It was sometime in 2004 when I met an entrepreneur/physical therapist named Jeff Hathaway in Liverpool, NY. Jeff was my first PT client, and he told me he wanted to market something called neuropathy care for a clinic in Cortland, NY, a town of about 20,000 people. I didn’t know what neuropathy was, so Jeff explained, and I immediately grew very skeptical.
No way will this work, I thought. Why? As a marketer, one of the first things I do is think about the potential audience size. So who in Cortland would care about diagnosis and treatment of neuropathy? We are talking about mostly seniors, with diabetes and neuropathy symptoms, (a slice-of-a-slice-of-a-slice target market). In a small town of 20,000 with 13% seniors 65 years or older, and 19% of those with diabetes, and maybe 25% of those symptomatic, we were talking about a potential audience of 125 people.
“Jeff, are you crazy?”
We didn’t have those numbers at the time, but we had a pretty good idea that the target audience was pretty small. We produced a radio ad and a basic 24 spot test schedule that cost $850, and to our surprise we had 11 people call.
Think about that.
If you are one of those PTs who say they don’t like neuropathy patients, so who cares, you miss the point entirely. The point is what we learned – 11 patient calls out of a total market potential of an estimated 125, from one burst of radio on a single station! Is that luck or real strategic marketing success?
Here’s the case for strategic success, not luck.
- People with neuropathy suffer greatly. They describe the symptoms as almost torturous. This creates a high level of motivation to chase down and learn more about any solution option presented.
- Treatment options are limited and physicians usually prescribe expensive drug therapy that isn’t effective and has negative side effects.
- No one is offering (marketing) a specific solution option for neuropathy care that uses a low risk offer for more educational information about treatment options for relieving the symptoms.
The underlined phrases in the points above are the essential ingredients for strategic marketing of any PT treatment program that can dominate. If you can identify similar opportunities and execute the marketing efficiently, you can literally dominate your competition and create a patient-generating machine. Some examples of “ailment” strategies include post-surgical rehab, sports injuries, balance and dizziness, fall risk assessment and prevention planning, chronic pain, back pain, and pretty much any ailment you can think of. You just need to understand how to create and execute the strategy.
Sign up for a free 60 minute PT Marketing Strategy Session.
If this is possible in such a small community like Cortland, imagine the potential in most markets. Any “ailment” or physical problem can be powerfully marketed with the right strategic system. It does require experience and expertise to pull this off on your own, and your chances for success will be greatly increased if you engage a marketing services provider who understands PT marketing and how to implement a complete strategic system, quickly and affordably.
Read the 3 Critical Requirements To Actually Execute Good Marketing
PT Referral Machine is a complete resource for planning and executing Fortune 500-Style marketing systems on a small business budget.
See our programs and pricing here.
Looking for a complete turnkey marketing solution for neuropathy care or other special ailment treatment program? Call David directly at 774-255-1125 to learn more about a special opportunity for an exclusive in your market.
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Visit our FAQ page.
Executive Letters From Physical Therapists Now Reach More Physicians
Thanks to technology, snail mail provides a better opportunity to be noticed
What Physicians Will Read And What Gets Tossed
What Gets Tossed: Letters that appear to have no clinical relevance, bury key ideas in the text, or come across as a self-serving sales pitch.
What They Will Read: Problem solving information (about their problem, not yours) that is easy to scan, clinically relevant, and holds the promise of something helpful to them, not simply another plea for referrals.
Physicians are no different than any other business person. They are constantly scanning their environment for solutions to everyday problems. Their problems create opportunities for you to be heard if you have something important to say. If your letter does not immediately seem to help solve one of their problems, then it gets tossed. It’s that simple – no need to over-think it.
Is it really true that the letter should be limited to just a paragraph or two, and no longer than one page?
NO! Don’t worry about the length of the letter, worry about the formatting, flow, and the total Power Level of your message following the results formula you will learn below.
A COMMON MISCONCEPTION is that anything more than a few paragraphs or a single page will not get read. But think of it this way, when you receive valuable information about a solution option to a problem you’ve been experiencing, do you really judge it by its length? Have you ever received that kind of “I’ve been looking for this” information and said to yourself, “Boy, that’s really timely and helpful stuff, but it’s more than a page, so I’ll just toss it away and wait for another letter that keeps it to one page.” Of course not. That would make no sense. But the point is this: If your good ideas and concepts don’t easily shine through without making the reader labor, then the letter will likely get tossed.
