Dental A Team Podcast

Dental A Team

This podcast is here to give dentists and all dental office team members, in EVERY position, TACTICAL and PRACTICAL TIPS to: - Be more efficient - Have more fun - Improve doctor and team communications - Eliminate frustration - And make your life easier! Jump in! We are thrilled you have decided to LEVEL UP and be part of the DENTAL A TEAM! New episodes every Tuesday, Wednesday, and Thursday.

  1. 2d ago

    #1,198: Don't Be Scared to Talk Finances With Your Patients!

    Kiera and Kristy share tips on having financial conversations with patients, including the type of mindset to adopt so it's not so intimidating, key language to use to get everyone on the same page, the power of a litmus test, and more. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review       Kiera (00:00) Hello, Dental A Team   listeners. This is Kiera, and today's a lucky day. I'm so excited. I get one of my faves podcasting with me today. I get the one and only Kristy Treasure. If you don't know Kristy, she's one of our dynamite consultants and she just drives offices to success faster than most people I've ever met. She's absolutely dynamite. And today we're gonna be talking about how to have financial conversations with patients. This is right up her alley. Things she's obsessed about talking about. Kristy, welcome to the show. How are you today?   DAT- Kristy (00:26) Good, thank you. Pleasure pleasure to be here.   Kiera (00:29) I love it. Kristy, it's so fun to talk. You love talking all things money, numbers, metrics. Like that's your jam. How did you even get into numbers and metrics, Kristy? Like, walk us through for those of you who don't know Kristy, she was an office manager. She's been like every position in the practice. She grew this exponentially large practice. But for some reason, her niche is numbers. So, Kristy, how did you get into numbers? Like, why are you this like obsessive woman about numbers? How did that like passion and obsession come to be for you?   DAT- Kristy (00:56) It's so funny. I think at one time I actually thought about getting into accounting, but I never did. Yeah. But in the dental world, you know, really   Kiera (01:02) I could see it, I could see it.   DAT- Kristy (01:07) the numbers are really only a measure of how well we're taking care of our patients and getting them healthy. And so from the dental realm, you know, oral wellness is a passion of mine. Maybe I should have been a hygienist too in a different life. But with that being said, the numbers don't lie. And so   Kiera (01:25) Mm-hmm.   DAT- Kristy (01:26) the you know, being in OM and practice administration, it it was the guide to let me know if we were winning or not. And so it it's not so much about the number, but where is it trending, you know? And so being able sorry, Kiera, being able   Kiera (01:38) Mm-hmm. How do you no, no   DAT- Kristy (01:42) to give that back and have teams know where they stand too, I think is hugely important.   Kiera (01:49) So, how do you get teams on board with this? Like that was gonna be my follow-up when I was about to cut you off. Sorry on that. Like, I agree with you. It's ch it's shell, but how do you get your teams on board? Cause I think this is a common piece and a common like fear of offices is they don't want to tell their teams. They don't want their teams to talk about numbers. Doctors are afraid if teams look at numbers and they're gonna think they want to buy a new boat, which I'm like, go for it, buy the boat, like live your life. But how do you get teams on board to look at these numbers and doctors not to be afraid to share numbers with their with their teams?   DAT- Kristy (02:18) Yeah. I think first and foremost we start out by talking about why did we all get into dentistry? Because usually it's about caring for our patients. And Kiera, I think there's also a misunderstanding that just because a practice may be collecting six million dollars doesn't mean the practice is financially healthy. And so when teams understand there's numbers inside the practice and numbers outside of the practice, I think it helps them   understand and just like they have to manage their finances, you know, what's in the bank? How am I gonna pay my mortgage? Like getting them on board to understand that helps them also drive for the success. And I don't know, you've been in dentistry a long time too. And I truly haven't met a doctor that isn't willing to give back when the practice   Kiera (03:05) Mm-hmm.   DAT- Kristy (03:05) is profitable. So typically, you know, when teams are on board and we're rowing in the same direction for a goal, it's a win win.   Kiera (03:14) Yeah. I hope the doctors heard that. I hope the teams heard that of it is a win-win. It's a good way for us all to get aligned and be on the same page with each other. And like doctors, it is a business at the end of the day. And having a practice and having the numbers tell you, I love numbers because I feel like they're the non-emotional facts of the business. They're able to tell us, are we winning? Are we losing? It's just like a scoreboard in sports. Like it's up on the board. We know if that team is winning or if they're not winning.   and for us not to have like visibility into our business to know are we on track, are we off track? To me feels like what do we do when we're flying blind? Like I can't imagine a sports team like playing against each other and there's no score up on the board. It's just like hoops versus hoops. Like that's fun for a while, but the drive and the like, how do I protect my craft and how do I become a better player? And how do I know if we're actually playing as a team or we're just out here all open? Like those are the ways that you can actually see if you're winning or not. So   Kristy,   I'm gonna pivot us now to financial conversations with patients because it's all things money. We just gave you guys some tips on how you can talk to your teams about this, teams why you need to look at the numbers, how it is a scoreboard of the success of your practice. They don't lie. Every number tells a story, every number t ties to a system of what is broken, what can we improve, how can we improve it? It actually makes like your job easier as a team member because then we're not trying to solve the whole practice. We're just refining based on what the numbers are telling us.   So now pivoting that to patients, I think so many treatment coordinators, doctors, hygienists, like everyone in the practice is so scared to talk money with patients. So Kristy, like let's dig into that. How can people like what is that? Why are people afraid of this? Any tips on how we can have these financial conversations with patients?   DAT- Kristy (04:56) Yeah. I think first and foremost is understanding that, you know, we're in it to get patients healthy. And we   Kiera (05:04) Mm-hmm.   DAT- Kristy (05:04) all understand that if there's active infection going on, it's not gonna get any better than it is today. And so   Kiera (05:12) Right.   DAT- Kristy (05:13) coming from the you know, reframing our brains and coming from the space of taking us back to why we got into dentistry and caring for people, their oral health   equates to their overall health. And if we can get them healthy as quickly as possible, all the better. But I also like to tell my teams, we play the healthcare advocate, but it's always in the patient's hands. So when we can put it back to the patients and say, you know, I'm here for you. And truly this is your journey. You get to be in the driver's seat. And we're going to do this in your timeframe.   And within your budget. It takes that pressure off and it really makes it a relational thing. And we can be the guide to getting them healthy.   Kiera (06:03) That's amazing. And I think Kristy, as you said that, like it's just a reframe, right? Like I think we have the reframe right now. Like you you're telling yourself a story. You're telling yourself a story of, like people have to pay money and it's uncomfortable and they w but there's also another story of we're doing this amazing service and they're paying for a great service, just like Kristy. You used to cut hair. Like people, you give a good haircut, people want to pay you for a great and they even tip you.   Like no one has tipped me in my career for not sucking up their uvula. I would love to have a tip jar. Like you're welcome patients. I didn't suction that up. but like they want to, they want to pay for a service. And I think in dentistry we get kind of weird because like we are in healthcare and when we go to the doctor, but like never once have I ever gone to the doctor and been like, I'm just not gonna pay for it. Like, I know I have a copay, I know I have this.   And so I think for us to reframe it of we've done great dentistry, we've done a great service. People naturally know, like when I go to the grocery store, I buy groceries. When I get my haircut, I pay for my haircut. When I go to the dentist, I pay for my cleaning. I pay for my my care. Like that's what I pay for. And so I I love that you talk about Kristy of like this is just why we're even in dentistry. We did this to get patients back to health. We're here to serve.   I think that there's this space of having confidence in who you are and not being afraid of asking for money. Like it's okay. You did great work. You brought them back to health. Like you did something amazing for them. They are more than happy. It's the gift of reciprocity. And that worked so hard for me. But when we've done something good, people naturally, as a byproduct, want to pay for it. and so helping us, like you said, let's just do a reframe. Like, what if for the next week everybody in our practice just thought like every patient wants to pay us?   Like I promise you, it will be that you've just like activated that and you'll start to see more patients want to pay you. More patients are not having financial conversations of issues with you. It's not a conversation, like they're not rejecting you. They just want like they're just asking questions. And I think we often take those questions as rejection rather like it's confrontation rather than just conversations.   DAT- Kristy (08:11) Yeah, I

