Best Practice Strategies

Dan Neissany, PT, DPT
  • 5.0 (5)
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Best Practice Strategies is the podcast for physical therapy and chiropractic practice owners who want to grow revenue, build stronger teams, and scale without becoming the bottleneck. Hosted by Dan Neissany, PT, DPT, who helped scale a healthcare organization from $2.5M to $36M in annual revenue, each episode shares real-world strategies for leadership, operations, hiring, culture, patient retention, and profitability. Learn to build accountable teams, develop strong managers, capture missed revenue, and create systems that reduce owner dependence.

  1. 3d ago

    How Great Leaders Build Teams That Don’t Need Them

    If every decision in your practice still comes back to you, taking a vacation can feel impossible. Building an independent team starts with changing how you lead—not simply asking employees to take more responsibility. In this episode of Best Practice Strategies, Dan Neissany, PT, DPT, sits down with Jess Mitchell to explore how practice owners can build trust, delegate clearly, and help their teams perform without constant intervention. Drawing on her experience leading sales teams and working with founder-led businesses, Jess explains why meaningful connection makes accountability conversations stronger. They discuss the habit of becoming the workplace hero, the difference between friendly team dynamics and effective performance, and why hiring people who contribute something different can matter more than finding another personality that fits. Jess also shares how agreed actions, realistic timelines, written expectations, and regular feedback help leaders step back without abandoning their teams. For physical therapy and chiropractic practice owners, clinic directors, and practice managers, this conversation offers a practical way to examine owner dependence. Learn what to look for when your team is becoming more autonomous, which questions to ask employees, and how to receive honest feedback without immediately defending yourself. ✅ In this episode, you’ll learn:Why constantly rescuing the team can keep you stuck as the bottleneck.How genuine connection supports trust, retention, and accountability.Why a friendly culture still needs clear standards and measurable outcomes.How to hire for contribution rather than simply choosing people like you.How agreed actions, written timelines, and feedback improve delegation.Which behaviors show your team can make decisions without you.What to ask your employees—and yourself—to start changing your leadership.🔗 ResourcesWant help developing stronger leaders inside your organization? Book a strategy call:https://calendly.com/bestpracticestrategies/best-practice-strategies-discovery-call Explore free resources and training:https://tbpstrategies.com Connect with Jess Mitchell:https://jesskmitchell.com/ ⏱️ Chapter Markers00:00 Can Your Practice Run Without You?07:04 Leadership Burnout and Learning to Let Go12:48 The Trap of Being the Workplace Hero17:20 Connection Before Accountability26:28 Hiring for Contribution and Living Your Values33:04 Delegation With Clear Actions and Timelines39:03 Signs Your Team Can Perform Without You43:43 Questions to Ask Your Team and Yourself48:00 Human Connection in an AI-Driven Workplace #BestPracticeStrategies #HealthcareLeadership #PracticeManagement #TeamBuilding #Delegation #EmployeeRetention #ClinicGrowth #PhysicalTherapyPractice #ChiropracticPractice #LeadershipDevelopment #JessMitchell

  2. Oct 20

    Patient Non-Compliance Is Hurting Your Revenue AND Outcomes. Here’s How to Fix It

