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Posts Tagged ‘veterinary practice management’

Watching Your Inventory

Wednesday, October 27th, 2010 by Dr. Dean Severidt

Formation of Leadership XXXX:

Last time we talked about how to handle things when the practice is slow. Do you complain to employees or do you lead and give them a vision of what is to come?  This is a time where true leadership shines through.  If you are looking at your P&L during a slow time, can you find places to make cuts?  If we look, we can all get lazy and not watch things as close as we should.  I would look over the P&L, make the simple cuts first, and then get as lean as possible. However, unfortunately these are usually not enough to make a large difference, so now you must look elsewhere.  The two large places that we can find areas to cut are: employees and inventory.

How many of you know what your employee numbers are, what percentage of gross, and the exact number or percentage of inventory is on your shelves?  I would venture to guess that most would be shocked at how much waste that exists in these two areas.  We can cut back and not affect the clinic or care of animals at all.  I have gone into clinics where I was told they ran 18% inventory; however, when we really looked at it many times, it was over 22%.  Take that extra 4% times a monthly gross of say $100,000 and that is $4000 a month of waste.  Many times we just go ahead and order that antibiotic or anti-inflammatory that the doctor wants; however, this all adds up.  We have a policy where no new products are ordered without a mutual agreement of the doctors where they want to use this product and eliminate another.  I do not have ten different antibiotics or anti-inflammatory products on the shelf.  We carry a few antibiotics and none of them work in the same way, and then we carry two anti-inflammatory products.  We also do not carry every flea and heartworm preventative available.  I am amazed at veterinarians that say I have to carry all of them because people ask for them.  Why not carry one and have your staff 100% up to date on that product and then educate your clients as to why they should use that one?  I never knew that the client knew more than the veterinarian.  By following these steps, we have kept our inventory at 14% for over a year now. Most experts say 17-18% is ideal, but in my opinion that is way too high.  Once again, run your practice like a business; this does not mean inferior care but just being careful as to what sits on the shelf and then is wasted.  Next time we will talk about how to keep your employee numbers down without affecting your care and which employees should stay and which ones need to go.

The Ten Core Values of Leadership

Monday, February 8th, 2010 by Dr. Dean Severidt

Formation of Leadership XIII

As we lead and learn to lead, we need to always be leading with an attitude of love and humility . Treat others the way that you would want to be treated, and you will be amazed at how easy it is to get people to respect you and follow you. People will always follow a leader that is respectful to them and treats them as an equal.

Your first task as a leader is to define your core values and then always lead by them. I have chosen ten values that I try to lead by at all times. I have based these values on the core values of Jesus Christ, whom I consider to be the greatest leader of all time. Whether you are a Christian or not, the principles of Jesus are well worth living by. The first is to do the right things for the right reasons. You should always think before you act or before you make any sort of decision. You need to make sure that the decision you are making is for the right reasons and not solely for personal gain. You should be making decisions that will be for the betterment of the company and everyone involved. The second one is always taking action for the company’s agenda and not your own. Your own benefit should never be a part of the decisions that you make for your company. I always try and look at a decision and decide whether I am making that decision because God is truly guiding me that way or because I am trying to benefit my ego and my own selfish desires. Always remember that ego stands for “Edging God Out”. The third core value is that relationships will make or break you and your organization. You should always establish relationships in business that do business with the same values as you do. If you are guided by Christian principles and the business you are in contact with is not, there is no sense in having conflict with them when there are other businesses out there with the same values as you. Always try and find other people to work with that have the same values as you. This will make everything much smoother and easier to work with.