  2. 3d ago

    #1,197: The CEO Dentist Playbook: Lead a Practice That Can Grow Without You

    Being a CEO dentist doesn't have to mean fewer patients. It means leading your business as intentionally as you are clinically. Kiera gives specific tips on how you, as a dental practice owner, can shift your mindset so you're operating like a CEO and your practice is humming. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera (00:00) Hello, Dental A Team listeners. This is Kiera. And today we're just gonna kind of like jump right into it. I hope it's an amazing day over there. And I hope, as you're listening, today this is going out to our dentist owners. and I think that a lot of dentists actually own a practice, but very few of them actually run it like a CEO. Is that fair? Would you agree? Would you not? what do you think? What do you think about that? Do you feel like that is   And the way you'll know if you're running it like a CEO or if you're just being owned by it is do you feel trapped in your business or do you feel in control of your business? And I think I want to just kick this off because there are times, and I will tell you, once you hit one or the other, that's not forever. That state is not a forever state. So just because you might be there today doesn't mean you'll forever be there. So if you're trapped, great news, you won't always be there. If you're if you're feeling in control, great, you're not always going to be there either. But   The goal is like being a CEO dentist doesn't mean that you're actually having to see fewer patients. It's about leading your business as intentionally as you are clinically. And being the leader of that, being the person who actually is setting the tone and being a CEO. And I think when I started my business, I didn't know what a CEO was. I did not know the difference between like owning a business and managing a business. Like I just thought you worked in it. but I think when I started looking at if I left tomorrow for two months, excluding your dentistry.   Could my team function? Could my practice continue to grow? Do I have systems? Do I have processes? Do I have things in place to where I could do that? If the answer is no, then great, you're still managing your practice. If it is yes, then great, you're sipping into that CEO role. Does your team have the playbooks? Do they have that? And so today I just kind of want to dig into like a CEO Dentist playbook of like, how can you lead a practice that grows without you? I will say this is tricky. Like you still need to be the CEO, you still need to have a vision, but I think it's a lot of pieces will be on mindset shifts that we're able to have.   what you can possibly do differently. And then like what are some habits that you can do to grow to have growth, profitability, and freedom. Now again, this is if you want to. You don't I also think some people get into this weird black and white. Like if it's this, it's that, or if I don't do this or I do do that. I hate when I say do do. Guys, you just heard it come through. but I hate when you don't have to have it just be black and white. All right. You don't have to have it where it's all or nothing. There can be an and   You can be a great clinician and be a CEO. You can be a CEO and you can still be in your practice. You can step out of your practice. We just want to make sure that you are not just being a clinician. And if you want to, that's fine. But just make sure we have a CEO of your business. So know thyself and be free, I think is where it is. and if you want to look and think and lead like a CEO, these might be some great tips for you of some mindset shifts and what we what we should go through to help.   The CEO Dentist focus on where your focus should be, what things you can prioritize. So even if today it feels impossible, at least you have a roadmap of how to get there. So number one, as a CEO, you own the vision, not every task. And I think that's a bold statement. Own the vision, not every task. Your job is not to do everything, your job is to create the direction. And this feels weird to me. This especially like dental assistant turned CEO. That's a weird shift. So you better believe I was the girl who did everything.   My job is to look 10 steps ahead of my doctor. I'm supposed to be on point. I'm supposed to be doing these pieces. To have now an assistant who I'm like, hey, I need you looking 10 steps ahead of me. Where am I at? Like what things are coming down the line? That's weird. It's a weird shift for me. and but just helping you see like your job as a CEO is to own the vision. And most of the time you walk out of meetings without tasks. Now, if you are having tasks, that's okay, but make sure that they're truly CEO tasks that only you can do. And usually they tie to vision.   Profit culture. That's pretty much, and sometimes it will be like leading edge of a new initiative. So if you're wanting to build out a surgery center in your business, you're probably gonna be doing that right alongside with it, with your with your office manager. So what it looks like when it's broken and you are not owning the vision, and every task is coming to you is team constantly asks you what to do. You priorities are changing weekly, doctors making every decision or a lot of the decisions, like what toys are we buying for the toy box?   when should we schedule lunch? When should we have this person in? That means like you're still doing a lot of this, you're still managing your business, you're not leading and guiding it. So, like what a CEO dentist would do is you set a clear vision. This is where we're headed, this is where we're going. You have the priorities, this is what's happening in the next three months, and then you communicate what success looks like. So you see how there's a shift. The daily tasks are still getting done. You can still oversee them. You still have a manager who you meet with.   But you're not the one doing this. You're not stamping off on that. And I will tell you, it's a really awkward, it's really weird, but it's very freeing. And ultimately what it does is it also like we're doing a mastermind talking about Dan Martell's buy back your time. And that one we've got to just make sure we figure it out. And we like when you buy back your time, I look at my tasks and I think if I can have anybody do this task for less than four X what my hourly rate is, I need to do it.   And I need to push myself into my own comfort zone. And I need to be working on things that I can't also like right now. The projects I'm working on, like I can I can do my own confirmation calls, I could book my own travel, like I could stamp off on where team members are going and PTO and like lots of people can do that. What people can't do in our company is figure out where the next level of Dental A Team is going. And I that's my job. That's what I'm paid to do. That is literally Kiera's job. I still podcast with you guys, I still hang out, like.   Other people can podcast, these are things that I really enjoy. But I've simplified it down. I only block this much time in my calendar. So I have much more of my time that's dedicated to building our company. No one else is doing that. I'm literally the only person that does it. So for you to go from solving daily problems to leading the quarterly planning, leading team priorities, having the team become proactive and less dependent on you. So that would be what success looks like. So that's building a leadership team. We love to do this. We help build leadership teams. We help you to run your quarterly meetings and   Set up those rocks and teach the team how they're able to drive and influence rather than being dependent on the doctor. You're still there. You still get to help them. You still get to influence them. You still get to mentor them. Those pieces are going to be great for you. So what happens here is teams actually need you to be the lighthouse. And my team told me this. They said, Kiera, I know you want to be in the weeds with us, but we actually need you to be the lighthouse of like where the heck are we going? Because none of us can see that. And without your guidance and your direction, we're all going to be lost. And like   I like shirk over here. To me, that sometimes doesn't feel as good because I can't check a check mark. And I know that sounds so ridiculous. And I think that sometimes this is why people do sit in the day-to-day manager rather than into the visionary CEO seat because the day-to-day tasks feel good. Having the like I'm just gonna call myself out. This is speaking to Kiera. I'm having an intervention with myself over here. This is where I am wanting to be important.   me stamping off on things makes me feel like I have control. Me telling a team what to do, there's so many people that report to me. That's a freaking ego. My team does not need that. Do you know how many great leaders and managers I have in my team? They do not need me. I do not need to be stamping off on everything. Now, do we have a maturing team right now? Absolutely. Do we have a lot of like I feel like we shook the snow globe based on where we're headed? Absolutely. But that doesn't mean it's a forever seat for me. It's a temporary, it's an interim, and I know that they know that. So it's sitting there just in the interim.   and so what I would do for this is help your team feel empowered, where we can we move you to what are the three goals for the practice? What are the quarterly plans? Who's responsible, not the dentist? And then questions that come to a doctor. I want you to truly start asking, like, is this something only I can do? And if so, solve it. And if not, start delegating and having empowering your team to do it. This will help you. This is going to have it. So   That's CEO shift number one. Number two, I would say know your numbers that drive your busin

