Building a successful
practice with IM
Dillen Hartley, OTR/L
Advanced Therapy Solutions
Spartanburg, SC
Building or Growing your
Practice
 Your “Vision” and “Mission”
 Define your “Success”
 Develop strategy
 Incorporate Interactive Metronome
 Financial planning
 Marketing
 Expand and diversify services
 Measure you success
Your “Vision” and “Mission”
Vision (2003)
Our Vision is to establish Advanced Therapy
Solutions as the preferred provider of specialized
therapeutic and wellness services for the greater
Spartanburg area in 10 years.
Mission (2003)
Advanced Therapy Solutions will provide highly
specialized therapeutic wellness services to
industry, physicians, patients and the general
community in the greater Spartanburg area,
utilizing the most progressive speech, physical,
occupational therapy and wellness tools available.
Why a Vision and Mission
1. It describes your intent and puts your
“dreams” in words.
2. Forces you to pick a direction and analyze
3. Fallback for future decisions
4. Prevents being sidetracked
Success
 Different for everyone
Success is divided into
two areas:
1.Personal Success
2.Business Success
Personal Success
 Income
 Therapeutic skill
 Fame
 Security
 Independence
 Service to community
/ individuals
 Respect of others
Business Success
 Financial Success
 Therapeutic skill of
staff
 Fame / market share
 Security
 Service to
community
 Acknowledgement /
Recognition
 Self Sufficient
Developing a Strategy
PLANNING PLANNING PLANNING
Goals based on Vision and Mission
1. To provide evidence based physical and occupational
therapy for patients at current location
2. Become the preferred provider of services for children
suffering from ADD and ADHD
3. To develop a collaborative OT and SLP language and
sensory integration program with documented results
4. Have 10 stroke patients documented functional
improvement
5. To see 16 patients a day and have positive cash flow
within 6 months
Incorporating IM
What does IM bring to the table and is
there a match with your vision and
mission.
1. Outcomes
2. Revenue
3. Marketing
4. Technology based
5. Fits in with personal philosophy
6. Wide application and potential for
diversifying
Financial Planning
Considerations
1. Cost Analysis
2. IM Home
3. Marketing Dollars /
Strategy
4. Charge for service
5. Breakeven analysis
6. Budget development
and future planning
IM Program
Considerations
Assist in decision making:
 To buy or lease? Return on
Investment?
 IM Home?
 How many visits do I need per
day/week?
 How much can I spend on
marketing and growing
business?
 The effect of adding an extra staff
member?
 Monitor progress?
 How much do I need to charge
for the service?
Looking at the numbers
Business Name
Clinic Rev visit 100.00$ IMcost / Hour $10 IM / time/ hr 0.5
Days/month Hours of IM Tx / 8 day Hours
Hours / month 22 4 88 # of therapists 1
Cost of IM Lease Rate/m
Pay off /months 6
Revenue Revenue
IMTreatment 8,800.00$ IM Treatment 8,800.00$
Expenses Expenses
Salary 3,520.00$ per hour 40.00$ Salary 3,520.00$
Space 1,000.00$ 2,000.00$ Space 1,000.00$
Marketing 300.00$ Marketing 300.00$
Utilities 500.00$ Utilities 500.00$
Payment / Capital -$ IM Lease -$
IM Hours after first 100 $440
Total Expenses 5,320.00$ Total Expenses 5,320.00$
Net 3,480.00$ Net 3,480.00$
Total Expenses 5,760.00$
Purchase Rental
Marketing Growth
Key Points:
1. Customer service and
expectations
• Medication
• Unrealistic
expectations
• Payment
1. Growth (Peds)
• School Contracts and
screenings
• Home School groups
• Adoption agencies
• Private schools
Marketing Growth Cont.
3. Growth (Adults)
• Physician Marketing
• Neurologists
• Golf pro’s and
Tennis coaches
• Industrial Rehab
4. Product champions
• Recovered Patients
• Believers (Care
Givers)
• School
psychologists
Marketing Growth Cont.
5. Grants and Research
Opportunities
• Autism Speaks
• YMCA
• Youth Programs
• Adoption Agencies
5. School / University
affiliation
• Students
• Teaching
• Research
• Services (Statistics)
Marketing Growth Cont.
7. IM-Home
 Opportunities
 Clients with:
 High deductibles
 Limited approved visits
 No prescription for
OT, PT, ST
 Travel issues
 Degenerative Diseases
 Athletes
 Schools
 Next Steps: IM-Home
Certification
Diversify
Don’t put all your eggs in one basket:
1. Buy vs Lease space.
2. Manage expenses and choose actions carefully
3. Multiple revenue streams:
• Teaching
• IM Home options
• Maintenance programs
• Yoga / Pilates / Music services
• Message
• Sports training
• Wellness programs
• Work Hardening and Conditioning
• Driving
• Accent reduction
• Camps
Measure your success
 Personal
 Salary
 Therapeutic skill
 Fame
 Security
 Independence
 Service to
community /
individuals
 Business
 Financial Success
 Therapeutic skill of
staff
 Fame / market share
 Security
 Service to community
 Acknowledgement /
Recognition
 Self Sufficient
Questions?