Consultants that recommend the “keep it short or it won’t get read” philosophy are correct in one sense: When your information is not that compelling or valuable, the reader will only invest a moment in reading before giving up. This common “keep it short” principle should be restated as follows: Your reader will give you an instant to start building a compelling problem solving case, so make sure you use that moment well.
Finally! A Way To Know If Your Physician Letters Will Get Results Before You Even Put Them In The Mail
The Results Formula –
3 Elements For Your Letters and Other Strategic Communications:
Element 1: Interrupt & Engage. Use powerful headlines and sub headlines to expose the problem and give the promise of more educational problem solving information to come. The most effective headlines tap into the emotion of curiosity and self interest, that’s why focusing on problems in your headline or subject line is so compelling. Everyone is interested in solving their problems, and they are curious about any solution. Good headlines suck the reader in. If you have read to this point, chances are our “Why letters from PTs are now read by more physicians” headline poked your brain on a practical, problem-solving level. You then scanned for additional clarifying information, and quickly found it with simple formatting techniques like bold text, underlines, and indents. Spend as much time or more on creating your feature headline as you do writing the letter.
Element 2: Educate By Case Building. Body copy, text, and other “showables” build a logical case that helps the reader draw a conclusion about your solution option. Physicians and staff are judging you like a jury judges an attorney’s case. Does your letter demonstrate special expertise? How does your information compare to that provided by other “similar” solution providers? Your reader can only compare based on what you teach them in your communication. Building a strong case using charts, graphs, tables, and other compelling information positions you as the expert. Use headings and formatting that helps the reader get the logical flow by simply scanning.
Element 3: Offer and Call To Action. In addition to your invitation for qualified referrals, give your readers other ways to take next steps in learning more about your particular problem-solving process. Most executive letters end by simply saying, “Give us a call with any questions.” This kind of offer is self evident, and lacks the power to spur immediate action. Your offer should include more resources for learning about what you do and how you do it. Your offers need to build confidence in your expertise. Your offer should be formatted and set off from the body copy so it will be scanned even if the body copy is not read. The exception to this would be a “concealed offer” designed to appeal only to the most highly qualified, eager readers.
Red Sharpie Time: See How We Apply The Results Formula To 2 Of The Crummiest Letters We’ve Ever Seen, And Then Try It Yourself On 2 More.
See the 4 Crummiest Letters Now and How We Rip 2 Of Them Apart With The Results Formula And Score Their Power Level (You Can Rip Apart The Other 2).
Register for a 90 minute Writing Workshop, get expert advice, and see examples of KILLER letters that get results. Register here.
Tips For Getting Started Using The Results Formula On Your Own:
1) Pick an expertise to market where you excel. If you are good at what you do, and there is a market for your solution, running this formula gets outstanding, consistent results.
2) Create 50 headlines and sub-headlines that expose the problem and promise a solution from your reader’s perspective. You will need lots of headlines to form the basis of your strategic campaign.
3) Create several valuable “offers” for more ways to learn about the benefits of what you do. Make sure the offers have a memorable marketing “handle.”
4) Gather compelling evidence that can be used to build a case in your body copy.
5) Write the letter making sure to place and format each Element for optimum scanability and readability.
6) Test, Test, Test. Each element of the formula can be tested, but pay particular attention to the headlines and offers. Testing can be done effectively with little or no extra investment.
Finally! A Way To Know If Your Physician Letters Will Get Results Before You Even Put Them In The Mail
The Results Formula – 3 Elements For Your Letters and Other Strategic Communications:
Element 1: Interrupt & Engage. Use powerful headlines and sub headlines to expose the problem and give the promise of more educational problem solving information to come. The most effective headlines tap into the emotion of curiosity and self interest, that’s why focusing on problems in your headline or subject line is so compelling. Everyone is interested in solving their problems, and they are curious about any solution. Good headlines suck the reader in. If you have read to this point, chances are our “Why letters from PTs are now read by more physicians” headline poked your brain on a practical, problem-solving level. You then scanned for additional clarifying information, and quickly found it with simple formatting techniques like bold text, underlines, and indents. Spend as much time or more on creating your feature headline as you do writing the letter.