  3. 4d ago

    #1,196: Automate the Busywork and Get Your Time Back

    Tiff and Pam talk about the current intersection of technology in the practice, and how using and understanding AI as a tool for busywork means you can focus on the tasks that really need that human touch. They talk about why training AI could be just as critical as training humans, where to look first when incorporating the software into your practice, how a staff member can serve as quality check for automated tasks, and more. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Tiffanie (00:01) Hello, Dental A Team listeners. This is Tiff back with you here on the podcast. And we are in the studio today. I have myself and I have Miss Pam with me. And Pam is one of our prize possession consultants here at the Dental A Team. We have had Pam on our team for a little while now. And if you are special enough and blessed enough to work with her, you know exactly who she is and you have some solid foundational systems. Pam is a systems guru. She busts them out.   And she holds accountability like I've never seen before. And when she learns something, she learns it forever. And I love getting to watch you, Pam, progress in your Dental A Team journey. I watch you like taking notes all the time on the systems that we, you know, hold tried and true. Yesterday Dana was talking about a couple of systems during our collaboration and I was like, gosh.   She's just over there feverishly writing and I love it because I know exactly what's gonna happen. You're gonna like go back, you're gonna relearn   Pamela (00:54) I was. Yes, I was.   Tiffanie (00:58) it, and you're gonna teach it. And it was just really cool. So I love that, Pam. Thank you. And I love that you have these skill sets that you're able to then take and you help so many practices implement the same skill sets, like not just our systems, but how to retain it. You know how you retain it.   But then you're also looking for how are other people retaining the things that they're learning so that you can help them grow in their learning as well. So it's just really cool to watch, Pam. Thank you for everything you do and thank   Pamela (01:27) Thank you.   Tiffanie (01:28) you for being here today. How are you?   Pamela (01:31) you know, I'm doing fabulous and thank you. I appreciate all those kind words, Tiff. That was very nice. I think it's a unique and great time to be in dentistry. So v we've seen a lot of changes over the years and now we're to a stage that is changing very, very quickly.   Tiffanie (01:50) I agree. I I love that you said that, Pam, because something that I think we've said in dentistry for a long time is that dentistry is really progressive in a lot of ways. I think there's a lot of things in dentistry that haven't changed and haven't progressed, like Rick canals, things like that are still being done similarly to how they were thirty years ago. But so much in dentistry is so progressive and it's changing all the time. But I I think we've always said that. But I think in the last five, six years that has   Like us saying that before doesn't even make sense anymore. Like the progression we're seeing now is wild.   Pamela (02:26) It's it's crazy. you know, I was thinking about this, and there are so many systems that we have done for years that we're not perfecting, right? That we still could perfect and are in addition to any AI stuff we have. But the interesting thing is is that now something that has been in scarcity our entire human existence or now or soon will become like an abundant commodity, which is intelligence, right?   Tiffanie (02:53) Yeah. Yeah.   Pamela (02:55) So   I think that it's really wild to be thinking about that intelligence is a commodity and we can buy it.   Tiffanie (03:03) Yeah, I think that's amazing. That was a great perspective. And you are not wrong. I listen to a lot of   Pamela (03:07) Yeah.   Tiffanie (03:09) podcasts and I know you do too that speak to that same thing. And I think both of our households house many conversations around that same thing. I think we we share that.   Pamela (03:18) That is so true. It's so true.   Tiffanie (03:22) Yeah. So with that, Pam, I think that's a great start. What are you seeing? expand on that for me. Like what are you seeing as far as I love that like intelligence is is a   purchasable at this point. What are you seeing with your practices or just the research you're doing and the things you're hearing and and listening to within the dental world, narrow that down for us. What are you seeing from your perspective how that's changing dentistry?   Pamela (03:48) Yeah,   well I I think the the question is is how do we react to that reality, right? And a lot of practices are have not gotten into the AI and are now saying, okay, I want my insurance verification done, I want, you know, RCM done, the revenue cycle management done by AI, but it is a little daunting. Right? It is like I had one practice say   yo well we have this company that's doing our RCM and and I said do you are you like what are you doing with it and they said nothing they do it and I'm like dear goodness gracious like there are you have to manage it unfortunately I think we're at a real a space where we're not the Ironman like Jarvis runs everything   Tiffanie (04:43) Yeah.   Pamela (04:43) you know stage we're at the   Alexis and we have a lot of really smart AI tools. Most of them, I'm well, they're all sitting on top of separate systems and what we are contributing. I don't think we're pardon me quite to the point where it's an operating system as opposed to, you know, pieces. So I'm seeing practices now take those pieces, try to learn them, and then develop their skills even more in the stuff that they were doing.   So what I mean by that is how are we, how are they actually doing at clean claims, right? Are they   Tiffanie (05:23) Yeah.   Pamela (05:24) getting the clean the claims clean before they send them in? how are they doing on you know managing the online scheduling? Are they reacting to that? And is all the patient's insurance information accurate before it goes to the AI?   So that's that's what I'm seeing. That's a s a little bit of a struggle.   Tiffanie (05:47) Yeah. I think something you pointed out there was that a lot of people a lot of people seem to be jumping headfirst and just like handing the keys over rather than allowing it to be a tool that they use still with oversight. And I noticed recently, even just on my chat GPT that I use down at the bottom, it's like, Hey FYI, these may be inaccurate. Like this is not to be taken as truth. Yeah. And I'm like, well   Pamela (06:11) Yes, I j I saw that, yeah. So true.   Tiffanie (06:16) We need that reminder though, kind of like the McDonald's coffee cup that now has, you know, since nineteen ninety or whatever it was, says that the contents are hot. Like humanity needs those reminders 'cause I think we're so it's like a it's a catch to me too, 'cause I do think we're so quick to jump onto things and try them. But   Pamela (06:34) Mm-hmm.   Tiffanie (06:34) at the same time we're like second guessing and   thinking we can't and thinking they don't work, but we do latch on to certain things where we're just like, wait, that was expected. I expected to be able to drink my coffee as soon as you handed it to me. You know, that it wasn't gonna be scalding hot, that I could just just go. And same with the AI. I think there's so many aspects of it that we just expected all of the truth to be on the internet somewhere. We've been primed that the truth is on the internet and   we just expected it to be true that now chat is like, hey, wait a second, like, hey, I'm just like your buddy who did the research online, the same as your friend next door. Like this   Pamela (07:09) Right.   Tiffanie (07:13) could be wrong. And I think it's an interesting thought because to your point of view, handing over your cycle management, your your revenue and all of that data, handing that over to AI and expecting it to just be perfect from here on out with no mistakes is wild.   Right, but we're doing it. So many of us are doing it. Similarly to the online scheduling. I know we have a lot of practices and we have some doctors that have spoken for us at our events. we had one last September that our doctor focused on AI, and she pointed out the facts of needing to train their AI the same as they're training a human. Like you get a   Pamela (07:51) Yeah, yes. Yes.   Tiffanie (07:54) result and you're like, you got that result, you're fired, you're done, we give up.   You say, actually,   Let's tweak it to be what we want it to be. So we're saying yes and okay, cool. And let's do it this way. Let's move it this direction. with that statement, you also said insurance verifications, making sure they're accurate. And it made me think too, we've always said, you know, good information in is good information out, bad information in is bad information out. And I think   That's the same with any of it, with any of the AI tools or any of it, right? The it can only scour the internet for so much information and find so much truth. With the good information in, that goes as far as everything. So whatever it is that we're asking and training these systems and these tools to produce is what we're going to get. So we're not spending the time with the AI and we're not spending the time saying, This is the result that I want, this is how I want you to get there.   we're doing a disservice to ourselves just the same as so many people we were just talking about this. So many people are still misusing or underutilizing tools that we've had for gosh, at this point I always say 30 years, but at this point I think it's going on like 40 years,

