Want to get an up-close glimpse at a person with cultural biases? Follow these instructions:
1. Grab a mirror.
2. Look into it.
That’s one way to summarize the starting point for “Battling Bias’s Distorted Images,” the cover story for the October issue of PT in Motion magazine. The article makes the case that while unconscious bias—also known as implicit bias—is very much a part of the human condition, it’s something that can be acknowledged and managed in ways that minimize its impact on relationships. For health care providers including physical therapists (PTs) and physical therapist assistants (PTAs), that’s an important step to take in effective patient care.
Through interviews with PTs in a variety of settings, author and Associate Editor Eric Ries explores how implicit bias—and these PTs’ recognition of it in themselves—has impacted and changed their lives, particularly at the professional level. Several describe the journey as a path that’s not always easy, but absolutely crucial to providing the best possible person-centered care.
The article also delves into how you can uncover implicit biases through self-tests such as the Implicit Association Test series, and what to do after they’re identified. PTs interviewed for the article provide insight on how physical therapy education programs can respond to the challenges of implicit bias, and provide practical tips on making behavior changes that may, in turn, lessen, if not eliminate, a particular bias.
According to Hadiya Green Guerrero, PT, DPT, interviewed for the story, efforts to counter implicit bias are necessary for PTs and PTAs because the stakes are high.
“Do your best to think about your biases and check them at the door,” Green Guerrero says in the article. “Seek to learn and understand each patient or client to the clinic, what constitutes his or her biggest health concerns, and what barriers that person faces to optimal well-being and needed interaction with the health care system.”
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So you are planning to open your own physical therapy clinic. You have a good sense of what to do: find some clinical space, hang your shingle, and tell folks about your clinic. That’s about it, right?
Maybe not. What are some of the things you should avoid doing when you are planning on opening a private PT clinic? And what mistakes should you avoid when running and operating your own therapy practice?
Running a physical therapy clinic is challenging. Not only are you responsible for treating your patients and documenting their progress, you are now charged with keeping track of the finances, the employees, and the day-to-day operations. And remember, paid vacation time is a thing of the past. As they say in the medical business, you eat what you kill; every patient you see is money in, and a chance to have a positive customer service experience. And every bill and expense you have is money out the door.
Owning a private PT clinic is fun, too. You get to be the boss. You get to make the decisions that can vault your clinic to success—but some of your decisions can have negative consequences on the health of your business—and on your overall happiness with owning your own physical therapy clinic.
Here is a list of mistakes that should be avoided when owning and operating your own private physical therapy practice. Some are absolute no-no’s. Others are merely recommendations from a PT who has made a few mistakes over 10-plus years of PT clinic ownership.
Not Having a Plan
You didn’t get into and through physical therapy school without a plan, and your physical therapy clinic has a greater chance of success with a well thought out business plan. Your plan doesn’t need to be anything fancy; it simply has to define your business and its goals and provide a roadmap on how you will achieve those goals.
Failure to have a business plan can leave you in a sea of financial worries without a compass. Initially, plan out 12 to 18 months of your business, and don’t forget to update your plan year after that, so you have a sense of where your business is—and where it is going.
Buying the Most Expensive Equipment
When planning your physical therapy clinic, you should include a capital budget for medical and clinical equipment. This may include:
Treatment tables
Therapeutic modalities like ultrasound or electrical stimulation units
Exercise equipment
Computer equipment
When first starting out, it can be tempting to buy the best—and most expensive—equipment. That shows your patients that you have a shiny and exclusive clinic. But the finest PT equipment may come with a high price tag, and you may be drowning in debt before you even get your clinic off the ground.
Do you really need the fully adjustable hi-lo tables? Does your clinical exercise equipment need to be from the top name-brand manufacturer? Probably not. When starting out, you may fare better using clinical and exercise equipment that is budget-friendly but still gets the job done. Once you have established your business after a few years, you can consider trading up for the fancy stuff.
