before.”

  • Most of the people in my life are doing things today I don’t want to do. They are living a life I don’t want to live.  So in a way, I kind of broke away from everyone else.
  • Even today, I am not ready to make a decision I shouldn’t make, even if I am given the right information. I am not going to do the things I need to do until the time is right.
  • There comes a point when you start learning something different because you are at a new level, a new size.
  • At one point we may be lectured to fifty dentists a year, and now twelve hundred this year.
  • It just doesn’t have to be that complicated.
  • There were a lot of opportunities to build new practices, so I decided, “You know what? I can’t sit here and do nothing. I’m going to go build more practices.”
  • I’ve had several years, where I have lost over a million dollars in cash. I’ve had a ton of failures.
  • Not knowing what I don’t know. Being on a path and not knowing something vital [is what I am scared of].
  • Having to invent the wheel every time is a major barrier [to success].
  • It’s just as easy to think bigger as it is to think smaller.
  • Be very methodical and slow with implementation to be sure that it actually fits and it makes a long term difference.
  • I think there are three big keys to success, and overcoming those fears and excuses. The first one starts with getting the right information. Step two is then having the leadership qualities to actually do it. To actually pull the trigger and lead other people down that path. Step three is the one that a lot of people often miss, and that is having people force you to do the right thing, having advisors.
  • The book that Dr. Scott Leune suggests every dentist to read is The E-Myth, by Michael E. Gerber.

If you want to learn more from Dr. Scott Leune, you can email him at [email protected] or go to his website breakawaypractice.com.

If you enjoyed this episode, we would love a 5-star review on iTunes: