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It's Time to Review
It is amazing to see the changes that are occurring in the acupuncture profession. Let's look at some of the news and events that have contributed to this growth and awareness.
One Size Does Not Fit All: Exercise and Nutrition According to Your Yin/Yang Body Type
There are countless new exercise and nutrition plans out there, emphasizing the latest ground-breaking research and claiming to revolutionize the way we view health.
Tailor-Made Knee Pain: The Sartorius Muscle
A patient was referred to my office after receiving treatment from various providers with no results. The patient was training for the Olympics as a marathon runner and was unable to run or walk without severe medial knee pain.
Dietary Fat and Prostate Cancer: An Important Update
K.M. Di Sebastiano and M. Mourtzakis published a review paper examining the role of dietary fat on prostate cancer development and progression late last year that does a stellar job of summarizing the available data on fat and prostate cancer.
Pro-Con: Swaddling for Newborns
The practice of swaddling has been used for thousands of years and was popular until the 1700s, when it was slowly abandoned by many cultures that considered it old-fashioned or barbaric.
Making Sense of an Increasingly Obvious Conclusion
Where's U.S. health care heading? Like it or not, the list of telltale signs is growing to a point that stands out to even the most myopic observer. Consider this list of facts as you look into the future of health care in the United States:
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 2
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
The Modern Application of Ancient Mei Rong
Chinese Medical Cosmetology (Mei Rong) has a well-documented and venerated history dating back to the Qin (221-206 BC) Dynasty.
Syncretism: Acupuncture and Public Health in Cuba
"Syncretism" is defined as a union of diverse tenets or practices. On a recent trip to Cuba designed to demonstrate the integration of Traditional Medicine and biomedicine, our group witnessed this union firsthand.
Too Many to Remember: Tips to Revive Your Ortho / Neuro Test Skills
When I was at Palmer in the mid-1980s, we were given a set of notes in one of our diagnostic courses. The notes covered approximately 70 orthopedic and neurological tests for various regions of the body.
Mechanism: Experimental Approaches to Understanding Acupuncture, Part 1
The clinical benefits of acupuncture are difficult to ignore, but also can be difficult to explain to a Western audience. For nearly 50 years, relentlessly inquisitive scientists and physicians have been working toward a conceptual model to explain acupuncture.
F4CP Making a High-Impact Impression
The Foundation for Chiropractic Progress has released details of its 2016 strategy, certain elements of which are already in play. The strategy includes ads, posters and other resources available to all F4CP members.
Designing a Fitness Plan (Part 1)
It doesn't matter if you come to my practice for pain relief, weight loss, healthy aging or something else. The formula I talk about for each patient's fitness strategy is pretty much the same.
Diagnose Sprain Injuries in MVA Cases With Dynamic X-Rays (Pt. 1)
Am I the only person to notice hospitals are doing a seemingly insufficient job lately in their initial radiological workup of motor vehicle accident (MVA) victims?
Acupuncture and Oriental Medicine in the West
We know acupuncture and Oriental medicine as the indigenous medicine of East Asia; in particular China, Korea and Japan are the countries of origin of this wonderful healing system.
Targeting the Bad Apples in the Bunch
While everyone was focused on the conversion to ICD-10, the Office of Inspector General for Health and Human Services released a new report on chiropractic titled "CMS Should Use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services."
Chinese Herbs and Pulmonary Fibrosis: A Case Study
"Mary M."* recently celebrated her 90th birthday. Even the former sheriff dropped by to kiss the hand of this diminutive retired teacher, to honor the years she interpreted for him during interviews with Latinas and Latinos.
The Concussion-Subluxation Complex
In the Aug. 1, 2014 issue of Dynamic Chiropractic, I reviewed some of the literature demonstrating the role of the chiropractic adjustment in post-concussive care.
Footsteps of the Sages: An Apprenticeship with Dr. Kezhan Zhang
When I met Dr. Kezhen Zhang in May 2013, I was his translator and the integrity, creativity, and passion he demonstrated as a practitioner and advocate of the medicine convinced me to travel to Beijing to study with him.
Your Billing Questions Answered
I hear a lot of the following questions: I am afraid I may doing something illegal. I have heard I cannot have different fees for the same service.
