Practice evaluation

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Practice Evaluation

Name(Required)

First Last

Address(Required)

Mailing Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Post Title

Mobile Phone(Required)

Company Name(Required)

For the questions below, select the closest answer that represents your practice.

What is the total square footage of your clinic's space being utilized for patient care?(Required)

300 to 750

751 to 1,000

1,001 to 1,500

1,501 to 2,500

2,500 or greater

How many treatment rooms are available for patient adjustments?(Required)

Do you have a dedicated consultation room?(Required)

Yes

Shared Room

Is your community a more white collar or blue collar population?(Required)

Blue Collar

White Collar

Mixed

How many chiropractors are located within a five-mile radius?(Required)

1 to 20

21-100

100 or more

Is your market more rural, metropolitan, or suburban?(Required)

Rural

Metropolitan

Suburban

Mixed

How many dedicated parking spaces does your clinic have for patient use?(Required)

What is the monthly average (last three months) of services provided to patients?(Required)

1,000 to 10,000

10,001 to 20,000

20,001 to 35,000

35,001 to 50,000

50,000 or more

What is the monthly average (last three months) of collections received from patients?(Required)

1,000 to 10,000

10,001 to 20,000

20,001 to 35,000

35,001 to 50,000

50,000 or more

What are your monthly overhead costs (including doctor salary? (Choose the closest category)(Required)

50% of collections or less

60% of collections

70% of collections

80% of collections or more

What is the monthly pay to the primary doctor?(Required)

3,000 to 5,000

5,001 to 7,500

7,501 to 10,000

10,001 to 15,000

15,001 or more

How many patient visits (average) per month?(Required)

100 to 200 or less

201 to 300

301 to 400

401 to 500

501 or more

What percentage of your collections is cash vs. insurance?(Required)

20% or less

30%

50%

75%

100%

How do you approach patient scheduling to optimize efficiency (while there could be more than one answer, please choose one)?(Required)

You "Cluster Book" your appointments

You use a customized (travel card) for patience compliance

You use automation for patient reminders and rescheduling

You have a team approach for handling missed appointments and recalls

I do not have any optimized plan

You have patient processing that allows you to schedule predictable timeframes

What accounting system do you use for financial information (minutes)?(Required)

Check or cash

Patient management software

Outside vendor

What is the average time spent with a new patient (doctor time)? (minutes)(Required)

5 to 10

11 to 15

16 to 30

30 or more

What is the average time spent with an existing patient (doctor time)? (minutes)(Required)

5 to 10

11 to 15

16 to 30

30 or more

How long is your consultation? (minutes)(Required)

I don't do consultations

5 to 10

11 to 15

16 to 30

30 or more

How long does it take to process a new patient (entire time)?(Required)

5 to 10

11 to 15

16 to 30

30 or more

How many hours of training does your staff receive weekly?(Required)

3 or more

Are daily staff meetings a regular part of your clinic's regular routine?(Required)

Sometimes

Yes

How do you hold your staff accountable for their roles and responsibilities?(Required)

Regular evaluations

Compensation

Both

What percentage of staff is full-time compared to part-time?(Required)

50% or less

60%

80%

100%

Do you have independent contractors such as other chiropractors, massage therapists, or other health professionals?(Required)

Yes

More than 1

More than 3

Are job descriptions for each staff member well-defined and communicated?(Required)

Yes

Somewhat

What percentage of collections is spent on staff salaries?(Required)

20% or less

30%

50%

60% or greater

Do your staff members participate in external training opportunities?(Required)

Sometimes

Yes

What has been the average number of new patients in the last three months?(Required)

1 to 10

11 to 15

16 to 20

21 to 25

25 or more

How many re-evaluations/x-rays are taken on a new patient within the first 90 days?(Required)

No x-ray

One time

Two times

Three times

What is the average number of maintenance patient visits, per patient, per year, in your clinic?(Required)

3 or less

18 or more

What is the average monthly patient dropout for your clinic (percentage)?(Required)

10% or less

20%

30%

50%

51% or more

How do you handle serious conditions when educating patients?(Required)

I don't see cases other than back and neck pain

Adjust 6-10 times and if not better, I refer them out

I adjust the subluxations and let the body heal. If more concurrent care is needed with another provider, I definitely recommend that

How do you ensure consistent communication with your patients (choose one that is done the most)?(Required)

Routine meetings

Emails/Newsletters/Texts

Patient Educational Classes

Other

How often do you have patient educational classes?(Required)

Never

Once per year

Twice per year

Once a month

What is your monthly budget allocation for marketing efforts (percentage of collections)?(Required)

None

10% or more

What percentage of your marketing expenses are from digital media?(Required)

None

25%

50%

75%

more than 75%

What percentage of your marketing expenses are NOT from digital media?(Required)

None

25%

50%

75%

more than 75%

How do you measure the effectiveness of your marketing strategies?(Required)

I don't

Practice management software

Digital analytics

Monthly clinic stats

Outside professional

Do you use a marketing calendar?(Required)

Sometimes

Yes

Do you involve your staff when reviewing marketing statistics?(Required)

Sometimes

Yes

How confident are you in your clinical abilities?(Required)

Not confident

20%

50%

75%

100%

What steps do you take to continuously improve as a doctor?(Required)

None

CE Classes

Training Centers

Technique Courses

Patient management classes

Two or more of the above

Three or more of the above

Do you have a vision for the growth and success of your practice?(Required)

Sometimes

Yes

Are you receiving a steady and adequate salary from your clinic?(Required)

Sometimes

Yes

Are you consistently meeting your financial obligations?(Required)

Sometimes

Often

Always

Do you have an emergency fund available for unexpected events (operating expenses)?(Required)

Some

Full three months

Full six months

Do you have a consistent net profit each month?(Required)

Sometimes

Always

Are you prepared for tax preparations when needed?(Required)

Sometimes

Always

Do you have a clinic budget?(Required)

Sometimes

Yes

How do you balance your personal life with your family time?(Required)

Keep structured work hours

Utilize staff and services

Work on efficiency

Participate in work and family functions

I don't have a plan

Are you able to take vacation without stress on the practice?(Required)

None

One week

Two weeks

Three to four weeks

Do you use strategies for managing stress in your life?(Required)

Sometimes

Yes

Do your patients refer other patients to your clinic?(Required)

Sometimes

Yes

Do your patients adhere to your clinical and health & wellness recommendations?(Required)

Sometimes

Yes

Do you integrate nutrition guidance into your practice?(Required)

A little

Most care plans

All care plans

How frequently do you use diagnostic tools in your practice (such as x-ray, lab tests, other)?(Required)

None

10%

30%

50%

75%

More than 75%

How many therapies do you offer and manage for your patients?(Required)

More than 3

Do you provide care plans for your patients - and if so, for how long?(Required)

Yes, three months

Yes, six months

Yes, twelve months

What is your patient missed appointment percentage?(Required)

10%

20%

30%

More than 30%

Do you use an outside management company?(Required)

Have used before

Currently working with

Practice evaluation

Practice Evaluation

“You Will Know Them By Their Fruits”

MATT. 7:16