The fourth value is prioritizing your long term decisions over your short term, if you are given a choice. Many leaders take short cuts because it is easier than waiting and drawing a long term decision out. However, it is always better to make decisions for the long term of the company, instead of just trying to get ahead in the short term. The fifth value is to not sweat the small stuff. Every problem is equal; the only reason that they seem different is due to the attention that we give them. When looking at problems, my brother once said, “Well it ain’t cancer”. If you look at every problem in that way from a much larger perspective, how big are they really? You should simply deal with the problem, and do not make a small issue into a large one. The sixth is just as we should always seek God’s Kingdom first, we should also seek what is best for the company at all times. Many times we may have to make uncomfortable decisions, but if they are best for the company, then we have to put ourselves aside and do them anyways. The seventh value is judging yourself before you judge others. You should always take a look at yourself before you criticize another individual. How many times have you criticized someone else’s actions only to realize that you do the exact same thing? When we see faults in people , it is usually because we have the same faults in ourselves. Do not allow judgment of others to impede your progress. The eighth value is if you need something, ask for it, and if you have something, give it. You should not be afraid to ask the opinions of your employees. They are in the trenches everyday and probably have more insight on some things than you do. Whenever you have answers and solutions to problems, you should give your employees the answers. As a leader, you should have wisdom and choose to use it wisely.

The ninth value is stay true to your convictions and do not wander from the narrow path. We all have morals and convictions that have made us successful. Do not wander from these morals as you get bigger and become a leader to more people. Stay true to who you are. Too many leaders have changed their values and been totally destroyed because they chose to not stay true to their convictions.

The final value that I have chosen to live by is that true obedience to God is the only sure foundation for a good life of leadership. As leaders, if we choose our decisions on what God is always make good decisions. Let God direct your decisions and only then will you truly lead by love and humility and gain the respect of your followers through the good and the bad times. Next time, we will discuss the next attribute of leadership which is being teachable .

Using Delegation to Increase Volume

Friday, January 8th, 2010 by Dr. Dean Severidt

What Separates Veterinary Practices

Delegation is the key to being able to become successful and generate average transactions that are profitable, yet still providing the client with the time and service that they want and expect.  How good are you as a veterinarian at delegating during the day? Or do you choose to do tasks that others can do and not let your technicians do what they are trained to do?  The question remains: why do some veterinarians generate a million dollars a year in revenues and others can only produce $500,000?  Given the same number of potential clients, the answer lies in one’s ability to delegate tasks.

As veterinarians, we seem to have an inherent belief that we can do things better than anyone else .  With this attitude, I have seen veterinarians that I have hired insist on doing unnecessary tasks from wanting to draw blood from animals to starting intravenous fluid lines.  They are spending their time doing the work of a technician, while another veterinarian is seeing 3-4 clients in the same amount of time simply because they are utilizing their techs properly.  Veterinarians have to finally get the attitude that they are paid to diagnose and recommend treatments, not necessarily to do the treatments themselves. Until veterinarians start utilizing their resources, we will remain a profession of low producing professionals that are busy doing unnecessary tasks.

When I am working, I picture myself as the quarterback of a football team, and I am directing my offense.  I may have three exam rooms filled with patients to be seen all at once, and I use my technicians to do everything from getting blood, taking x-rays, to starting IV fluids.  I am just going into the rooms, doing a physical exam, ordering tests for my techs to perform, and then reading the results and working up treatment plans.  I am getting paid for what only can do.  Using this method, I did over $1 million in revenues last year; therefore, I know it can be done.  To me, it is a lot more fun because I get to just be the doctor, which is what I want to be. Working this way as a veterinarian does require having good technicians, not necessarily certified ones, but very well trained with lots of experience. Try delegating and you will be surprised at how much more volume you will do and also how much better you will feel at the end of the day. Furthermore, watch and see what happens to your technicians as you empower them .  We can keep the great service that we have always offered as veterinarians, yet see more people if we stop doing tasks that are not needed to be done by veterinarians.

What Seperates Veterinary Practices III

Thursday, December 17th, 2009 by Dr. Dean Severidt

Showing Love and Humility to your Employees

Why do some practices have a group of people that get along so well, while other clinics have a staff where everyone seems to be fighting and no one seems to get along? I do not think that this overall attitude is from the employees , but I do believe it is from the management and the owner. The way that the leadership treats the employees will determine how the employees will respond. Leadership’s attitudes and actions will always determine other people’s reactions.

