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Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Avoid Random Treatment of Trigger Points (Part 2)
We must acknowledge that the fascia, which surrounds literally everything in our bodies, including every muscle fiber, is more than just a covering.
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
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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