Archive for August, 2011

Little Things, Big Differences

Friday, August 26th, 2011

We talk a lot about ‘big picture’ things on The Hamster Wheel, which is great, but there are many little things you can help your team do that have a big impact on your revenue and profit as well.

In-consult biopsies are one such example. Everyone knows we should do them, but unless every vet in your team is actually doing them then you are missing out on revenue and the animals may be missing out on the level of care they deserve.

If you don’t have a clear protocol for how to approach lumps in your clinic then now’s the time to write one.

An Unexpected Clinical Finding

A case this week helped to underline this and makes a great example you can use in your next team meeting to demonstrate why.

An old dog came into the clinic for a health check up with a 1.5cm soft, fleshy lump about half way down its front leg. The owner hadn’t noticed it. I found it by running my hands down the dog’s legs. Something I always do as part of my lump check. Does everyone?

The most likely diagnosis for a lump found in a dog of this age and in this location  is a lipoma, a relatively benign and unexciting lump posing a low threat to the dog’s wellbeing.

Bad News in the Purple Blobs

suspicious cells from a needle biopsy in a dog

Suspicious Cells

Never the less I took a needle biopsy, a fast and easy procedure that takes about 1 minute to complete and is charged to the owner at about $60 (£40). After consults I stained the slide and looked at it.  What I saw made me glad I did. The purple blobs you can see in the image to the right are not benign fat cells. They are cancerous cells.

Great Result

The result is that the dog has been scheduled for surgery to further investigate and deal with a potentially life threatening problem. (Even if it had been fat and no further action was required I’d still have generated another $60 and given a client peace of mind.)

Dog wins, client (although worried) wins, vet wins, practice wins.  It all sounds pretty easy right? And it is, but unless you have a protocol and thorough vets who will follow it through, then you are likely to be missing these opportunities to shine.

Please feel free to use this example in your team meetings to remind everyone of the importance of needle biopsies to both pets and clinic.

Turning the Tide: Can Vets Fight Back?

Tuesday, August 9th, 2011

Last week we looked at how cinemas have adapted to remain buoyant in the face of amazing threats. As the Bayer-Brakke study has shown, we are slowly losing our fight to keep clients coming into our clinics. So in the final part of this mini-series let’s see what can be learned from theatres to help us evolve.

Develop Our ‘Experience’

In my opinion, one way to start reversing the trend of shrinking footfall is to stop thinking about our practices simply as medical facilities (just as cinema stopped only being about the film). We have been very good at product development in terms of medical advances. But where we have largely failed is in thinking out the delivery of our service, the packaged end-product.

We must do as the cinema has done in the film industry and become the only place to turn to for a ‘pet health’ experience.

Instead of focussing on the medicine (which has evolved beyond what many of our clients can actually afford, understand or ethically tolerate) we should be thinking about how we can make visits to our clinic a great experience for pets and owners alike.

Out With The Old

The tired seating, the faded signage, the bad smells, the grumpy vet who scruffs the cat (yes cats and cat owners hate that), the receptionist who thinks talking to her colleague is a better way to spend the day than talking to the pets…these are the realities of the experience for our clients.

If you can eliminate them (and all the other small errors that we make everyday) then you’re a step closer to providing a great experience.

In With The New

But this goes so much deeper than that. We have to develop newer ways of engaging our clients so they want to come back. Innovative pricing, affordable healthcare plans, better recall systems (booster reminders are so passé!), the use of social media to connect rather than bore.

And even more fundamentally, I believe we must also go back to the start and relearn how to attract the right kind of vets and nurses into the profession in the first instance. We must recruit those who are a better match for the new realities of our service profession.

Simply choosing more academic types ‘because they are like us’, as an entrance criterion is not serving us well at all.

As business owners ready to hire new staff we must shoulder our fair share of the burden. We simply have to get better at developing the skills that allow us to find those human pieces that fit our own jigsaw perfectly. And we must also then learn (or hire in) the management skills capable of keeping them happy so they stay within our businesses (and profession). We do, after-all, want to be capable of attracting and retaining the best within our professional niche.

This is not pie-in-the-sky stuff, it’s very, very real and I freely share my thoughts because I believe we are in trouble. Like it or not, the numbers are not looking pretty.  With the global economic outlook unlikely to improve for sometime to come, this situation is not going to get better on it’s own.

Priced Into Oblivion

For years the answer has been to put prices up, charge more and more of the fewer and fewer. Clearly this is an unsustainable strategy when earnings growth has gone into reverse.

Though many practices charge too little and many vets are slack in charging what they should. The reality is that for all there will come a point where price increases do not work and only serve to push clients away.

Our levels of service have not kept pace with our levels of price inflation and we are now entering the territory where customers are voting with their feet.

All Action Moves

So what can we do? Here’s some tips for starters.