If the leadership of a clinic respects and treats people with love and humility, then love and humility will become the action your employees will show to clients and to others. Furthermore, I believe that all good and successful leaders lead by showing love and humility toward their employees. It is nothing more than following the golden rule, “do unto others as you would have them do unto you”. Treat people the way you would want to be treated, and see what kind of results you get. We read all the time about developing teamwork and everyone working together. This is a great idea, but the question remains: how do you do this? Many managers and owners have tried and only failed because their employees did not respond properly. This just causes frustration which leaders to anger, and then trying to force your employees to act a certain way which only leads to everything falling apart. The great news is that there is a much easier and less stressful way to lead! Instead, try treating people with love and compassion, and then see what kind of results you get. Tell everyone in your clinic once a day what a great person they are and how valuable they are to your clinic. You will be surprised at how much of a better response people will give you from this as opposed to giving them a raise. All in all, it is simple: people want to be recognized and feel needed. You should never act like you are any better than anyone that is working for you, because in reality, you are not. You just happen to have a degree that allows you to be a veterinarian. Degrees say absolutely nothing about your character. Make people feel important and needed, because without them it would be nearly impossible to function. These little, very important moves will do more for your business and success than anything else you can do.

I do not believe that you have to be friends or “buddies” with your staff; however, you should still treat them this way. Personally, I have made a decision not to socialize with my staff. I work with them every day, but they are never a part of my family or social life outside of the clinic. Socializing outside of work with staff members can be a way for trouble and many unnecessary issues to develop. My staff knows that I care for them and hold a lot of respect for them. I am very humble around them but also a little unapproachable, which keeps me at a distance. You do have to separate yourself a little from the employees in order to have the respect you need from them. However, you must do it out of kindness and humility and not be demanding about it. If you act humble, confident, and treat your employees with respect and the way you want to be treated, they will do just about anything for you. People who are treated this way will go to any degree to make sure things are done correctly and efficiently, because they will take pride in the business the same way that the leader does. If you ever see a staff or have one that is always fighting, watch the leaders and see what they do. Followers are followers because they like to follow. Leaders are leaders because they like to lead. Walk around with a heart of love and humility, and watch your practice grow.

Veterinary Practice Management – Your Success, Simplified

Wednesday, November 25th, 2009 by Dr. Dean Severidt

Project_Management_Page-23If you understand every aspect that determines good veterinary practice management, then that means you understand what motivates your workers.  As a manager, what are you going to do in order to build an environment where every employee feels comfortable and able to participate?  What can you do to increase the productivity and satisfaction of your employees at the same time?  How can you employ talented people and keep them?  How will you train your staff in an effective way, introducing them properly to the practice while involving others in the process?  All these questions are the fundamentals of veterinary practice management that must be answered sooner or later.

Many powerhouse businesses have been around for many years.  When deciding on your business operations, you need not reinvent the wheel.  Think of past experiences you have had working with various companies and remember what you liked the most or what left you feeling dissatisfied.  Contact specific people who are managers of successful clinics and ask how they do it.  By doing this, you will be on your way to establishing what makes them successful and what you can emulate in your own veterinary management techniques.

One important area of veterinary practice management is that you duplicate the financial aspect of a thriving business.  Budgeting is essential in keeping your finances in a healthy, comfortable place.  If you find that you are continually in the red month after month, do not continue with your same tactics hoping something will change on its own.  Step back and re-evaluate what you can change to begin producing some profits.  This could include: making employee cuts, skimping on the luxuries in your clinic, and evaluating your inventory.  Remember, in the first year or more of owning and operating a veterinary clinic, you will not likely see a turnaround in profits. However, you must be patient and continue to emulate other prosperous veterinary clinics.

You will undoubtedly face problems in your veterinary practice management.  Do not let issues fester but rather expose them and resolve them as they occur.  What was once a solution may not be anymore.  Do not get stuck in your comfort zone because that is not how problems are solved.  You will note that successful veterinary practices never seclude themselves but are constantly observing the behaviors of their competitors in an effort to stay one step ahead.


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