    Patient compliance breaks down long before a missed appointment. If your physical therapy or chiropractic practice keeps losing patients before they finish their treatment plan, the problem may start with the first phone call. In this episode of Best Practice Strategies, Dan Neissany, PT, DPT, explains why patient follow-through is a responsibility shared by the whole practice—not just the treating clinician. He walks through the patient experience from intake and the initial evaluation to ongoing visits, discharge, and follow-up, showing where communication gaps can undermine trust and retention. Dan discusses how to uncover barriers such as time, cost, and family commitments, connect treatment to goals patients actually care about, and explain progress when someone says they still feel the same. He also explores the role of front-desk training, support-team communication, and simple check-ins that help patients feel heard. For practice owners and clinic leaders, this is a practical look at the connection between patient experience, treatment engagement, and practice revenue. Use it to examine where your team may be leaving expectations unclear—and where a more consistent approach could help patients understand the value of their care. Every patient who drops out of care early represents more than a missed visit. It can mean a worse outcome for the patient, and revenue your practice never gets back. The question is: how much are you losing, and where is it happening? Download our free Patient Compliance Scorecard to uncover the gaps that may be causing patients to cancel, disengage, or leave before completing their plan of care. It takes 5–7 minutes—and what you uncover could have a significant impact on both patient outcomes and your bottom line. Download the scorecard at https://www.send.co/a/the-patient-compliance-scorecardpdf-DNOaHlaT In this episode, you’ll learn: Why patient compliance starts with intake, before the first treatment session.How to train the front desk to surface concerns and communicate with clinicians.How to identify scheduling, cost, and other barriers before patients drop off.Why treatment goals and expectations need to make sense to the patient.How to explain meaningful progress beyond whether pain is completely gone.How clinicians and support staff can reinforce a consistent patient experience.Why discharge conversations and follow-up deserve a place in your retention process.🔗 Resources Want help developing stronger leaders inside your organization? Book a strategy call:https://calendly.com/bestpracticestrategies/best-practice-strategies-discovery-call Explore free resources and training:https://tbpstrategies.com ⏱️ Chapter Markers 00:00 Why Patients Stop Following Through04:19 Compliance Starts With the First Call07:33 Explain the Plan and Uncover Barriers11:27 Build Trust Around Patient Goals15:02 Help Patients Recognize Progress18:07 Align the Team and Reassess Progress23:15 Follow Up Beyond the Treatment Session25:44 Discharge and Long-Term Patient Relationships31:02 Motivation, Patient Experience, and Practice Revenue #BestPracticeStrategies #PatientCompliance #PatientRetention #PhysicalTherapyPractice #ChiropracticPractice #PracticeManagement #PatientExperience #HealthcareLeadership #ClinicGrowth #HealthcareOperations

  3. Oct 13

    Employees Want to Earn More, But Don’t Want to Be a Manager. Now What?

    If your best clinic employees do not want to become managers, how do you help them grow and keep them on your team? In this episode of All Things LOCS, Dr. Dan Neissany, DPT, explains how private practice owners can build healthcare employee career paths that reward real contribution without forcing everyone into leadership. A promotion is only one form of growth. Clinicians and front desk staff may want to deepen their expertise, train others, take on meaningful projects, or help shape the business. Dr. Dan discusses how to learn what each person wants, define the added value of a new role, and connect compensation to responsibilities that help patients, teammates, and the practice. He also warns against giving employees impressive titles with no real purpose. If you run a small healthcare practice with limited management openings, this conversation offers a practical way to think about retention and the next three years for the people you cannot afford to lose. In this episode, you’ll learn:Why a management promotion should not be the only route to career growth.How to recognize added value beyond tenure and the basic duties of a job.Ways to develop expert, training, leadership, and potential ownership paths.Why a new title needs clear responsibilities and value to the practice.How to start a career conversation with your most valuable employees.🔗 ResourcesWant help developing stronger leaders inside your organization? Book a strategy call: https://calendly.com/dan-dpt/strategy-call Explore free resources and training: https://tbpstrategies.com ⏱️ Chapter Markers0:00 The employee who does not want to manage2:14 Why promotion is not the only sign of growth4:17 Measure contribution, not just tenure7:48 Ask employees what they actually want10:54 Start development conversations early13:07 Career paths beyond management18:48 Compensation, contribution, and fairness22:59 When ownership may be an option27:31 Avoid empty titles and invented roles30:58 Identify the employees you cannot afford to lose

  4. Oct 6

    The Revenue Gap: Where Potential Revenue Gets Lost in the Patient Experience

    Hidden clinic revenue can slip away when inquiries go unanswered, evaluations go unbooked, and patients stop attending care. Before spending more on marketing, private practice owners need to understand what happens to the people already reaching out—and where the patient journey breaks down. In this solo episode of All Things LOCS, Dr. Dan Neissany, DPT, walks through a business calculator to explore how improvements across follow-up, meaningful conversations, booking, attendance, retention, and revenue per visit can build on one another. He keeps the number of incoming leads unchanged in a hypothetical practice example, showing why looking at the entire process matters more than chasing a single headline metric. Dan then explains how to audit your patient experience, identify who owns each step, and use training and measurable standards to close performance gaps. For physical therapists, chiropractors, occupational therapists, and other practice leaders, the focus is making better use of the demand you already have while supporting appropriate, consistent care—not adding unnecessary visits. The calculator’s revenue figures illustrate a scenario rather than actual practice results or a guaranteed return. In this episode, you’ll learn:How to trace the patient journey from first inquiry to attended evaluationWhy contact attempts and meaningful conversations are different metricsWhere booking gaps, cancellations, and no-shows can limit clinic revenueHow retention, revenue per visit, and referrals fit into the overall pictureWhat Dan’s hypothetical calculator example shows about combined improvementsHow to assign ownership, identify training gaps, and define success at each stepHow to prioritize the process improvement with the greatest potential impact🔗 ResourcesWant help developing stronger leaders inside your organization? Book a strategy call: Schedule a strategy call Explore free resources and training: TBP Strategies Request the business calculator discussed in this episode: dan.dpt@thebestpracticestrategies.com. Email Dan and ask for access to the calculator. ⏱️ Chapter Markers00:00 – The Revenue Opportunity in Your Existing Patient Journey02:50 – From Patient Inquiry to Booked Evaluation06:16 – Retention, Patient Experience, and Referrals09:30 – Calculator Walkthrough: Contacts and Conversations12:20 – Bookings, Attendance, and Conversion Gaps15:02 – Visits, Revenue per Visit, and Cancellations18:18 – Putting the Hypothetical Revenue Scenario Together21:37 – Audit the Journey and Assign Ownership25:35 – Prioritize Improvements and Request the Calculator#AllThingsLOCS #ClinicRevenue #HealthcareOperations #PracticeManagement #PatientRetention #PatientExperience #ClinicGrowth #PhysicalTherapy #HealthcareLeadership #PrivatePractice