1. Stop and ask what it is that your clients want. Then redesign your service around that.

2. Create a vision as a leader and embed a culture that gives you a fighting chance of achieving it. That means you have to learn how to become a better non-clinical leader. You have to understand what type of personalities you need in your clinic. And you need the skills to go find, develop and reward those people.

3. Create practice environments that are fun to come to for pets and owners.

4. Place service at the heart of what we do, not medicine.

5. Innovate with pricing.

6. Innovate with access to services – times, reminders, health plans, home services…the entire lot can be turned on it’s head.

Resistance Is Not Futile

I’ve talked  a great deal about going to the movies in this blog-epic and I’ll leave you with one final reference. From here on, whatever you decide to do let’s make sure we’re actively writing the script for our own movie blockbuster. The alternative is to passively sit in the audience, spellbound and helpless, as events unfold before us. Too long have we been complacent in this way.

These are both worrying and exciting times….but in days like these, organisations daring to take risk and innovate stand to win.

How Cinema Evolved

Tuesday, August 2nd, 2011

In last week’s blog I explored the similarities between the threats facing the cinema world and veterinary world.

This week, let’s review how cinema has adapted and survived. As regular readers know, I do a lot of reflecting and thinking about experiences. My first thoughts on this issue took me back to the cinema I used to visit as a schoolboy, The New Picture House in St. Andrews.

It still exists today, though I haven’t been there for a while. But back then you could choose a ticket for the stalls (cheap) or the circle (expensive).

I thought for a long while that the circle might have gold lined seats. In fact it was a balcony above the stalls with identical seating. The view was hardly better as the screen was huge and there was no difference in sound quality. But you did enjoy the crucial benefit of being able to throw popcorn at the cheap seats beneath. (At the risk of being chucked out!)

We would stand in line to get our tickets and then queue again for popcorn and coke (the selection was limited). Once this was done we’d shuffle into the theatre, take our seats (which were ancient and uncomfy) see a film. Then shuffle back out into the cold night and head home.

The evening was all about the film. There was, in truth, very little else to enjoy about the theatre.

I suspect that nothing has changed in St. Andrews, but then with no competing cinema and a ready supply of Students and school kids, where’s the motivation to do so?

Not many places are blessed with the combination of isolation and wealth that so insulates St. Andrews. For cinemas elsewhere time and practices have moved on.

In order to combat the many threats to their industry, cinema has evolved. So what measures have they taken?

Price Rises?

My first thought was that they must have increased prices. Many people complain that it is expensive to go to the movies. But a little research shows that in real terms a £2 ticket to see Star Wars bought back in 1977 would cost about £9.50 today (guess what, that’s almost exactly what it does cost for a movie ticket today). So in spite of perceptions about price, it is no more expensive to see a film today, than it was 30 years ago.

Building an Experience

What cinemas have clearly been very good at is protecting their market with innovations in product and strategy.

Product range, access and quality have been improved dramatically.

New technology has been adopted to improve the picture and sound quality. The emergence of iMax and 3D as format developments is a good example of technology driven improvements to quality.

There has also been a large increase in the type and number of films shown. Some of the more mainstream theatres tend to show only a limited number of Hollywood produced blockbusters but show them virtually all day long. Whereas independently owned theatres tend to have a wider range of films catering to a wider range of tastes within their local community.

The experience of coming to the cinema has also been enhanced significantly. The seating, for example, is more comfortable; with a drink holder and reclining option it is more akin to something you might expect to find on an aeroplane than a theatre. Plus you can book online and choose the location of your seats in advance, just like on your flight!

The range of food and drink options has also expanded dramatically and most theatres have a forecourt chock-a-block with confectionary concessions all vying for our cash. Certain cinemas have even applied for an alcohol license so you can have a cold beer as you watch your favourite movie. (Not that I’m necessarily advocating plying our clients with booze!)

And of course there is almost always a complex of restaurants waiting to feed you and your family before rolling off home (in your conveniently parked car) after the show.

Where once it was about a film, it is now all about the ‘experience’.

Somewhere, in an easily accessible cinema near you, a film you like will be showing in eye-popping 3D brilliance, with crystal clear Dolby enhanced sound.

If you’re in any way excited about films, then there really is no substitute.

Innovation Rewarded

At the movies they have adopted a strategy of product innovation to meet their challenges. And it seems to be working. We are going to the movies more and leaving happy, with our wallets lighter.

If things were the same across the country as they are back in the St. Andrews Picture House I’m certain the industry would be dead on it’s feet. As it is (according to UK Film Council) film audiences are rising year on year.

So what can we learn from this example? What is the best strategy for us to help turn the tide and woo our customers back into our clinics?

Tune in for the final installment next week, Turning the Tide – Vets Fight Back.