  4. Aug 27

    #1,195: Burnt Out? Get Your Life Back Without Sacrificing Growth

    Kiera gives three tactical shifts to help practice owners get their time, energy, and life back, while still maintaining a successful business. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent- Dental A Team (00:00) Hello, Dental A Team listeners. This is Kiera. And today I want to talk about a fun topic that I think a lot of you deal with.   and that's burnout. And I know we've talked about it before, I know we've talked about it in the past, and I know it's not a fun topic, but I think it's a fun one to help people not have.   I think burnout, I was listening to I have a podcast that I really enjoy. It's   Life Wisdom   by Words of Taoism. And I just love different mindsets, different perspectives, and   I think this ties really heavily into today's topic. And he was talking about how, like, so many of us are per burnout, and it's this feeling of like, I'm just spent, I'm just exhausted, like I can't do one other thing. And they were talking about how oftentimes it's not just about the work that we're doing. A lot of times it's not actually the work, it's the mental load that we're carrying or the things that we're carrying behind. And it's that is what I want to talk about today is.   like the burnout and how we can get our life back without sacrificing all of it and what this looks like and work life balance and the cliche around it. But when I started thinking of like all the pieces that we do carry the stress of a team, the workload of actually doing it, stress of our families, conversations, replaying conversations in our mind, wondering if we did things correctly, like did I check the books? Did I talk to this team member correctly? D what do I need to do? There's so much weight.   thinking about how oftentimes like we build these businesses, not to be prisoners of them, but to actually have freedom from them. And I think sometimes it feels cliche and it feels like we're getting the exact opposite of that. And so I wanted to talk about like why we get the burnout similar to that. Like we're caring so much. It's not the workload. I don't think most of us, I think a lot of us are fine. I think it's the how much we're caring, it's the subconscious caring that doesn't ever leave us alone. And so what causes that shift in an   Hopefully just some like three tactical shifts that help you get your time, your energy, and your life back. And burnout is a lot of times a conversation we have with a lot of doctors. And I think having a coach, having a guide, having someone in your corner can help prevent that burnout sooner and quicker because we're gonna be listening to it, watching it. And I think having a safe space where you can say, like, I'm exhausted, I'm tired, like I don't physically think I can do that anymore. And then somebody questioning and saying, All right, like there's other, there's a thousand other paths to do it. Let's look and let's find that solution where you don't have to do it.   But we're able to have other people there with you. and I just I think that burnout, I think stress, I think carrying it, it's at every size of practice. So please don't think like, well, people don't deal with this. No, they do. No, like there's highs and lows, everybody has it, that we've got days we've got more of it, we've got days that we have less of it. and I don't think it's like needing more motivation. I think it's like w what what do I actually do? And so kind of just going through that Dental A Team, we work with hundreds of offices across the nation.   Like we've seen it across the board. I've dealt with it. I'm a business owner. I'm a multi-million dollar owner. I've built practices, I've run dental practices, I've started my own business. I've gone from scratch up. I've sold. I mergers and acquisitions, selling to DSOs, you name it. I've been there, I've done that, I've done it a lot. I've done it in my own personal life. I've built multiple multiple businesses in my own. I've built my own personal brand. The things like let's talk, let's talk as business owners, let's talk about these different things. And so I think one of the biggest things that can help prevent this burnout is to stop being the solution to every problem.   I think that we carry this weight constantly of feeling like, especially founders who have built up from the ground up, feel like they've got to be the solution. You were. That's who you were. You had a GSD to get there. But that doesn't mean that's who you need to continue to be. And I'm I'm guilty of this. I watch Slack and I watch myself. And how often do I just jump in and solve a problem? Or I'm sitting in meetings and I know the answer, but just because I know the answer doesn't mean I need to raise my hand and answer. I need to have a team that can create solutions. I need to have a team that genuinely can do it.   Because I genuinely believe one of the fastest paths is being the answer for everything. team members are like, how to know if this is the case is you got team members who are constantly coming to you. Every decision requires your approval and you are solving problems all day long, even minimal problems. And I know I'm guilty of this in my own company. I watch it and I'm like, why are they asking me for that? Like, how do I give them the permission to not need that? And I need to just let them be dependent. And   Let them be independent and not dependent on me. I think when I see teams very dependent on an owner, including myself, I think people being exhausted. I think the practice that can't function without you, can they handle these decisions without you? But also there you think there's a flip side of can you handle them making mistakes? Can you handle letting go of the control? Can you handle if things break? I remember me and a dear colleague, we were having a very spicy conversation and I was like, what?   You want me like sign off on these things and let our reputation get destroyed? I was very sassy that day. This was just like six months ago. You guys, this was not like young Kiera. This was real life Kiera. And she's like, no, Kiera, we're not like just gonna let our reputation fall apart. She said, but you do need to have things like she sent me a decision matrix and she said, You've got to make decisions like which ones really are going to destroy our business, and which ones do you need to realize are not going to destroy and you need to stop being involved in those.   And to have somebody who's willing to push back on me like that, I was so appreciative of because she's like, Kiera, you're sitting here making decisions about cards and branding. That isn't like we're not gonna destroy it. And she's like, I understand in the past that might not have been the case, but guess what? If something goes wrong, your team's gonna fix it. But you have to let them, you have to trust them. Otherwise, you're forever gonna be held in bottleneck, choke hold burnout. And I think when I hear that, I think about the monkey who.   puts their hand in the hole and they hold on to the nut and they can't get their hand out and they end up getting trapped. And I think about how many business owners with burnout have their hand holding on so tightly to control and wanting everything perfect that they don't let go of it that they end up suffocating themselves and burning out when it didn't necessarily need to be that way. So when I look at like doctors and how much are you answering and office managers, how much are you answering   versus how much is your team able to do? This doctor I was in, we were looking at like etching glass and the team found some cool things on Etsy and the doctor's like, yep, sign off stamp. You guys do it. I know you're gonna do a great job. And it's not something where they're gonna check over their shoulder. No, if it doesn't look good, of course they're gonna say something, but that's such a small decision with such small ramifications versus they're building out the entire construction of the business on the other side. Two very different pieces. Like what is the ramification long term? And so   When you're looking at it, I would say   But number one, when questions come to you, start to ask your team what solutions do you think are we can do for this? And then trust them and let them run with it. Second, for yourself, in meetings, stop being the answer to everything. And then third, just look to see like what's one, two, three, four items that you don't need to give an answer to. Just sit and watch and observe. And I think for me, I almost like have the visual putting my hands, like sitting on my hands and pretend or pretend my hands have glue on them and they're stuck together.   If I couldn't do anything, would my team be able to handle this without me? And I think it's a good test to see how much they're actually able to do. Anytime I go on vacation, I completely check out and I come back and I'm shocked at how good they can do. And I think reminding myself that my team wants to make me proud, that they can answer these things, that I don't need to answer it for them, trusting them they're gonna have better ideas than me. And again, them doing 80% of the work is better than me doing 100% of it. And so I think a great way for you to look at like,   Start asking your team to bring solutions. You can even roll it out that guys, I'm not, I'm not great at this. So please, like everybody, this is my ask. This is my goal for the next six months. Put a bracelet on, whatever you got to do to remind yourself. Like, I literally have a bracelet this year that says no. And that's to remind me, like, no, like, don't do that. Don't say yes to this. Like, let your team flourish. Let go of that control, trust. Because honestly, as a team member, that's the greatest thing your your boss can ever do

  5. Aug 26

    #1,194: Are Your KPIs Lying To You?