Your patients most likely won’t come to you because of your high-end PT equipment. They will come to you because of your excellent clinical skill set and your top-notch customer service.
Ignoring the Business Aspect of PT
So you’re a great PT, right? You get good results and your patients seem to enjoy their time with you. That should be enough for a successful business, right?
Wrong.
As a physical therapy clinic owner, don’t forget that you are a businessperson. You cannot ignore the business aspect of clinic ownership. Non-clinical roles of a PT clinic owner may include:
Procurement of supplies
Managing employees and staff
Marketing your services
Ensuring compliance with local and national regulations
You constantly need to manage employees, finances, and marketing—all, while treating your patients and making sure your documentation, is up to snuff. Failing to be a businessperson for your PT clinic can mean disaster for you and your business.
Failing to Put Customer Service First
Take care of your customers, or they will take their business elsewhere. In your physical therapy clinic, who are your customers?
Obviously, your customers are your patients. They are relying on you to provide a clean, organized clinical space in which they can engage in their rehab. They are relying on you to provide excellent clinical care in a timely manner, and they need you to make the best choices for their rehab. Take care of your patients properly, and they’ll come back every time they need PT. Fail to put your patients first, and they may just head for a different clinic.
Your customers are also doctors and other referral sources. Doctors will refer patients to your clinic, and they are expecting that patient to have a positive experience. Your referral sources also expect timely communication, so make sure you keep them informed of the progress of their patients. Keep your referral sources happy, and they’ll keep trusting you for the care of their patients.
Hiring the Wrong People
As a physical therapy clinic owner, eventually you are going to have to hire some people to work for you. You may need a receptionist to answer the phones, manage your schedule, and collect copayments. As your clinic (hopefully) gets busier, you may need to hire other physical therapists to work for you. But you must hire the right people for your clinic.
Having the best people for your PT clinic is paramount. You want your clinic to be known in your community as a positive place, and the right employees can make that happen. Hiring employees who are not a good fit for your clinic can spell disaster.
Who are the wrong people for your clinic? Start with the basics: your employees must show up on time, prepared to tackle each day. Customer service must be their number one goal. For clinical staff members, they must make sound clinical decisions and be recognized as an expert in the PT field.
Employing people who don’t share your vision can cause patients (and doctors) to turn away from your PT clinic, so hire wisely.
Letting Finances Get Out of Control
Managing the financial aspect of your private physical therapy practice can be challenging, but it needs to be done properly. Failure to properly manage the outflow of cash from your clinic can be a huge mistake and may lead to an unhealthy bottom line at the end of the month.
These days, it is easy to pay bills; Simply set up an automatic payment from your business checking account or credit card, and the money flows out. But here’s the problem: these auto payments can slowly and steadily creep up until you are overpaying for basic services. Recurring payments, like those for your telephone, internet service, and business insurance, can ratchet up over time, and you need to be aware of how much you are paying each month to ensure that costs remain in control.
You must be constantly aware of how much you are paying for basic utilities and materials in your clinic. Office and clinical supplies will be needed, and you should take time each month to ensure that your suppliers are giving you a competitive price for these goods. Shopping around for the best price for your necessary items may be the key to ensuring financial health for your PT clinic.
Owning a physical therapy clinic can be a fun and rewarding venture, but it can also turn into a nightmare business if you are making some big mistakes. Everyone makes mistakes, and learning the ropes of the business world for a physical therapist can be tricky.
Work hard, provide excellent customer service, avoid some common pitfalls and mistakes, and you can have a successful physical therapy practice for many years.
Let’s talk about your business challenges today.
Our fresh perspectives, experience, and specialized skill sets will get your practice where you want it, and with far less stress.
Physical therapy can be a pretty demanding profession. Sure, you aren’t digging ditches in the mud, but you may be lifting patients, managing an outpatient caseload, documenting functional progress, and satisfying insurance regulations to ensure payment.