Element 2: Educate By Case Building. Body copy, text, and other “showables” build a logical case that helps the reader draw a conclusion about your solution option. Physicians and staff are judging you like a jury judges an attorney’s case. Does your letter demonstrate special expertise? How does your information compare to that provided by other “similar” solution providers? Your reader can only compare based on what you teach them in your communication. Building a strong case using charts, graphs, tables, and other compelling information positions you as the expert. Use headings and formatting that helps the reader get the logical flow by simply scanning.
Element 3: Offer and Call To Action. In addition to your invitation for qualified referrals, give your readers other ways to take next steps in learning more about your particular problem-solving process. Most executive letters end by simply saying, “Give us a call with any questions.” This kind of offer is self evident, and lacks the power to spur immediate action. Your offer should include more resources for learning about what you do and how you do it. Your offers need to build confidence in your expertise. Your offer should be formatted and set off from the body copy so it will be scanned even if the body copy is not read. The exception to this would be a “concealed offer” designed to appeal only to the most highly qualified, eager readers.
Red Sharpie Time: See How We Apply The Results Formula To 2 Of The Crummiest Letters We’ve Ever Seen, And Then Try It Yourself On 2 More.
See the 4 Crummiest Letters Now and How We Rip 2 Of Them Apart With The Results Formula And Score Their Power Level (You Can Rip Apart The Other 2).
Register for a 90 minute Writing Workshop, get expert advice, and see examples of KILLER letters that get results. Register here.
Tips For Getting Started Using The Results Formula On Your Own:
1) Pick an expertise to market where you excel. If you are good at what you do, and there is a market for your solution, running this formula gets outstanding, consistent results.
2) Create 50 headlines and sub-headlines that expose the problem and promise a solution from your reader’s perspective. You will need lots of headlines to form the basis of your strategic campaign.
3) Create several valuable “offers” for more ways to learn about the benefits of what you do. Make sure the offers have a memorable marketing “handle.”
4) Gather compelling evidence that can be used to build a case in your body copy.
5) Write the letter making sure to place and format each Element for optimum scanability and readability.
6) Test, Test, Test. Each element of the formula can be tested, but pay particular attention to the headlines and offers. Testing can be done effectively with little or no extra investment.
According to the Bureau of Labor Statistics, demand for physical therapy and rehabilitation services is growing annually at double-digit rates. While total employment for the 10-year period 2010-2020 is projected to grow at 14%, physical therapy jobs will grow at 39%.
Some providers are keeping pace with the growing demand while others are not. If your numbers are down, the good news is that this can probably be fixed; and if your numbers are trending up, the time is ripe for using strategic marketing strategies to fuel expansion.
Even if your concerned about the impact of uncertainty in the industry such as the impact of emerging Accountable Care Organizations, a competitive marketing strategy for today will position your business well for whatever the future may bring. Well-run marketing operations provide your company with the most efficient tool to systematically educate consumers and referral sources about your special expertise. That’s the thing about professionally managed marketing operations – since the purpose is to produce customers, the business value is fortified regardless of future trends.
8 Marketing Essentials For Physical Therapists
Today’s PT practice (or any healthcare provider) needs to consider 8 essentials to produce measurable ROI with their marketing budget:
- Competitive Intelligence
- Strategic and Tactical Marketing Plan
- Website with strategic content managed and optimized for local search
- Physican marketing materials
- Advertising Plan
- Graphic design and copywriting
- Referral Marketing System
- Professionally trained marketing support or staff
Most businesses use many different vendors for these services, and usually without a coordinated plan. In today’s world this old-school approach is way to expensive and too hard for most providers to manage. For a single location, using the old-school approach, just the marketing staff alone will be a budget-breaker. But what if you could get all 8 essentials for less than $1,000 a month, manage it in less than 2 hours a month, with a guaranteed ROI?
If that sounds impossible, schedule a live 60-minute webinar and see the strategies and systems that bring you Fortune 500-style marketing on a small business budget.
We say all the time that good healthcare marketing requires more educational content, and less of the brag-and-boast “we have great experience, get good results, and care about you” brand-building. Our subscribers seem to understand the difference, but understanding it and executing it as a marketing strategy are two entirely different things.