    Key performance indicators are fundamental to a successful practice. But what about their dark side? Kiera shares how to know whether those metrics are telling you the right information or not, including what a false sense of KPI security can look like, common mistakes when reviewing those numbers, and how to keep your greater vision in tune with the indicators. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera (00:00) Hello, Dental A Team listeners, this is Kiera, and today's topic makes me giggle. because I feel like I'm such like hot to trot on KPIs, and I talk about them all the time. And this is gonna be like the other side of the coin of KPIs. And are your KPIs actually lying to you? Dun dun dun, like are those metrics actually not telling you what you want to know on it, like makes me giggle. And I loved because we've been podcasting for golly, so many years. I mean, I think about the conversations we've had together, the   tactical tips, the leadership growth, the confidence in becoming a CEO and running your business. And if you're not there, great. Come join us. Like let's take the easy route. You don't have to listen to all thousand plus episodes. you can take the like hit that easy button. My last name used to be Staples. So hit that easy button and come join us. But I felt like today would be a fun twist for myself as a podcaster and a podcast host of let's talk about like when do your KPIs actually lie to you because you can have some sexy numbers but still not be making money. And you'll be like, well what is going on?   Right? Your CP is like, you're doing great. And you're like, but I feel broke. your trainer at the gym is like, you're doing great. And you're I don't have the six pack. I feel like KPIs can be lying to you. And so I think it's a like, let's make sure that our numbers are telling us the entire story. And let's make sure that if they're healthy, our practice really is healthy and you know how to use your KPIs rather than be used by those KPIs. So number one, I hope you're tracking KPIs. If you don't know what a KPI is, it's a key performance indicator. I call them the vitals of your practice. So let's make sure that our   Our height, our weight, our blood pressure, our heart rate, all those are healthy and that they're tracking correctly. And if not, then like let's figure out how to fix those for your practice. Because they're not like our KPIs aren't a report card. They're KPIs are clues. And our whole consulting team, we have a KPI scorecard, and we all know that that is like the tip of the iceberg. And if one of those numbers is off or if all of them aren't looking right, we need to go and dig and dig and dig to make sure that they're correct. So I want to walk you guys through how something like KPIs can create some false sense of security, which ones to look for.   What are some mistakes that people often have when they do review their numbers? And then what are like maybe a couple of ways for us to make sure that those metrics are actually helping you to make better decisions? So, as you guys know, we're Dental A Team. I'm Kiera Dent. I'm obsessed with all things dentistry and obsessed with you. I want you to have your yes success life. I want you to have everything you want. I want your practice to serve your life. I want you to be profitable and successful. I want you to have structure and systems and stability where you just feel confident to be able to scale to the level that you want. There is no   Check mark and Dental A Team There is no you need to hit this level of practice ownership. It is what is your life? What is your dream? Let's make that a reality. And then let's make sure that you're doing it in the easiest, most efficient, fun way. Our job is to Posivate, impact the world of dentistry in the greatest way possible. And I'm so happy you're here. If I could give you a giant hug, I would. If I could give you a high five and tell you you're doing better than you think you are, I would. So just take those today. Give yourself a squeeze, give yourself a high five. And just remember, as business owners, it can be hard, it can be challenging, but it doesn't need to be.   So let's make sure that we're we're showing up, that we're rising up, and that we're being the best that we can be. And today I really want you to like stop chasing numbers and actually like understand your KPIs and what it's actually telling you. So step number one is gonna be like let's stop looking at KPIs in isolation. So like one KPI does not tell you the whole story. And so like a lot of times we'll say like production's up, we're all celebrating, but our profit's down. You're like, this doesn't make sense. Like we're producing more, but we're not profitable. Like it feels like this like very off-kilter scale.   That's like, well, if production goes up, my profit should go up. But that's not always the case. What about like our new patients are up, but our schedule still isn't full? Like, what is this? Or maybe like collections, they're up, like we're hitting at collections, but our AR is growing and our bank accounts not getting better. Like, why? Like that number is healthy with air quotes. So what we've got to look for is like, what is the relationship between the numbers and what's the driving result of the KPI and using the KPI as a system, not just an isolated piece. So   When we look at this, we want to make sure that like while production could be high, let's make sure our payroll and our overhead's actually where it needs to be. Because sometimes our production can go up and our payroll goes up. So we're hoping that production and profit go hand in hand, but sometimes they don't. So we need to figure out like numbers don't lie, but they can mislead us. So I don't want you sitting there like, well, my production's great. That could be false. Our profit could be high. That could be false. We need to be looking at the whole story, the entire, like it's.   you know, I can have good blood pressure, but what if my heart's not doing as well? Or what if my, I don't know, my I don't know all the medical terms, but there's other things like what if my cholesterol's not doing well, but that would never show up if you're looking at my heart rate. So there's just different ways and I think it's the same thing. So when we look at the vitals, this is why we get labs that are comprehensive on us. That's why we look at multi data points of our bodies. It's the same thing with your practice. So let's make sure that it's like KPIs are clues, but they're not a conclusion. And you gotta know the whole   the whole picture of this. So what I would do is like when we look at it, production should be tied. Like I usually look like my my first step is going to be looking at your production collection, making sure those are sitting at like a 98% ratio of each other. I'm looking at your like and I want net production, not gross production. Then I'm gonna be looking at the profitability of your practice because those ones are going to tell me a lot, just production collection and profitability. Those ones are going to tell me a lot. And if one of those is off, then I know can I go dig into this, this or this? Like   If your production's not hitting what we need it to be, fantastic. We need to go dig. We need to look at our case acceptance. We need to look at our hygiene. We need to look at our period. Like those things are gonna help us. I'm gonna look at your block scheduling, but that's gonna dip. Now, if our collections, they could be high, but we need to make sure like again, if our profitability is not there, collections could be high, but what's our AR? Ped practices have like two to five million sitting in AR and they didn't even know that. Well, that would make sense when you're like, well gosh, I feel broke.   You could be having 105% collections, but you're broke because we didn't collect that money last year or months prior. So again, they don't they need to go hand in hand, which then ties into like step two, which is going to be focus on the leading indicators, not the lagging ones or results. And this I think is really tricky with KPIs because a lot of our KPIs are lagging indicators, like production, collections, profitability, where the leading indicators, and I always hated lag and lead. I like, these people are so dumb. I don't understand it. Like, ugh, like.   But they do like what leads into production? Well, that's gonna be unscheduled treatment. That's gonna be our case acceptance, that's gonna be our hygiene reappointment percentage, that's gonna be how full our schedule is, that's gonna look at our new patient conversion, it's gonna look at our block scheduling. Those are gonna be leading indicators. So we could be tracking how many unscheduled treatment calls did we make. We could be tracking what our case acceptance is to see are we closing enough cases? We should be looking at our hygiene reappointment rate that's gonna help me see if my hygiene schedule is full.   We're gonna look to see how filled out our schedule is at certain points in the month to see are we filling enough? Are we diagnosing enough? We can also be looking at our diagnosis percentage and see how much we're actually diagnosing. All those things are gonna drive you to where you actually can see, is my practice healthy? Is my practice not healthy? So when we do these items together, they're going to give you visible warning signs before you hit a plummet. So if you're just looking at production, collection, profit, which are the main ones I go after, because like, hey, if those are there, they're usually pretty good.   But what leads to it. And sometimes what can happen is collections can dip automatically very quickly and be like, whoa, whoa, whoa. Or production can drop really quickly