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Building a Successful Practice with IM

  • 1. Building a successful practice with IM Dillen Hartley, OTR/L Advanced Therapy Solutions Spartanburg, SC
  • 2. Building or Growing your Practice  Your “Vision” and “Mission”  Define your “Success”  Develop strategy  Incorporate Interactive Metronome  Financial planning  Marketing  Expand and diversify services  Measure you success
  • 3. Your “Vision” and “Mission” Vision (2003) Our Vision is to establish Advanced Therapy Solutions as the preferred provider of specialized therapeutic and wellness services for the greater Spartanburg area in 10 years. Mission (2003) Advanced Therapy Solutions will provide highly specialized therapeutic wellness services to industry, physicians, patients and the general community in the greater Spartanburg area, utilizing the most progressive speech, physical, occupational therapy and wellness tools available.
  • 4. Why a Vision and Mission 1. It describes your intent and puts your “dreams” in words. 2. Forces you to pick a direction and analyze 3. Fallback for future decisions 4. Prevents being sidetracked
  • 5. Success  Different for everyone Success is divided into two areas: 1.Personal Success 2.Business Success
  • 6. Personal Success  Income  Therapeutic skill  Fame  Security  Independence  Service to community / individuals  Respect of others
  • 7. Business Success  Financial Success  Therapeutic skill of staff  Fame / market share  Security  Service to community  Acknowledgement / Recognition  Self Sufficient
  • 8. Developing a Strategy PLANNING PLANNING PLANNING Goals based on Vision and Mission 1. To provide evidence based physical and occupational therapy for patients at current location 2. Become the preferred provider of services for children suffering from ADD and ADHD 3. To develop a collaborative OT and SLP language and sensory integration program with documented results 4. Have 10 stroke patients documented functional improvement 5. To see 16 patients a day and have positive cash flow within 6 months
  • 9. Incorporating IM What does IM bring to the table and is there a match with your vision and mission. 1. Outcomes 2. Revenue 3. Marketing 4. Technology based 5. Fits in with personal philosophy 6. Wide application and potential for diversifying
  • 10. Financial Planning Considerations 1. Cost Analysis 2. IM Home 3. Marketing Dollars / Strategy 4. Charge for service 5. Breakeven analysis 6. Budget development and future planning
  • 11. IM Program Considerations Assist in decision making:  To buy or lease? Return on Investment?  IM Home?  How many visits do I need per day/week?  How much can I spend on marketing and growing business?  The effect of adding an extra staff member?  Monitor progress?  How much do I need to charge for the service?
  • 12. Looking at the numbers Business Name Clinic Rev visit 100.00$ IMcost / Hour $10 IM / time/ hr 0.5 Days/month Hours of IM Tx / 8 day Hours Hours / month 22 4 88 # of therapists 1 Cost of IM Lease Rate/m Pay off /months 6 Revenue Revenue IMTreatment 8,800.00$ IM Treatment 8,800.00$ Expenses Expenses Salary 3,520.00$ per hour 40.00$ Salary 3,520.00$ Space 1,000.00$ 2,000.00$ Space 1,000.00$ Marketing 300.00$ Marketing 300.00$ Utilities 500.00$ Utilities 500.00$ Payment / Capital -$ IM Lease -$ IM Hours after first 100 $440 Total Expenses 5,320.00$ Total Expenses 5,320.00$ Net 3,480.00$ Net 3,480.00$ Total Expenses 5,760.00$ Purchase Rental
  • 13. Marketing Growth Key Points: 1. Customer service and expectations • Medication • Unrealistic expectations • Payment 1. Growth (Peds) • School Contracts and screenings • Home School groups • Adoption agencies • Private schools
  • 14. Marketing Growth Cont. 3. Growth (Adults) • Physician Marketing • Neurologists • Golf pro’s and Tennis coaches • Industrial Rehab 4. Product champions • Recovered Patients • Believers (Care Givers) • School psychologists
  • 15. Marketing Growth Cont. 5. Grants and Research Opportunities • Autism Speaks • YMCA • Youth Programs • Adoption Agencies 5. School / University affiliation • Students • Teaching • Research • Services (Statistics)
  • 16. Marketing Growth Cont. 7. IM-Home  Opportunities  Clients with:  High deductibles  Limited approved visits  No prescription for OT, PT, ST  Travel issues  Degenerative Diseases  Athletes  Schools  Next Steps: IM-Home Certification
  • 17. Diversify Don’t put all your eggs in one basket: 1. Buy vs Lease space. 2. Manage expenses and choose actions carefully 3. Multiple revenue streams: • Teaching • IM Home options • Maintenance programs • Yoga / Pilates / Music services • Message • Sports training • Wellness programs • Work Hardening and Conditioning • Driving • Accent reduction • Camps
  • 18. Measure your success  Personal  Salary  Therapeutic skill  Fame  Security  Independence  Service to community / individuals  Business  Financial Success  Therapeutic skill of staff  Fame / market share  Security  Service to community  Acknowledgement / Recognition  Self Sufficient