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Take 5 and Grow Your Practice

By: Gavin Shea

It is not enough to simply choose the correct location or space, equipment and financing. Starting a new practice or growing your current practice, requires tenacity and business savvy - two things you may not have been taught in school. Experience tells us that there are five basic ideas that may help keep you on the right track for practice success.

  • Create a business plan: More than just a tool to solidify support from your lender, a business plan sets the tone for your practice's identity and can provide a road map for achieving your short-term goals and long-term vision. Planning ahead gives you an internal compass to guide every decision. If it doesn't fit the plan, it might not be right for you. The plan should include a practice description, market analysis and the profile of your desired patient/client. And don't forget to update your plan every few years with your practice team. It should be a living document and a reference point to see if you are on track to achieve your goals. It's also a great training tool when onboarding new employees, as well as ensuring current employees are in alignment with you and your vision.

  • Be a people manager: As a practice owner, you need to be a competent people manager in order to attract and retain a team that will help you run your practice effectively. Be sure to document practice policies and guidelines, which includes having an employee handbook. Including job descriptions will also help the team understand their responsibilities and set expectations. And don't forget to communicate, including being a good listener. Create an environment where team members feel safe being open and honest. Learning from and listening to each other may help ensure your success, together.

  • Budget for aggressive marketing during your first two years:Consider setting a percent of collections to go toward attracting new patients. Brand your practice with a name, logo and website that reflects your vision for the practice. Consider a full-blown grand opening celebration, inviting patients and others who might refer you, and get your team involved in the planning. E-mail newsletters are the new direct mail, so collect patient e-mail addresses, with their permission, from day one and use them to drive traffic to your website .Community-focused tactics - such as supporting local non-profits or kids sports team - can also be an effective way to let neighbors know you have opened a practice.

  • Focus on creating cash flow: In order to grow your practice, it is essential that you collect enough revenue to cover your operating expenses, pay down debt, and deliver adequate profit. One tactic is to establish a recall system. At the end of each patient/client visit, schedule the next visit. That might include routine hygiene, vaccinations or wellness exams. Work with your CPA or financial advisor to understand expenses, both fixed (i.e., those that do not change with practice activity, such as rent) and those that are variable expenses that will change in direct proportion with the patient activity, such as supplies.

  • Have a team of advisors:When you start out on your practice journey, selecting a team of advisors is amongst the most critical decisions of your career. Working with professionals such as attorneys, CPA's and real estate brokers, to name a few, who specialize in your field of practice may help you save time and money. But don't stop when you open your doors. Many of the members of that start-up team will be able to continue to offer help throughout your practice's life. Professional associations may also offer services to help you maintain and grow your practice.

About the Author

Gavin Shea is the National Director, Healthcare for Wells Fargo Practice Finance. With more than 17 years of banking experience with an emphasis in practice lending, he leads sales and marketing strategy development and implementation throughout the national footprint. His industry background offers practitioners a unique perspective as they approach some of the most important decisions in their professional lives. With more than 30 years of practice lending experience, Wells Fargo Practice Finance specializes in helping healthcare professionals acquire, start and expand their practices with various financing options and a signature Practice Success Program. Contact: gavin.m.shea@wellsfargo.com or 844-626-4317

View all articles by Gavin Shea


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All financing is subject to credit approval.

All financing is subject to credit approval.

All financing is subject to credit approval.

All financing is subject to credit approval.

All financing is subject to credit approval.

All financing is subject to credit approval.

All financing is subject to credit approval.

All financing is subject to credit approval.

All financing is subject to credit approval.

All financing is subject to credit approval.

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