So, are there things that you can do consistently to make your day in the clinic and your patient interactions go more smoothly? Are there special hacks that the pros use to help them get through a day? You bet there are.
Here is a list of 10 physical therapy pro tips that can help you be a successful physical therapist while working with your patients.
1. Take a 30-Second Break During Your Evaluations
When first meeting a patient and taking a history, your mind may be scrambling to get the story straight and to decide on the best way to assess your patient. A 30-second break after taking the history may be all that you need to clear your head to perform a thorough evaluation. Keep things like a dynamometer or a goniometer in a cabinet or drawer away from the patient. After you get the history for your patient and are ready to start performing tests and measures, excuse yourself to retrieve the measuring equipment. That can give you a quick break to catch your breath, clear your head, and perform the best evaluation and assessment.
2. Start All Evaluations by Asking Your Patient What He or She Does for a Living
When you first meet a patient to perform an evaluation, start your questioning by asking what he or she does for a living. Why? When you ask someone what job they do, you are really asking what position they put their body in all day long. Someone with back pain who sits all day at a desk may need posture correction exercises. A mechanic who reaches overhead at work may be causing their own shoulder pain. This question can also give you insight into how their condition affects their ability to do their job. (Super pro tip: even if your patient is older or elderly, ask what their job is. Never assume someone is retired based upon their age!)
3. Grab the Non-Injured Limb During Treatment? No Worries
Uh oh. Your patient has a frozen shoulder on their right side, and you start performing range of motion on the left shoulder. The patient calmly informs you that you are treating the wrong shoulder! What do you do? Simply smile and say, “Oops.” and move to the correct side. It’s not the end of the world; we all make mistakes. Plus you can use that faux pas to see how the patient’s non-injured side moves compared to their injured side and assess the severity of their condition.
4. Mix It Up
Be careful not to fall into the predictable pattern of prescribing exercises to your patients that are all the same sets and repetitions. Mix it up a bit, and prescribe the correct number of reps based on the patient’s needs. Are you working with an endurance athlete? Perhaps prescribe higher repetitions of an exercise. Trying to build strength? Keep it at eight to ten reps. Take a day and visit another PT clinic to learn some different exercises. Just try not to get in a rut of using the same exercises at the same intensity for all your patients. Physical therapy is a specialized service, and your patients should get specialized care from you.
5. Rely on Your Clinical Skills and Judgment
These days, it seems that every patient shows up to the physical therapy clinic with X-ray and MRI reports. Is an MRI really necessary before starting PT? Most of the time, the answer is no. Glance at the MRI pictures and reports after your evaluation. This can help keep your clinical skills sharp and can prevent you from performing an examination that is biased by the MRI pictures. Not every patient with a herniated disc requires McKenzie extension exercises. Patients with rotator cuff tears all move differently, and your assessment should reflect that fact. Rely on your clinical skills first and make a professional assessment based on your evaluation findings.
6. Theraband Isn’t Just for Strengthening.
Theraband, or other resistance bands, can be used for activities other than strengthening exercises. If your patient has foot drop, you can tie one end of the band around their upper calf and the opposite end around the patient’s toe. The tension on the band can help pull their ankle up when walking to prevent catching their toe on the floor. If your patient is standing on a dusty or slippery floor, use a small bit of resistance band to help improve contact between your patient’s foot and the floor (much like Dycem).
7. Use a Towel as a Handle for Theraband
Do you have a patient who has rheumatoid or osteoarthritis and is having trouble gripping a resistance band? Or are patients complaining about how the resistance band is cutting into their hand while gripping it? If so, there is an easy fix: use a small towel as a handle. Simply tie a loop at the end of the resistance band, and feed a rolled up hand towel through the loop. Now your patient can hold the towel as a handle while performing upper extremity exercises.