  5. Sep 29

    The Marketing Strategy Behind Predictable Practice Growth

    If your clinic marketing is bringing in leads but your schedule still has gaps, more advertising may not solve the problem. Missed calls, weak follow-up, and poor patient retention can undermine the money you’re already spending to attract new patients. In this episode of All Things LOCS, Dr. Dan Neissany, DPT, talks with Isaac Justesen, introduced in the episode as CEO of Patient Partners, about building a marketing system that connects search traffic to booked appointments and revenue. They discuss why referrals alone can leave a growing practice exposed, how SEO differs from paid advertising, and why campaigns need ongoing attention and realistic timelines. The conversation moves beyond impressions and clicks to the numbers that matter: cost per lead, patient acquisition cost, booking rates, and patient lifetime value. Isaac shares an example of a practice answering fewer than half its incoming calls, while Dan explains why front-desk training deserves the same attention as clinical training. For physical therapy and chiropractic practice owners, clinic directors, and healthcare leaders, this episode offers a practical way to assess marketing performance before spending more. You’ll also hear how to approach website improvements, weigh in-house support against an agency, and ask better questions about account ownership, competing clients, and communication. In this episode, you’ll learn:Why referrals should be one part of your patient acquisition strategyHow to set realistic expectations for SEO and paid advertisingWhere missed calls, weak booking processes, and retention problems waste marketing opportunitiesHow cost per lead, patient acquisition cost, and lifetime value inform marketing decisionsWhy front-desk call tracking and training matter to clinic growthHow growth goals, practice size, and local competition shape your budgetWhat your website and conversion tracking can reveal about patient behaviorWhat to ask an agency about asset ownership, local competitors, and reporting🔗 ResourcesWant help developing stronger leaders inside your organization? Book a strategy call: Schedule a strategy call Explore free resources and training: TBP Strategies Marketing and SEO audit discussed in the episode: Patient Partners ⏱️ Chapter Markers0:00 Clinic Marketing: From Leads to Patients 2:08 SEO, Websites, and the Limits of Referrals 5:00 Marketing Misconceptions and Realistic Timelines 10:09 Missed Calls, Bookings, and Patient Retention 13:36 The Marketing Metrics That Matter 18:43 Front-Desk Training and Call Tracking 21:31 Ad Budgets and Long-Term Growth Goals 26:05 Website Experience and Conversion Tracking 32:30 In-House Marketing and Choosing an Agency #AllThingsLOCS #ClinicMarketing #HealthcareMarketing #PatientAcquisition #PracticeManagement #PhysicalTherapy #Chiropractic #HealthcareLeadership #PatientRetention #ClinicGrowth ```

  6. Sep 22

    Grow Your Practice Without Stress or Chaos: The Framework for Scaling Smarter

    If you're running a healthcare practice and trying to scale without operational chaos, this episode is for you. Healthcare leaders often struggle to grow their organizations without creating disorganization, burnout, or decreased patient satisfaction. Dr. Dan Neissany, DPT, and Antonio Garcia break down the critical systems, leadership mindset, and operational clarity required to scale a healthcare practice successfully. In this episode, you’ll learn:The two major mindsets healthcare business owners have when considering growthWhy establishing the right systems and processes is crucial for scalable growthHow leadership mentality and emotional control impact organizational successThe importance of documenting processes and training employeesHow to identify and track key performance indicators (KPIs) that drive growthThe four key areas necessary for successful growth: leadership, people, processes, and financial capacity🔗 ResourcesWant help developing stronger leaders inside your organization? Book a strategy call: https://calendly.com/dan-dpt/strategy-call Explore free resources and training: https://tbpstrategies.com ⏱️ Chapter Markers0:00 Introduction to scaling healthcare practices without chaos4:46 Mentalities driving growth decisions in healthcare business owners15:18 Building systems and processes for scalable growth26:00 Leadership development and scaling before business growth32:21 Hiring and employee development for growth42:39 Establishing key performance indicators (KPIs) for growth45:41 Leadership mentality and emotional control during growth