North Carolina Acupuncture Board Files Dry Needling Lawsuit
In early September, the NCALB filed a complaint against the North Carolina Board of Physical Therapy Examiners over the issue of dry needling, a form of acupuncture that uses solid needles to puncture the skin and muscle tissue to relieve pain.
Born to Energize the Human Spirit: Recollections of Sig Miller
Sig Miller, longtime executive director of the Association of New Jersey Chiropractors (ANJC), passed away on Sept. 17 after a long battle with cancer.
Which Way is the Energy Going? Are You Burning Yourself Out?
One of the simple methods that I use to define Yin/Yang theory to patients is to ask the question, "Which way is your energy going?"
Omega-3 Fish Oil: An Underappreciated Element of Men's Health
As a clinician with many male patients -- and as a man myself -- I am all too aware of the fact that we like to convince ourselves that we are doing great, when that may be the farthest thing from the truth.
July, 2002, Vol. 02, Issue 07
Step Seven: Operations
By John Fanuzzi
Last month, we dealt with construction planning; this month we'll shift gears a bit and focus on the actual internal operations required to run a successful spa or day spa.
Before we hire our therapists, we've hopefully done our homework as to appropriate theme planning, and should have penciled out our menu to some degree.That means we know our specialty treatments will fit right into the particular personality and image we want to manifest. Sometimes situations come up in the hiring process, such as finding a massage therapist with other skills that might be beneficial to offer, that triggers new menu items. Modalities such as polarity therapy; chair massage; aromatherapy; Ashiatsu foot massage; etc. could be added to expand your spa theme. There are many more potential additions, but the point is that any employee's extra skills could add more depth to your spa menu that will set you apart.
When you hire staff, there are many qualities to consider. Personally, I would look at attitude first and a passion for work second -- they must love. Don't forget, you are in effect married to your employees, so communicate and make sure their vision is in line with your vision. I recently visited the DePasquale Day Spa in New Jersey, which is in my opinion an extremely well-managed, five-star operation. What most impressed me was the spa's hiring procedure, and the steps it takes for a new therapist or stylist to actually work the main floor. First, employees train in the school area; then perform their skills on the department heads; and finally, on the spa owner(s). Only then are employees "ready" to treat paying customers.
Generally, you should start your staff training about four weeks before your spa opens. Employees need to learn much more than where they will be working; they need to know your philosophy, theme, internal operating systems, and products, so they can sell products and services besides their own. Employees must be trained as team players and be ambassadors to customers and the public. This can only happen if they are happy with their relationship with their supervisors or owners.
Another important key to success is to set up a computer system that will give you all the information you need. With access to the right information, you can manage and make decisions based on facts. Computers will not solve your problems if your systems are not prepared; and wrong or incomplete data is worse than a manual system. In choosing your software program, do your homework. Ask yourself some questions. Will it be easy to learn and operate? Is it a complete bookkeeping and operations package? Can you get any kind of report you need easily? How does it handle commission splits? Does it create barcodes for your inventory? Will your reports produce graphs? If used correctly, your computer system will save you lots of work, so don't skimp.
A few months ago, in my article on spa budget and finance, I presented several charts illustrating startup cash requirements and cash flows. (Editor's note: See "Step Four: Budget/Financing" in the April issue). It would be a wise business practice to prepare those same charts with real everyday numbers, so you can immediately see where you are winning and where you are losing. This type of daily record will reveal trends and allow you to make adjustments before you lose big money. I like to post daily sales figures and employee performances, which help build teamwork and create a challenge to set higher goals. From that original business plan with cash requirements you should be in the ballpark to know what your marketing budget is and at this time there will most likely be some adjustments since the original was done before the final design.
Retail sales is one of the most important, but often neglected, facets of spa operations. Retail sales can be a tremendous source of "extra" revenue. When setting up your retail sales operations, consider a full time retail sales manager and an incentive program for therapists who sell. A good salesperson can make you a lot more money than just letting the receptionist ring up a passive sale. Your retail sales revenue may depend on how big or small your operation is, and how well your employees know your product line.
If you've hired a spa consultant, you may already have a complete operations manual based on experience from similar past clients. Don't forget to allow for regular cleanup and maintenance in off hours, so your place will always stay sparking.
Next month, we will discuss the initial startup marketing strategy for your spa. Until then, keep reading those spa magazines!
Click here for previous articles by John Fanuzzi.
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