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December 14, 2020 - WHO MOVED MY CHEESE IN PRACTICE AND LIFE?

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WHO MOVED MY CHEESE IN PRACTICE AND LIFE?

by Brandy Brimhall

 
Hopefully, you have read the book Who Moved My Cheese.  Never has there been a time in history you needed to read and heed its messages.  At Homecoming 2021, we will give you the playbook to find new and even better cheese, while others are crying over their losses and waiting, and waiting and waiting...

Brandy has written a very informative spin on the book and concepts that will help you immediately.  Her experience in Chiropractic and Health Care will help every doctor and every office.  Do not miss Homecoming or this article.

Dr John

Healthcare in general is an industry in constant evolution.  Chiropractic and multi-discipline are certainly not exceptions to the rule.  Regardless of your practice type, the procedures you render or products you offer to your patients, you are going to find that change is inevitable.  When by choice, change is welcomed, exciting and easier to prepare for– but, it’s the unexpected and uninvited change that catches us by surprise and contributes to frustration and uncertainty in our practices, with the ripple effect of coding, billing, collections (patient and payers) and communications (patients, teammates, payers) obstacles. 

Let’s look at just a few common occurrences –

 
  • New procedure(s) implemented into your practice that you have discovered are not well payable or payable at all by 3rd party payers
  • Increase of limits on patient coverage or capitated plan policies that restricted your expected cash flow
  • Discovery that payment plans or programs offered by your practice are not permitted by your state in the manner that you offer them
  • Change in your local demographics resulting in more insurance patients or self-pay (non-insurance) patients coming through your door
  • Restrictions to your normal business operations due to Covid19 and local legislation
  • Billing related problems resulting in rejections, denials and accumulating aged accounts receivables
  • New business opening nearby that may have competitive products or services
  • …and the list goes on….
Believe it or not, for each of these items above, as well as other obstacles we encounter, there is at least a manageable and beneficial response; and in many cases, a productive solution.  Perhaps one that could even be better for you and your practice than you might expect. Resisting or avoiding the reality of any of these elements increases provider vulnerability from various avenues.   Bending or breaking the rules (Federal, state, payer, etc)  is not really a viable option either -after all, we want to be operating in the best position to get paid properly for what we do and to be able to keep that money once it’s been paid (from our patients and our payers). 

So, what is the answer to the ongoing change taking place in our industry and our practices?  Adaptation.

Note that adaptation doesn’t mean surrender and acceptance.  It means you’re recognizing and understanding the details of your current situation, identifying challenge(s) that you’re now faced with, and then taking immediate action steps to plan, prepare and adapt moving forward. 

Keep in mind, this doesn’t mean we have to agree with the situation – we can certainly be proactive in other ways to make changes that could improve our current scenario.  But at the same time, we shouldn’t hold ourselves and practices hostage by resisting necessary steps of adaptation.  By doing so, you could be effectively sabotaging your business, yourself and your team.  The same applies to any team member in your practice who may be unwilling to make necessary changes to better perform in their role, or perhaps resists providing information or giving/accepting assistance that could be helpful to the team or practice as a whole.

You may be familiar with the book, Who Moved My Cheese, by Dr. Spencer Johnson?  This short story presents a profound message that is invaluable to us in our practices.  The story is about 4 characters that had settled in comfortably and developed daily routines surrounding a station of cheese they had discovered.   Day after day, the characters would go from their homes to the cheese, always with the expectation that the cheese would always be there just exactly as it had been the day before.  One day, they arrived to discover the cheese was completely gone.

While each of these characters was in shock at the empty cheese station before them, two of the characters immediately understood that change was necessary.  They promptly left this comfort zone in search of new cheese. 

A third character became angry and bitter.  Upset that his cheese was gone, he continued to go back to the cheese station each day, expecting that it be returned exactly as it once was.  Yet, each new day, as there was no cheese, his anger and frustration increased.  When it was suggested to him to go in search of new cheese, he became more frustrated and more adamant that he was not going anywhere but rather would insist that the cheese must be immediately replaced, exactly as it was before.  Even as he became weak, tired and hungry, his perspective didn’t waiver.

A fourth character was upset and confused for a little while.  He continued each day to come to an empty cheese station, wondering what happened to the cheese and why.   Over time, when he was weak, hungry and afraid, he came to the conclusion that the cheese would not reappear as it was before at that cheese station.  He decided that if he were to survive and prosper, he would have to leave in search of new cheese.  He pondered his past and realized that he should have seen that the cheese was getting old and lesser in supply.  He pondered his future and envisioned new cheese and opportunity that may lie before him.  The story goes on to describe the uncertainties, adventure, building of confidence and eventual prosperity that this character had in his journey.  It shares the steps he took to adapt to his circumstance, his discovery of a new cheese station, with more cheese and even better cheese than before.

The underlying message in this story is in that many changes that take place can be recognized fairly quickly if we don’t get too stuck in our routines and expectations – by keeping a finger on the pulse of our businesses.  Next, when inevitable changes do occur, we can minimize our own suffering and strife by taking the reins more quickly and choosing our own path forward, making plans and executing the steps necessary.  Ultimately, while we may not always be in control of a change that has occurred and impacted our practices, we are in control of our own response to it – and the benefits to our businesses could be far better than we realize. 

If you’re struggling to determine a path forward for your practice, keep in mind - There are answers to your questions and concerns.  You don’t have to figure it all out on your own.  Stagnancy is part of the recipe for stress and struggle.  It’s really never too late to step out of your comfort zone. 


Brandy can be contacted by email at Brandy Brimhall [email protected], or call her at: 719-301-4648  
She has lots of Cheese ideas for YOU.
 
Yours in Health and Wellness,
 
John W Brimhall, DC, BA, BS, FIAMA, DIBAK

 

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2. Furumoto K. et al. “Age-dependent telomere shortening is slowed down by enrichment of intracellular vitamin C via suppression of oxidative stress.” Life Science 1998, vol. 63, no. 11 pp. 935-48.
3. Shen J, et al. “Telomere length, oxidative damage, antioxidants and breast cancer risk.” Int J Cancer. 2009 Apr 1; 124(7):1637-43.
4. Xu Q, et al. “Multivitamin use and telomere length in women.” Am J Clin Nutr. 2009 Jun;89(6):1721

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OHS - Brimhall Homecoming 2021

I CAN - The Innovative Care And Nutrition Biohacking Weekend
for You & Your Clinic!

 

January 7-10, 2021

Arizona Grand Resort & Spa, Phoenix, AZ

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