The big institutions and most marketing consultants have a tough time looking past their logo and cute tag line long enough to provide consumers with anything of substance, and it is the small independent practitioner who can take full advantage of this.
Today Dr. Yoav Suprun shares another strategic marketing success story from the trenches built from good educational content. We hope you enjoy it, and for more ideas you can use immediately to market your practice, we invite you to share 60 minutes with one of our senior consultants on a webinar where you will see live concepts and the results they have produced. See the webinar schedule here.
Thanks for reading, and thank you Dr Suprun.
David C Steinberg
The PT Referral Machine
Simple Strategy Helps Change Referral Patterns
By Dr. Yoav Suprun, DPT, Dip. MDT,CSCS
Tired of chasing doctors in your area for business? Four years ago, I decided something needed to change. Doctors must learn about MDT from their patients via word of mouth. Since opening my clinic in Miami Beach (www.sobespine.com), I chose to focus on marketing to patients and teach them about MDT. Can you do this without spending money? Sure you can!
How do you get your patients to tell their doctor “ I want to see that McKenzie practitioner because I think my problem is mechanical”, well, it starts with “Educational marketing”. Teach the possibilities of where aches and pains may come from and they will often want to know more. The language of MDT makes sense to people. They can relate to it because the majority of aches and pains have a mechanical component.
Coffee shops, a local gym, church sponsored events, farmers markets, bonus affairs for company employees are a great start. In my case, I chose a coffee shop 2 blocks from my office inside “Whole foods”. I posted a sign on their free corkboard titled: “The truth about lower back pain and Sciatica”. “You are invited to join a physical therapist for a free educational breakfast lecture. Learn about common causes and a method that teaches you SELF treatment for back pain and Sciatica”.
On a Friday morning, three people came to my first talk. We each had breakfast while sitting around my laptop. We were discussing mechanical LBP and sciatica. I had with me a PowerPoint presentation, 3 different spine models, a lumbar roll, Robin McKenzie’s “Treat your own back” book and Dr. Donelson’s book “Rapidly reversible lower back pain”.
The coffee shop is located just in front of the registers so people looked at us sitting around my laptop and 4 more joined the conversation. I handed my business cards to prospects and got office bookings and one home care. The following week I had 8 people waiting including the sister of a guy that came to my first talk. She came to see me for neck pain (“I have good and bad days. I saw a chiropractor which helped but it keeps coming back..”).
After resolving her problem in a couple of visits, she was so thankful that she called her physician who is also a friend as well as connected me to a local gym where she is a member. I treated her physician and as a result, I have now 2 doctors (his partner is on board as well) who refer to me although I never marketed directly to his office. Also, I gave a talk to the trainers who started referring clients to me and see me as the “go to” person. I became the Gym’s “mechanic” as I am helping the trainers keep their clients from taking time off due to injury. Exercise program that is built on Mechanically determined directional preference (MDDP) has been proven in the literature to be appropriate (Long et al “Spine” 2004 Dec 1;29(23):2593-602.)
The breakfast talks continue to generate business. Last month I gave a talk to a forum of business women at a local bank that also wanted to know more about the true causes and self treatment options for lower back pains. Other enticing titles are “Pain in the neck?”, “Is your workout making you worse?”, and “Tips and tricks for healthy living”. When the curiosity of the listeners turns on and they start asking questions pertaining to their own problem, I always say, “I owe you a good and solid evaluation which we can’t obviously do here…”
Word of mouth works BEST. However, you must do what is right by the patient and not sell them the old and tired story of “You need to see me 3x a week for 4-6 weeks”.
Important tip – even if one person shows up, you never know how that person can boost your business. Keep pursuing education of the public and they will come. Search in your area for a good opportunity to give even once a month free talk and see what will happen to your business. I am sure you will be surprised.
Dr. Yoav Suprun is the owner of “SoBe Spine, PA” in Miami Beach (www.sobespine.com), He is the producer of Robin McKenzie’s new DVD “Treat your own back © 2012” (www.optp.com), a probationary faculty with the McKenzie Institute International (US branch), a McKenzie physical therapist at Canyon Ranch Hotel and Spa in Miami Beach (www.canyonranch.com), and an adjunct faculty in Florida International University (FIU) DPT program.
Questions or comments on the article above? Post them on our blog here: PTRMblog.com “From The Trenches”. We’d love to hear from you directly- email us at info@ptreferralmachine.com or call 774-255-1125 in the US or 403-510-7051 in Canada.