  6. Aug 25

    #1,193: The Foolproof Way to Build Community Anywhere, Anytime

    In this episode, Tiff and Nikki talk about a critical piece under the marketing umbrella: networking with people in your community across different "genres" of expertise. They discuss knowing your demographic, building a two-way street of referrals, leaning on your hobbies, and a ton more ways to get your business out there and being talked about. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Tiffanie (00:01) Hello, Dental A Team listeners. We are excited to be here. I say it every single time and we truly, truly mean it. I think you guys believe me and know that by now Nikki is here with me today. Nikki, thank you so much for being here. this is our podcasting morning and we block out the a morning, we do a couple hours and make sure that we get the best content we possibly can out to everyone. I'm actually really excited about this one. We just talked through it. for those of you who don't know, our marketing company, they   comb the internet and they comb our calls, they look through all of the data and information they possibly can and look for the best topics they can help us think of, and then they deliver those topics over to us. So for all of you out there, if there's a topic, subject that you've loved you want more of, please let us know. If there's a topic that you're like, gosh, I wish these ladies would just talk about this or dive into this more, let us know. Hello@TheDentalATeam.com   you can tag any one of us in there. Doug is our podcast guru in the background today. and of course we're the ones recording them. So if you've got ideas, we love ideas. We love nothing more than to bring you the stuff that you guys actually need. So Nikki, how are you this morning? Thank you for being here. We were talking earlier about our random Arizona summer storm, which I think it's gone and it's like just hot and humid now, and here we are. So anyways, how are you today?   Nikki Mack (01:23) so good. I know recovering all the damage, you know, the flipped over chairs, the lawn furniture. Nothing flew out of the yard this storm. So always a win, but I'll take it. The hot is worth it because the storms are beautiful. And   Tiffanie (01:37) They are.   Nikki Mack (01:37) in a couple months it's gonna be amazing. We're gonna be really, really happy. Maybe we podcast outside. Just kidding. That's crazy. But   Tiffanie (01:44) you would be so happy.   Nikki Mack (01:45) happy to be here this morning inside in my AC in the aftermath of the storm for sure.   Tiffanie (01:52) Same. Kiera and I did podcast because I think we've done it twice. We've done we've podcasted from South Mountain here in Arizona. Yeah. And   Nikki Mack (01:59) Amazing.   Tiffanie (02:00) that was when that was I mean that was gosh, we were just starting. That was a long time ago. And then we've podcasted from a mountain across the street from her house in Nevada. So and that was our I think that was our birthday podcast last year or the year before. So you never know. We might end up outside. I do love being outside as an Arizona native.   as I'm sure you do as well when it's not 115 or humid. Yeah. Arizona   Nikki Mack (02:25) When it's one hundred and fifteen.   Tiffanie (02:28) doesn't do well with humidity. Like it's been a little humid this summer, and I'm like by a little I mean like there's been like five to ten percent humidity out there, and you feel every ounce of it. So I'm ready for just good weather. so with that, thinking about outside, thinking about outside of ourselves, I love   marketing. It's one of my favorite things in the whole wide world. Like to me, I think communication is marketing. Like I'm constantly marketing myself, right? Who I am, how I show up, and like how I speak to people is marketing. I I just think marketing is showing up in a certain way to get the result that you want. And people overextend it, they overcomplicate it and they think that they have to do it a very certain way. And the reason marketing is   It's a an amazing tool, but the reason it sucks is because it's really hard to like guarantee results, right? So there isn't a certain way. There are multiple stabs in the dark that we take to get different results. And luckily, our blessing is that we get to see a lot of those different ways. We have a lot of practices. We've worked in a lot of practices. We've taken shots in the dark and   really figured out and narrowed in some things that work. And today I really wanted to talk about like strategic community networking and becoming partners with different people in the in the community, different networks in the community and just different genres outside of dentistry. And I think it's really important for dental practices and dental practice owners, business owners in general to do this. I know Toastmasters used to be like this massive thing. It's still here. Like I know someone who does Toastmasters and   She's like the shyest, like most internal person. She's like, I will learn how to talk to people. And so like Toastmasters is still a thing, but the best thing about Toastmasters is wasn't hasn't always been that you learn how to speak in public. It's the community that you build and those referrals, right? And you know, my fiance is a business professional and   Within his profession, he goes to networking events a lot. He's not a good, like he he's a very internal person as well. But he goes and he does these networking events because then he can refer his own clients or his friends. We've used people to, you know, by referral. And building that network totally changes the game because it's a bit like it's a forward and backwards. Like I refer to you, you refer to me, we know each other.   We help each other, all of those different pieces. So I wanted to talk a ton today about how to strategically build that community as a small business owner and a dental practice owner, you know, in any town. And Nikki to your point earlier and maybe speak to this a little bit, you were saying the reason that we and the reason marketing isn't super cookie cutter.   is because we all live in different demographics. But I do think we have some great ideas that could work anywhere. But Nikki, take us through some of what you were talking about there. Like why does it make a difference that where we live?   Nikki Mack (05:42) Absolutely.   Also, quick nerd alert. Five years in Toastmasters back in the day. So a hundred percent.   Tiffanie (05:47) There you go, I knew it. I should have known that.   Nikki Mack (05:52) yeah, I think when we talk about, you know, things not being cookie cutter and knowing your demographic marketing, especially, especially if we're talking community outreach, is a huge place to be in. you know your demographic. This isn't even where I'm like, okay, doctor, sit down and like think about your patients. You know your patience, your team knows your patients.   What is important in your area? What are the things that people post about, go to, talk about? And then being able to lean into that opportunity. Do you have if you're a pediatric office, right? We were just talking about this one. are you right in the middle of a bunch of school districts or a lot of school areas? Do the school nurses have your office information, right? do you participate in teacher appreciation week?   Like what does your outreach look like in those areas? Because not just for the teachers who deserve the world, of course, but also that's when they talk to parents, right? Or the parents that come and see who's taking care of their teachers as well, you're building that not just relationship, but that reputation. And that's what really drives those referrals, that culture, that everything we talk about. Now, maybe if you're a very specialized, I don't know, periodist.   sponsoring teacher appreciation day might not yield the same results, right? So this is where I say, like, know your area, know your demographic. every city has a chamber of commerce, right? the action level and what you kind of get for that membership varies everywhere. But if you look into it and it responds well with your culture and what you're driven, especially if you're very community focused and they do have a lot of those opportunities.   Reach out, right? You know, sign up, try it out for a year. Usually it's an annual membership or so, because the relationships you're gonna build to Tiff's point with those other business owners in the community too are going to be very impactful and possibly spread that reach even further than you would have thought of. And a network who's also trying to actively market and grow their business, what a resource. Because we may not all   Tiffanie (08:02) I see.   Nikki Mack (08:02) be dental, but we can share best practices.   share opportunities and even partner on certain things sometimes. So knowing your demographic, knowing what's really key and crucial, so important. If you're a downtown people commute in, you're right by all the businesses, well, the community pieces might look a little different for you. And so maybe you find out that who did what who did we use Wells Fargo, right?   Tiffanie (08:29) Mm-hmm.   Nikki Mack (08:30) Wells Fargo corporate building is a block from your office.   Does that HR lady know your name, right? Are you guys in network or do you file out of network for them? Knowing your audience is a great way to start before we just cause marketing when it doesn't work is exhausting. So let's be strategic to start and and get some really good results.   Tiffanie (08:54) Yeah, I love all of that. All of that. There are a few pieces there I wanna point out. You said referrals, right? Well, you said periodonist that might not yield the same results and it made me think, Okay,

  7. Aug 20

    #1,192: How To Know If Your Office Suffers From "Artificial Harmony"