8. Don’t Use Fancy Anatomical Terms and Medical Jargon
So, your patient has a posterior lumbar derangement and requires a grade III flexion and rotation mobilization to reduce the derangement and regain normal intervertebral mobility. That sounds impressive, but your patient doesn’t need to know all those fancy words. When you are speaking with doctors, nurses or other physical therapists, it is fine to use medical terminology. But when speaking with patients and their families, use terms that are easily understandable.
9. Always Ask Your Patients If They Have Any Questions
It’s so easy to get caught up in trying to stay on schedule and to try to move quickly from one patient to the next. Before leaving any patient, get in the habit of asking if he or she has any questions about their physical therapy care. Taking thirty seconds to ask your patients if everything is clear and understood can help you develop a positive working relationship with your patients.
10. Communicate Effectively With Doctors and Referral Sources
One of the most important things you can do is communicate with professionals who refer patients to you. Be sure to write clear and concise notes, and make sure the doctor (or whoever is reading your notes) understands exactly what your physical therapy plan of care is.
Being a physical therapist can be tough, but it can also be very rewarding. By learning some professional tricks of the trade, you can be sure to maximize your time with your patients to get the best rehabilitation outcomes.
Let’s talk about your business challenges today.
Our fresh perspectives, experience, and specialized skill sets will get your practice where you want it, and with far less stress.
In a world that is inundated with digital “noise”, and so much information for the public to consume, you need a way to set your practice apart from your competition. The ways in which you can get your physical therapy clinic noticed is through intelligent and directed digital marketing. Enhancing your marketing strategy will allow you to outpace your competition and turn individuals seeking your services into new clients.
By using display ads and geofencing you can ensure that your practice is put directly in the eyes of potential customers.
Display Ads
You can think of display ads like the billboards of the internet. They appear when you are scrolling through your Facebook feed or visiting websites looking for ideas for what to cook for dinner tonight. They prominently put your business in the eyes of the consumer, complete with your text and logo. These ads do not happen by chance and they are a good way to keep your business at the front of mind for your next client. By having attractive and effective marketing, you will attract viewers to your ad, which will increase your conversion rate and bring you a whole new client base to compliment the one you already have! These ads can be targeted based on client behavior, based on gathering data and using browsing history. Additionally, when a potential client visits your website, you can stay front of mind by having your ad appear on future websites they visit. The advantage to this is when that individual is ready to choose their physical therapist, your clinic is the first they think of.
Geofencing
Geofencing is a location-based digital marketing tool that allows marketers to send advertisements to people’s smartphones depending on their location. In this platform, a virtual line is drawn and when someone crosses that boundary your ads begin to pop up on their device. Once in the defined area, a user who is in an active browser session, or using apps will see the ads appear on their device, whether it be a smartphone or tablet. Geofencing can be used even further to your advantage by hitting those potential clients when they are within the boundaries of your competition, putting your clinic front and center, rather than the “other guys”. You can also target individuals based on their visits to complementary businesses, or based on the area or locations they most frequent or reside in. This technique allows you to specifically and intentionally target those clients in your area, searching for your expertise in PT.
The key is not to work harder, but smarter. We have the digital marketing support to ensure your physical therapy clinic is the clinic that comes to mind when clients are looking for knowledge, expertise, and passion in the PT field! This is just one more way in which to set your entity apart from all the others! Visit our Facebook page at www.facebook.com/PerformPTYourPracticeOptimized or give us a call at 949.300.4294 to see how we can take your clinic and your marketing strategy to the next level!
Let’s talk about your business challenges today.
Our fresh perspectives, experience, and specialized skill sets will get your practice where you want it, and with far less stress.
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Perform Practice Solutions helps clinic owners nationwide adjust to the changing and challenging reality of practice ownership. With its innovative coaching platform, transparent billing platforms, and marketing services, Perform Practice Solutions provides frustrated and hard-working owners with an alternative way forward. It's not easy, but it is possible.