Last month for the first time we included a guest feature with our monthly email marketing tips, and the feedback was really exciting. That’s why we are sharing another contributed by Jamey Schrier. Jamey’s physical therapy business was one of the PT Referral Machine “pioneer” clients, and his input has helped shape many of the programs and services we offer today. We hope you enjoy, and thanks for reading.
David C Steinberg
The PT Referral Machine
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Why Every Physical Therapy Clinic Manager Should Eat At McDonald’s (No, Not For The Food)…
By Jamey Schrier, PT, DPT, OCS
McDonald’s restaurants can teach us (practice owners) a lot about marketing. What McDonald’s does better than any other company in the world is systematize. Most of us can immediately see and appreciate the McDonald’s system for product delivery simply by walking up to the counter and placing an order. But did you ever think about their system for marketing? Could they possibly be so successful without systematizing both the food operations and the marketing operations?
The greatest food operations system in the world would go underutilized or fade away without the customers to feed it – that’s why the McDonald’s marketing system is such a critical part of the entire McDonald’s system.
And today marketing in today’s healthcare world is more important than ever. The competition is fierce. The hospital systems are becoming huge conglomerates and directing the patients to their own ancillary services (ie: physical therapy). Orthopedists are continually creating their own outpatient physical therapy clinics to offset their rising costs, and it seems every other profession is promoting that they do “PT”. It’s scary out there.
However, now is NOT the time to retract and hide. Quite the contrary, it’s time to promote and expand! It is more important than ever to promote and educate your target audience about you. The best money you can spend right now is that in which generates revenue (ie: new patients). Moreover, although the responsibility for marketing belongs with you the owner, your process should be a systematized business function that can run without you. But the challenge is that profit margins are slim, cash flow is tight, and most owners are too busy trying to treat patients AND manage the clinic. If this is the case, and it is for a lot of private practice owners, then the choices are simple:
- Continue to do what you’re doing and hope that the market will throw you enough crumbs to keep you busy enough to make a living.
- Hire someone to manage your marketing program – a pretty expensive option, especially if it takes you 6-12 months to find out if they can actually get results.
- Outsource – hire a company to manage your marketing program, or
- Do it all yourself.
All four options will work (except # 1) although option number two is significantly more expensive and option four is usually not the core competency of the owner. Option three makes sense if you have a small budget and the company you hire can get you a solid ROI while limiting your direct involvement in the day to day implementation of the marketing process.
Remember the example of McDoanld’s? The key to marketing is to systematize the process by either having an employee do it or an outside company. If you feel you’re able to market the company the best then by all means get out there and sell it, but you will still need help organizing and managing the plan. By systematizing the process, you’ll stop worrying every second (like I used to) about where new patients are coming from. The secret is to monitor the effectiveness of each campaign and make adjustments as necessary.
Most of the conversations I read and hear about in the physical therapy practice development world revolve around not having enough new patients, or the inconsistency of new patients. The answer is having a well thought out, cost conscientious, consistent marketing program. In 12 years as a business owner, I have never heard of a PT practice that did not generate a significant amount of new patients with this type of marketing system.
Decide on the right approach for you…Options 1, 2, 3, or 4. Regardless of the option you choose, make sure your marketing plan can be systematized. The more systematized the process, the less stressful it will be for the owner. Start simple, systematize, and…
Achieve your goals!
Jamey Schrier is a physical therapist, private practice owner and consultant. In 2001, he opened up Schrier Physical Therapy, and in 2007 expanded into a second location. In 2010, Jamey began shifting his focus on helping private practice owners with their business challenges. The following year, Jamey launched Elite Coaching, a consulting company designed to provide PT owners proven business solutions. Jamey has lectured to other PT’s on “Leadership and Entrepreneurism” and is currently a member on the PR and Marketing Committee of the Private Practice Section. During free days, Jamey enjoys spending time with his family – wife Colleen, son Jack and daughter Gracie, as well as playing basketball, golf, and tennis. He can be reached at jameys@schrierpt.com
Balance assessments and Fall Prevention planning – a great case study in marketing. Materials that address the problem and offer educational information on diagnosis and treatment work very effectively. These stories, like the one here in the Globe make great content for FB and website blogs, but the real impact on the practice comes from targeted direct mail, physician letters, and other strategic marketing activities. The typical consumer has no idea this problem is treated by specialized PT. An ROI is possible even on very small budgets. A recent campaign out west spent less than $850 and activated 6 new patients within the first 30 days. You need the right content to pull this off – we know, as we have done this over and over. Other ailment topics work as well.