    Artificial harmony is what happens when teams work alongside each other day in and day out, but never actually talk about what needs to be said. Kiera and Dana walk listeners through why getting to the root of problems in a practice is so critical — from not just a teamwork point of view, but for the business itself — as well as where to start to turn your practice into a place where honesty and trust happens regularly. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera (00:00) Hello, Dental A Team listeners. This is Kiera and today's a lucky day. I have the one and only Dana on the podcast with me. I love this. Dana, you happen to fit right in my podcasting schedule at the perfect time. So I'm getting more Dana time. You guys are getting more Dana time. Dana, how are you? Welcome to the podcast.   Dana (00:16) excited to be here. I know it's rare. Like it's rare anymore that I get a ton of podcasting time, but especially podcasting time   Kiera (00:22) Okay.   Dana (00:23) with you. So I was super excited when Marisa confirmed it on my schedule. So   Kiera (00:27) I was   too. I was because Marisa has them in like I like to start early and I like to just run. And so Dana tends to have a break between coaching calls that I'm able to like slip a podcast in. So always excited and I agree. Like Dana, we've had a we've had some good ones. And I wanted to get you on the podcast today because I feel like you've been doing some awesome things with teams. I feel like there's been this new wave of Dana going into offices because I think as a consultant, our job is to reinvent ourselves over and over and over.   Like who Dana was when she first started versus who Dana is today. Like that is a complete evolution. Who Kiera was, who offices are, like there's an evolution of that. And I think that this is the even the new evolution of team. I think the teams are shifting. I think that there's a new emergence from like even when I started the company to when you started to when we are here today. and I think you've just been doing some awesome things. So let's dive into like what are some of the fun things that we're doing for teams? What are some of the ways that you've been able to turn teams around and get to maybe like, cause I feel like a lot of people struggle with   artificial harmony is probably the best way to say it where teams are working day in and day out where they're not saying what needs to be said. And then I feel like Dana, when you and I get on calls or we show up in offices, instantly like the floodgates are open and we just get a dumping. And it's like, okay, well, clearly there's a lot you want to say, but how do we get that to be the norm in the practice rather than the abnormal? So Dana, take it away. Like, let's talk about some of the offices you've been working with, how you've been able to like   Crack that nut and get more to the root cause of problems and get teams to really gel and jive with each other better than I think we ever have.   Dana (01:55) Yeah, this is a really exciting topic because I think it comes up in like a variable of different ways in like, okay, people want to have stronger leadership, right? They want more accountability for their team. They want a cohesive team or a culture that people love and are super excited to show up to every day. And it's funny because we might not think that this kind of all ties in together, but I've been talking so much to teams about just.   Saying the things that need to be said, communicating with each other, solving like root problems versus just   like you said, that artificial harmony.   Kiera (02:34) Yeah.   Dana (02:35) and I was just talking to an office actually this morning and and they're kind of creating their quarterly meeting agenda. And they're like, well, what do we do? And you know, we feel like the same people participate and the same issues kind of get brought up. And like we never kind of get beyond like that surface level. And so we kind of talked about how just having open, honest conversation about that and really building an and   Increasing team, I feel like it all kind of very like boils down to like team trust and like communicating and saying all the things that need to be said. And I said, could you have a great like if you don't address this, could you have a decent meeting, right? Where you come up with good goals, you come up with good action items, you walk away feeling pretty good. Yeah. But when you don't have that trust and vulnerability, and when you don't open and have that communication, are your meetings great?   Probably not. Do we solve the things that need to be solved? Probably not. Do we solve them forever, right? And we're all on the same page and we're super committed and then we're able to hold each other accountable? Probably not. And so I've been working a lot with a ton of teams, with leadership teams, even with owners on. We have to be able to say the things that need to be said to be able to truly.   Be committed together and truly set goals that are going to move your practice, move your team in the right direction the most.   Kiera (04:04) Mm-hmm. And Dana, I love that you brought that up because I think, gosh, I'm like gonna like date myself and go back to like when Tiff and I first met. And I grew up in a family where artificial harmony was like status quo. Like I feel like there's a a pendulum and you either are like artificial harmony or you're like kind of like mean spirited and like a little cutthroat. Like kind of is the that pendulum swing.   And I grew up very much artificial harmony, right? Like we had like my siblings, we'd all run to my mom rather than like having a knockout drag out with each other. And as we've evolved when I met Tiff, she was very much an anti like no cure. We're just like gonna go to the root cause of this, we're gonna hash it out. And I it was very foreign and uncomfortable for me. But getting a taste of it, I was like, wow, that was so much more efficient. And that was so much easier. And I feel like I can know what's going on with Tiffanie now.   I feel like I'm not sitting here, and especially with us being in a virtual team, it was my first time running a virtual team. And I was like, whoa, like I really need to know what's going on rather than what I think. Like, there's no vibe check. Like, Dana, you and I don't get a vibe check with each other often. It's like, hello, maybe there's a little like snide slack comment that goes through, and you're like, okay, like let's check it. But that's all you get. You don't really get that vibe check. And once I feel like you you cross the bridge into trust and vulnerability, saying what needs to be said.   You can't go back. Like you are so, I don't think annoy's the right word, but you're just like, wow, there's like such a more efficient way to do this. Even my sisters, I remember a couple summers ago, my little sister, she was like still sitting in artificial harmony. And like went for it. I was like, all right, let's talk about it. I understand I can have a little bit more direct approach. I think I can maybe soften. And my little sister was like, no, like this is good. Like us having a hash, like, what's your perspective? What's my perspective? Like, let's come to that root cause.   You   and I are gonna be so much more bonded together. We'll have so much more trust with each other. I'm gonna know that what you tell me is really truth, rather than sitting here guessing, wondering, wishing, hoping like my mom doesn't need to come in and intervene between us. Like neither of us want that. And I think you can relate that to offices where no one wants the office manager or the doctor to come and intervene. Like Dana and I should be able to talk it out. We don't need Tiffanie to come in and mediate. Sometimes you do, but if you can get that as the status quo of a practice, it is fascinating to see meetings start actually become very enjoyable. People aren't bored in these meetings anymore.   actually say what needs to be said. We like you said, Dana, I feel like it's like it's the good to great. It's the like mediocre to excellent. And I think we've even watched it evolve in our consulting team. Like I was like, all right, we had a moment where I watched our consultants not give feedback that I I thought that they would have given. And it was such an amazing eye opening for me of like, all right, consultant team, like let's talk like how do we get more trust and vulnerability? How do I as a leader make it to where this feels like a safe space for you to say what needs to be said and   We worked on it this quarter and it's actually really fun to see it in our company evolve and in teams have it evolve. So, Dana, how do you like virtually and in person get teams to feel safe to start to change? Because to say what needs to be said, to healthy debate it out, to trust one another that you're not gonna go talk about me to my neighbor. And if I say something that's very off topic, like I always pull the example in an office, I'm like, all right, everybody, we're working Saturdays, and it's like crickets. And I'm like, okay, well, clearly we don't have trust.   'Cause I know none of you want to be working Saturdays. Like, let's have this and this is a good example. But I'm just curious, like, how do you even like broach this? How do you even one, I guess, like let's back it up. How do you know if your team has true trust and vulnerability? And then two, how do you start to bring more of that into the table?   Dana (07:32) Yeah, I think it is just I usually take a gauge of okay.   I'll notice in teams, right? That we'll come up with action plans or that we'll come up and it's like we we lack sort of follow-through, right? And then there's af

