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A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
June, 2014, Vol. 14, Issue 06
Marketing Your Practice: Fixing the Facebook Algorithm
By Stephanie Beck
What is a Facebook algorithm and why should I care? Facebook decides which posts/updates to display on your fan's newsfeed through a complicated formula called EdgeRank that includes roughly 100,000 different indicators.
No one really knows for sure (outside of Facebook of course) what all the indicators are, but they do tell us that some of them include:
This is why, in past articles, I have shared the importance of using a variety of types of posts, to post one to three or more times a day depending on how many fans you currently have and to respond and like your fan's comments and shares in a timely fashion. These, along with many other strategies I have shared, have been essential to achieving success with your social media campaigns. However, Facebook has made some significant changes to the shared posts/updates. These changes have reduced the number of organically shared status updates in the last 24 months from 17% to around 6.5%. Some marketing experts believe that Facebook will reduce the organic shares to 1%, or even less. That has left many of us wondering why? Facebook claimed the reason for the tighter restrictions was to increase the "quality of posts," but many of us believe the real reason is to push advertising as an alternative.
So what exactly has happened with the Facebook algorithm? Many of you have invested time and resources into developing and nurturing your ideal Facebook audience organically. In fact, there have been many articles and blog posts on how to attract your ideal audience organically. Since August 2013, Facebook has released a series of changes to its newsfeed algorithm which determines which content is displayed to users. I have shared many updates of ways to keep your engagement high like sharing relevant and valuable content, using hashtags and how to change settings for page notifications. These are just some of the ways you can and should implement to organically keep in contact with your fans. Then, on December 2, 2013, Facebook announced changes that were supposed to be tailored to feature more high quality articles, enhance discoverability of related content and to increase the prominence of posts with high comment volume from friends. Facebook went to great lengths to share the difference in friend-posted and page posted content interaction and its intent to deprioritize text status updates from branded pages.
The impact on businesses made a significant change; according to analyses from many social marketing sources, since December that reach has fallen in some cases to as low as 2% reach for businesses with a large fan base. Facebook claims the reason for this change is supply and demand, in other words, the amount of content being produced exceeds what users can consume and as they attempt to optimize the Facebook user's experience, many page posts do not make the cut when it comes to showing up in the newsfeed. To offset these changes, Facebook offered a couple of suggestions. One of the suggestions was to focus efforts on "link share" posts and the other was to invest in ads.
More recent announcements from Facebook have included that posts with calls to action (CTAs) such as "like this page" or "share this post" rarely received engagement and, in turn, will be shown less within the new feeds. They even went as far to say that in some cases, brands posting this type of content were penalized after users were given the ability to report spam within news feeds. The good news is that photos and videos still tend to perform well, as they are more likely to earn a "like" or "share" without being asked.
Know Your options
If your practice is still putting all its eggs in Facebook's basket, you might want to consider altering your strategy. Since going public, you need to understand that Facebook cares first and foremost about its business, not about your brand. In fact, many marketing and financial experts are saying that Facebook's growth is based on how well they monetize their existing user base, since it has reached 60% global penetration and doesn't have a whole lot of room left to grow organically. Think about it, it's a commonly known marketing cycle, as you reach market saturation; you have to either find a new market, add another product or both if you want to continue growth. In this case, Facebook has chosen to incentivize businesses to "pay to play."
So, what are your options? First, engagement rules the house so be sure you are sharing informational and educational content that is relevant and valuable to your fans. You have to share things that are worthy of attention. That means you need to improve the quality of your posts.
Second, I know I'm going to hear some grumbling about this, but you need to "pay to play." Consider Facebook advertising as part of your overall advertising budget. I know for many of you the thought of having to pay for advertising on a free social platform is disconcerting. I understand, but the fact is, social media advertising is the most affordable type of paid advertising available and you are able to track all results. It's a bargain compared to traditional advertising costs and you have a huge opportunity to really target your audience. These social networks are huge databases of every kind of interest and personal buying habits of all your ideal clients. The better you understand your ideal client, the less paid advertising will cost you. When you can dial in your offer to those ideal clients that want and need your services the most, your return on investment surpasses any costs. Online advertising, unlike offline advertising is 100% trackable, measurable and flexible. You are able to adjust your message and costs daily, even hourly, to increase your results. Facebook has been sending out a lot of $50 to $100 advertising coupons lately encouraging businesses to try it. I encourage you to consider this option, but have a strategic plan for what you want to achieve and incorporate a way to capture their email addresses so you can continue to connect with them off of Facebook.
Third, start building community on other social networks like Google+, Twitter or Pinterest. If you've not started your Google+ page, now is a great time. They have more than 1.15 billion registered users and 201 million active mobile users on a monthly basis. If you are concerned about creating extra content, know that you can repurpose your content from Facebook on other social platforms so it doesn't have to mean you are creating a lot of extra work for yourself. There are programs out there like HootSuite and SocialOomph that will post your updates on multiple networks for a minimal fee or hire someone to manage your content for you. However you choose to implement it is up to you, but I do encourage you to get away from having all your eggs in one basket. Diversification is a good word to remember when it comes to social media campaigns.
Fourth, work on building those online relationships by being open, remember the 80/20 rule: 80% business and 20% personal and don't be afraid to show the real you. Also, make sure you are accessible, when people comment, respond or ask more questions in a reasonable time frame. Be positive and offer good customer service so you make the experience enjoyable and your fans will want to interact with your page. Assure your fans that they are important to you by showing them their concerns are important. Make them feel that you care about them and show an interest in them.
Fifth, engage in your local community with questions either on your page, or better yet, the local community pages. Share original, behind-the-scenes photos of you and your staff or hobbies or pets.
And finally, don't measure your marketing success on uncontrollable factors. Social platforms like Facebook, Twitter, LinkedIn, Google+ and YouTube do not owe brands exposure. They make the rules, so instead, spend more of your resources to get the social users to the items you do control like your website and blog. Use the social sites to build your email and blog subscriber list so you can engage with them in an environment that you own. You still will need to offer them educational and informational content so they will stay with you.
In my opinion, Facebook is still fun and profitable. As long as you are sharing good content that your fans are engaged with, continue to use it but just know that the organic "free" ride has drastically changed for a lot of businesses. Facebook can still be very helpful for building your practice, you just have to be aware of the changes and adapt your strategies so you can maximize your results.
Click here for more information about Stephanie Beck.
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