Another point of interest in this example: In addition to the 6 new patients this client had 49 people request information from the website. This is significant for 2 reasons: 1) it is important to understand the total impact of a marketing campaign not just the immediate response from those that pick up the phone and call. (there is a high probability that many of those who have requested the info from the site will call later to book as new patients or pass the info along to friends or family that may benefit) 2) it is important to use tracking devices in your marketing so you know what your response rate is from both phone calls, web traffic and web requests.
Learning to restore balance – The Boston Globe bostonglobe.com
At any given time, an estimated 6.2 million Americans report a chronic problem of balance, dizziness or both, according to federal data. The problem tends to increase with age, and with the aging population, specialists say the… read more
It’s been six years since we launched PTreferralMachine.com, and we still have the same quote at the bottom of our homepage:
“Physical therapy services may offer the best value in healthcare, and this seems to be the best kept industry secret. Unless the physical therapy industry finds ways to communicate its value to the marketplace efficiently, it’s likely to remain that way. That would be a shame, because everybody loses – therapist, patient, and doctor alike.”
So for 6 years Trent and I have been writing about communication programs and strategies for physical therapists that we use with our clients to fight this battle, but today we get a day off as our old friend and industry insider Jeff Hathaway, PT, DPT shares his thoughts on this critical subject.
Jeff’s thoughts are of special significance in this new year of 2012 where changes with the rules for access to care and payor regulations loom larger than ever.
Thank you, Jeff, for adding to the conversation.
We hope you enjoy Jeff’s article, and thank you for reading.
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Physical Therapy – Commodity or Value Driven Profession?
Part 1 of 2
By Jeffrey W. Hathaway, PT, DPT
When you hear the word commodity your mind goes to “gold”, “coffee”, “corn” and other commodities bought and sold in the various stock exchanges. What is the definition of commodity then and how does that relate to Physical Therapy?
A commodity is defined as a good or service for which there is demand, but which is supplied without qualitative differentiation across a market. How does this definition and concept apply to the profession of Physical Therapy?
The good news is that we certainly offer a service that is in demand, however the real question is whether the second half of that definition applies – “without qualitative differentiation”. Remember that the important thing is not necessarily how WE define ourselves but how the consumer (MD, Insurance Payer, Case Manager, Public, Media, etc.…) defines and perceives our profession.
Unfortunately, we are seen by insurance payers, many MD’s and the general public as a commodity, similar to “gold”, “corn” etc. One ounce of gold has the same exchangeable value, determined by supply and demand regardless of where you buy it.
In our consumer minds “PT is PT”, “gold is gold”, “corn is corn”; much like an MRI tech is an MRI tech – that is because the MRI machine is the important thing not so much the tech who performs it. Physical therapy is many times seen as “things” that techs (PT’s) do to patients.
How else do you explain common phrases like “they have had PT” or “PT has been tried”? Like it is “an event” or a “thing” that a person gets in the course of their care. Think about that phrase – I am sure we are all guilty of using it. We need to abolish that phrase from our language. Have you ever said to a patient – “have you had doctoring?” That sounds completely silly – because MDs are professionals and if you have seen one MD and are not better, you seek out a more highly trained or specialized MD. Medical Doctor is not a thing – it is a highly trained professional. In our profession, if you went to any Physical Therapist then it can be determined if “it” worked according to our consumers.
Many times accountants are more valued by consumers as individual professionals. You never hear from people: “did you have accounting for your taxes”, but you definitely hear “do you have a good accountant who can save me some money in my taxes?”
We need to create a huge paradigm shift in the minds of the consumers. A shift that can change consumer perception about our profession and ultimately lead to the full meaning of an “autonomous practice”.
First let’s examine how we may have gotten to this place.
Much of this appears to be self-inflicted. For years we focused on new machines or equipment that we were using in our clinics. We marketed the “things” that we use. The “new laser unit” or the “new electrical stimulator” or “kinesiotaping” become fads that we rely on them to appeal to our consumers.