  7. Sep 15

    How to Consistently Hire & Keep Great Employees Who Elevate Your Practice

    How do you hire great employees AND keep them long-term? For private practice owners, finding the right people is only the beginning. Your hiring process, interview structure, expectations, and first 90 days can have a major impact on the team you ultimately build.And at the end of the day, ineffective hiring decisions aren't just frustrating - they're costing clinics thousands in recruitment, training, and lost productivity. In this episode of All Things LOCS, Dr. Dan Neissany, DPT, shares how to fix the hiring and onboarding process to keep your best clinicians and staff long-term. The Hiring and Retention Checklist: https://www.send.co/a/hiring-and-retention-checklistpdf-sWDhY2LK In this episode, you’ll learn: The hidden financial cost of employee turnover in healthcareHow to improve your hiring process to reduce bad fitsThe importance of a structured 90-day onboarding systemStrategies for long-term employee development and retentionHow to retest and reinforce critical skills and behaviorsThe connection between employee retention and patient carePractical steps to save hundreds of thousands in turnover costs🔗 Resources Want help developing stronger leaders inside your organization?Book a strategy callExplore free resources and training ⏱️ Chapter Markers 0:00 - Introduction to Hiring and Onboarding1:45 - The Financial Cost of Employee Turnover10:12 - Building a Hiring Process Around Your Values18:43 - Involving Your Team in the Hiring Decision25:08 - Creating a Structured Onboarding System32:21 - Long-Term Training and Development Strategies36:10 - The Long-Term Benefits of Better Hiring

  8. Sep 8

    Ineffective Leadership Is Costing Your Practice More Than You Think

    Bad or ineffective leadership doesn’t just hurt company culture. It can quietly cost your healthcare practice hundreds of thousands, or even millions, of dollars. In this episode of All Things LOCS, Dan breaks down the real financial cost of poor leadership in healthcare organizations and private practices. From employee turnover and disengagement to lost productivity and costly hiring decisions, leadership has a measurable impact on your bottom line. Dan explores why great clinicians don’t automatically become great managers, how poor management contributes to employee turnover, and why investing in leadership development can deliver a significant return. In this episode, you’ll learn: The hidden financial cost of poor leadershipHow employee turnover impacts practice profitabilityWhy great clinicians don’t always make great managersHow leadership affects employee engagement and productivityWhat to consider before promoting someone into managementHow leadership development can reduce turnover and generate measurable ROIWhy better leadership can strengthen your team, patient experience, and bottom line Dan also walks through the numbers behind turnover and shows how even modest improvements in employee retention can create substantial savings for a healthcare organization. If you’re a private practice owner, healthcare leader, clinic director, practice manager, physician, physical therapist, or chiropractor, this episode will help you answer an important question: How much money is poor leadership costing your practice every year? Listen in to learn how stronger leadership can help you retain great employees, improve performance, and build a healthier, more profitable organization. Want help developing stronger leaders inside your organization? Book a strategy call Explore free resources and training ⏱️ Chapter Markers 0:00 Introduction to the cost of bad leadership5:34 The impact of managers on employee turnover9:00 Calculating the cost of employee replacement23:59 The ROI of leadership development40:04 Example: $145,000 saved through leadership development

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About

Best Practice Strategies is the podcast for physical therapy and chiropractic practice owners who want to grow revenue, build stronger teams, and scale without becoming the bottleneck. Hosted by Dan Neissany, PT, DPT, who helped scale a healthcare organization from $2.5M to $36M in annual revenue, each episode shares real-world strategies for leadership, operations, hiring, culture, patient retention, and profitability. Learn to build accountable teams, develop strong managers, capture missed revenue, and create systems that reduce owner dependence.

Information

  • Creator
    Dan Neissany, PT, DPT
  • Years Active
    2024 - 2026
  • Episodes
    104
  • Rating
    Explicit
  • Copyright
    © Dan Neissany, PT, DPT
  • Show Website
    Best Practice Strategies