  8. Aug 19

    #1,191: Breaking Down the Benefits of DSOs

    Re-releasing a Dental A-Team podcast fan favorite! Britt is fresh off visiting a ton of practices, many of which are part of dental support organizations (DSOs), and she's sharing her insight. With Kiera, she talks about the foundational pieces to set up DSOs for success — everything from training the leadership team, setting up KPIs, providing profit and loss statement education, and allowing culture and patient experience to grow in each practice while keeping an overall brand. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent (00:00) Hello, Dental A Team listeners. This is Kiera. And today we are bringing you something so special. I am so excited because this is one of our most popular episodes from the archives. Whether you're hearing this for the first time or catching it again, I am so excited because it's jam packed with a ton of takeaways that you can start using right now in your practice. We have released thousands, literally thousands of episodes. And I wanted to start bringing a few of these amazing episodes back for you. So I hope you enjoy. And as always, thanks for listening and I'll catch you next time.   on the Dental A Team podcast.   speaker-0 (00:31) and I've got the one and only Brittany Stone back on the pod. Guys, she has been a freaking road warrior, traveling to seven offices in one day. Dang, Britt. Welcome back. How you doing? How you feeling? How are you today?   speaker-1 (00:45) I'm good. You made me sound better than I was in one day. Seven in a week. Still a lot, but seven in a week.   speaker-0 (00:51) Yeah, that's exactly what I meant. We could edit that or you guys can just know. in my mind, I think it felt like you were seven in a day. Like you were cruising   speaker-1 (00:58) Yeah.   speaker-0 (01:00) to practices. Seven in a week is so many offices. But guys, don't worry, Britt wasn't like leaving them high and dry hanging out. You were seeing it kind of walk us through. I know you went to quite a few DSOs that had multi practices, multi locations. Kind of what was that like and and how does that even look when you're going to multiple practices like that?   speaker-1 (01:19) Yeah, it's fun. So that was it was a week of my like multi practice location. So one had three offices, one had four offices, the two groups that I work with last week. And so it's fun. It's fun to see one you get to know kind of like the visionaries who who started a thing, whether it's just an owner or multiple partners that are involved in it, get to see kind of their vision and it's it's fun to see   the different also types of practices that are underneath their umbrellas and how they run 'cause usually we've got some different sizes, obviously different locations. So so yeah, I got to go in, meet everybody, go see all the different practices, kind of see what's going on with them, what things we could help with on an individual practice level and then also as an organization. So it was a good time.   speaker-0 (02:07) That's a lot. And I I do think it is fun when you go see multiple practices because this whole idea of DSO is that we want all of our practices to run exactly the same. And I know when I was a regional manager of ten practices, the bottom line is there is no such thing as running every practice the same. I think it's more like getting rid of that illusion that they're all going to be the same. And it's more what are the foundational pieces and the the silver lining strings that we want running amongst them all. Britt, I know you had one practice,   that kind of wanted to do their own thing within a group. Like, how do you how do you get like one, paint the vision of all the practices needing to be at least fundamentally pretty consistent and similar. And then also helping the doctors and the team members understand like, I get it, it might be annoying for you, but for the greater good of all the practices, it really does make everything easier when we run the same. Because I know a lot of practices just want to run as solo practices, but when you're in a group and multi-offices   that no longer serves the greater organization. Like what was kind of your findings with that? How do you how are you finding to get people on board? Is that something you were running into? Just kinda give us your thoughts around that.   speaker-1 (03:16) Yeah, I think every DSO probably struggles or like group practice struggles with all right, how much do we have the same and like where can we kind of let them be their own and shine in their own way? And also from the business side of things for the DSO, right? What things are more financially beneficial for us to be able to do them the same and have on the same system? so that we run it across all offices and get the true benefit of the DSO.   And so that's where you s kind of start to to figure out, all right, there's gonna be a lot of systems that one, yes, anything that impacts other offices or the group overall, we've gotta make the best decision for the group on how we want that to run, whether it's but easy things like payroll is a pretty pretty common one that's gotta be obviously the same across all over offices. If we're using the same software, right, the way we run our schedule, who's allowed to be on our schedule.   All of those things kinda need guidelines that go across the board. So we all know a little bit of the rules of engagement on things like the schedule. So that's kinda I start to think of it as all right, what are the most important things that impact each other that we need to have the same that's also gonna allow us to be most financially beneficial for the DSO? And then what things don't necessarily impact the other offices where those offices can start to really like, all right, what are procedures you do? Great, go run with it, build it up and   Even if we can get some referrals from other offices for that thing, fantastic and they kinda kinda do their own a little bit.   speaker-0 (04:48) For sure.   And but I was thinking like it actually might be fun on this podcast for us to dive into when you're in a DSO, because Br I know your private practice sold to a DSO. I work with lots of DSOs. You work with lots of DSOs. And I think DSOs are a pretty hot buzzword right now in dentistry. of kind of what are some of those things that you should have standardized. I love that you brought up the payroll for sure. for me, some of the things I know I'm looking at is I really am just looking at   Key metrics amongst all practices. And I know, Britt, with a lot of the DSOs that you and I are consulting together, that is one of the biggest things of making sure all of them are hitting the metrics. And then whatever they want to do outside of those metrics, it's pretty much free reign from there. So, like we're talking labs, supplies, overhead, production per hour per provider, hygiene production.   those are like my main things. Case acceptance is another one I really like to watch. Number of new patients per practice is another key indicator that I really love watching. but those are kind of the main things. And then I really feel like in DSOs and multi practices, some of the biggest things that get lost are culture and patient experience. And those are to be different shades for every practice. And I really I like practices to think in like, no, you want the patient to feel the exact same way whether they come to this location.   Or whether they're going to another location. It is that way. And having practices and offices think like I've got one right now and they just acquired another practice. And they're really doing a divide between the offices. And they're they're labeling each office based on the city. I was like, whoa, whoa, whoa. let's call them all the practice name. So we are all, let's just say, healthy smiles. It's not healthy smiles of probos and healthy smiles of orum. It is   Healthy smiles, and then we have our Aurum location and our provo location. Those are just a quick way because I think when you can have it as an umbrella of all the practices operate as this way, and then here's these different locations, but helping everyone realize there is the healthy smiles way. And we operate on healthy smiles first. Secondary is going to be our location. Are those some of the things you've seen? Like those are one, the key indicators I like to look at. And then secondly, making sure that people realize like the culture and the patient experience.   really need to be dialed in in my opinion, to really help these DSOs grow and flourish.   speaker-1 (07:09) Mm-hmm. I'm with you on KPIs, right? Teaching office managers how to be able to kind of take charge of those, know what's going on in their practice, and that we're all watching those important numbers to be healthy for sure. That's an across the board thing. and then I'm with you on capitalize off the brand. from a lot of the DSOs we work with, where it's a few different locations, usually I feel like a lot of them are gonna be like five or less, where you can truly   make sure that we are maintaining our standard, maintaining our brand, and then capitalize off of that brand for all practices to where there might be a patient who's looking to go to the office, but maybe it's a little bit farther. great, they've got a location that's closer than to me. Awesome. Let me just go ahead and go to that closer location. And agreed. You've got to keep then the culture and the patient experience up to be number one. And what does that look like? What does it stand for? And there are   I will say different pieces that go into that when it comes to maintaining that culture in our practices and that experience. And I think those would be some non-negotiables like you start to build in if it's we're on time

4.9
out of 5
270 Ratings

About

This podcast is here to give dentists and all dental office team members, in EVERY position, TACTICAL and PRACTICAL TIPS to: - Be more efficient - Have more fun - Improve doctor and team communications - Eliminate frustration - And make your life easier! Jump in! We are thrilled you have decided to LEVEL UP and be part of the DENTAL A TEAM! New episodes every Tuesday, Wednesday, and Thursday.

You Might Also Like