Secondly we tend to market programs (back program, knee program, aquatic program, or the new pilates program etc.…), which are again “things”.
At the same time we seem to be fixated as a profession as to what is “skilled” activities (things) versus “non-skilled”. MD’s never have such discussions. PT’s for some reason want to breakdown our patient visits into things – falling right into the commodity trap. It is no wonder that consumers associate “things” when they think of PT. If most PT clinics have the same specialty equipment, a back program, and provide the same codes or skilled services – then which one you go to doesn’t matter in their mind; “an ounce of gold is an ounce of gold”.
Hence we are seen as a commodity. Instead our value should be related to the expertise of the physical therapist – their ability to assess and direct a treatment plan to reach the goals determined. And if one PT is unsuccessful then another more experienced and specialized PT may get better results.
An environment that does not perceive physical therapy as a commodity; consumers who value physical therapists as the first choice in the primary care of neuromusculoskeletal disorders would lead the profession to unimaginable high levels of value in the marketplace.
What to do about it?
Part 2 of 2
Physical Therapy – Commodity or Value Driven Profession?
(Part II)
In Part I, we discussed how physical therapy has become viewed and treated as a commodity. We defined a commodity as a good or service for which there is demand, but which is supplied without qualitative differentiation across a market. If we are seen as a commodity then we will be treated as a commodity by the marketplace. In short that means we will be seen as a uniform service and there will be constant forces to pay the least for the service given the supply and demand levels. A car is a commodity. Wouldn’t you shop around for the car dealer who can give you the best possible price for the same car? I bet that sometimes you bargain for the best price. Same thing happens when viewing PT as a commodity.
The results of being a commodity are painfully clear in todays PT marketplace – especially in NY.
How does one fight this commodity trap? It is simple but not easy. The key to getting out of the commodity trap for any business or profession is to move the business model from a demand fulfillment model to a value creation model. Most clinics today work in the demand fulfillment model. This model is the classic “find a need and fill it” approach. However, as the supply reaches the demand level the price becomes the primary differentiator and begins to drop to what the market will bear. In a third party payer system this downward pressure is more dramatic and is not driven down in the classic manner of competition price wars but rather of seeing how much can be squeezed by a third party.
In order to operate in a value creation model the business needs to create a level of value that creates the willingness of the market to pay a premium for the service. Once a business has created that value then the market will seek out that product or service and willingly pay more for it. There are two classic examples of companies that are in the business of selling a commodity who have successfully done this. First is Apple selling technology that has seen the price drop dramatically over the years and the second is Starbucks which sells the commodity of coffee. They both demand premium prices for a product that is in most circles a commodity. How did they do it? They applied the de-commoditization formula. That formula is a three-part formula:
- Understand your customer’s problem better than they do.
- Develop solutions to their problems that they do not see.
- Exceed expectations.
In the case of Apple they took portable music industry and created the i-pod. The i-pod was far and away beyond what any consumer could have possibly imagined to be possible. It solved the problems with portable music that we had (bulkiness, skipping of CD’s, limited content, etc…) but it also solved those at a level that the average customer could not imagine. Starbucks took coffee and built an environment and attachment that was far beyond what coffee drinkers could have imagined. Starbucks created a culture around coffee. In both cases they followed the formula and created such demand that they are not only very profitable but get consumers to pay considerably more for their commodity than their competitors. They now reside in the value creation model.
I believe that PT is at a crossroads. If we do not figure out how to apply the formula to our businesses then we will continue down this road we are headed on, which for private practice is unsustainable.
I also believe we can apply the formula to our practices. It will take creativity, changes in our practice models and the willingness to take risks. It is a completely different mindset. Most, if they were in charge of Apple, would reduce their price as it would undoubtedly increase volume and revenue. But Apple understands that it is in the value creation business not the demand fulfillment business. We must re-think our mindsets, our language, our image and what we really bring to the table. We need to start promoting the profession from the neck up, start becoming part of the solution for payers, start thinking outside the box for ideas that leverage our value in ways our customers (MD, payers, the public, etc…) don’t see yet. Then do it in a way that exceeds their expectations. We must let go of the victim mentality and be bold in how we claim our rightful place in the healthcare system. What say you?
How We Help Physical Therapy Businesses Grow…