- He is doing videos to train other dentists while doing the work ( with permission of the patient of course).
- The front desk is doing a recording of each process as it is performed, with added training comments about how this was handled well, why it worked, etc.
- We have worked with them to write down all their major processes (we call this Freedom Mapping).
Today we do a deep dive into how to build out your practice in a way that allows you to live the life you want while delivering the service, and attention to your clients that you are passionate about. Dr. Costes takes us through his experience of growing his practice, and the creation of the Dental Success Institute which is designed to help you attain the success you want.
Most dental practices are unwittingly mimicking outdated Factory System organizational design and management practices. The emerging work world of the Participation Age is demanding a much different approach and great practices are racing to embrace the Participation Age.
The hallmarks of the Participation Age are: 1) participation – people want to participate WITH you in building a great practice, not FOR you, and 2) sharing – they want to share in the rewards of that participation. One without the other is hollow.
To get everyone to participate as “Stakeholders” (not share holders necessarily), we need to rehumanize dentistry by giving everyone their brain back. How do we do that? The central practice of the Participation Age is universally Distributed Decision-making (DDM) through universally Distributed Leadership – everyone is a leader.
Why does DDM work? Because Input=Ownership – the more input I have in a decision, the more I will own carrying it out and improving on it. There decisions should be made locally (universally distributed) whenever possible, and it’s almost always possible.
What do we do instead? We mimic a 19th century Factory System model borrowed from the military with its roots in slavery; the classic top-down “pyramid scheme” hierarchy of management. It’s emotionally satisfying – everyone knows exactly who has a bigger gun than whom, but it destroys engagement and participation at every level, and dehumanizes work like nothing that came before the factories other than slavery, serfdom, and indentured servitude.
What should we do instead? Become a Mission-Centered Practice, where we all work to get our patients the result we have committed to. We all serve the Mission, not our department, a human boss, or a job description. And we all make every decision by how it relates to our Mission. We also help each other stay focused on the Mission, and use functions, tools, methodologies, processes, equipment and relationships to accomplish that mission. The effectively flattens the organization in an extremely healthy way and makes us all accountable to the Mission itself.
How do we see the differences between Factory System Dentistry and Participation Age Dentistry worked out? The podcast goes deep on these; following are a few differences:
Classic Factory System Dentistry emphasizes command & control management, assuming people want to be codependent, childlike, task-oriented workers, centralized decision-making, time-based pay, and silos/fiefdoms that create competition and division between functions.
Participation Age Dentistry rehumanizes by emphasizing localized (but not independent) decision-making, inclusive leadership by everyone, adult Stakeholders who are self-managed adults, universally distributed decision-making, results-based pay and incentives, and being Mission-centered, not department or boss-centered.
There are nine practices outlined in the podcast that reflect the above emphasis on Distributed Decision-making; things like DDM Teams, turning Practice Managers into Practice Leaders, roles vs jobs, process mapping & metrics vs. frantic work, much higher standards for team members, hiring completely differently, and full transparency. These nine, along with some others provide the transition from Factory System Dentistry to Participation Age Dentistry.
There are a lot of myths about Participation Age Dentistry:
- Chaos & Anarchy w/out Management – Tighter processes, less chaos
- It’s different, not better – Higher profits & staff retention
- It’s a new fad – Return to pre-Ind. Age practice
- Will cause a dip in performance first – Better performance right away
Practices are racing to embrace the emerging work world of the Participation Age. What is the first thing you can to move your practice in that direction. Eat the elephant one bite at a time.
Should I open a 2nd practice? Why should I open that 2nd practice? How do you get to a place where you understand the TRUE inner workings of culture, team work, and really honing your leaderships skills? All of these are questions that you need to answer to successfully scale your practice. Each of these questions have unique answers to you, your practice, who you are, and where you want to take your practice. Are you ready for this?
How do we make MORE money in LESS time, get off that treadmill, and get back to the passion that brought us into dentistry in the first place?
First, we take control of our three main resources: Time, Money and Energy. And then we focus on FREEDOM, the ability to CHOOSE what to do with those resources.
The problem is that we don’t choose future Freedom, we choose to focus on the present, and end up in a habit of Short-Term Decision-making instead of Long-Term.
When we contrast the two, we see two entirely different outcomes – Freedom Doc and Hostage Doc. Hostage Doc rides a sine wave for 30 years, always vacillating from having too little (not enough patients, not enough staff, not enough square footage), to having too much (too many staff, too many patients, too much square footage). Why? Because we’re just reacting to the Tyranny of the Urgent, instead of using the Priority of the Important to drive us to longer term, more satisfying and stable objecties.
Hostage Doc thinks tactically, reacts to their practice, sees expenses instead of investments, is focused on making money today, believes riches (money alone) will solve his or her problems and make them happy), and ends up a hostage to their practice for thirty years.
Freedom Doc sees their future clearly, and makes all their decisions on where they want to end up. They think strategically and are proactive about making their own business rules, focuses on investments instead of expenses, believe Significance will make them happy and uses their practice to build their Ideal Lifestyle, and ends up free to choose what to do with their time, money and energy.
The two docs start out with the very same path, the same issues and obstacles, but with very different responses to those outside influences. One is solving today’s problems and the other is solving both today’s problems and more importantly, tomorrow’s challenges. Freedom Doc is motivated by Utter Clarity about what they want, five, ten or even 30 years from now.
Do you have a clear picture of where you’re going? Are you making decisions based on where you are, or where you want to be? If you’re making decisions based on where you are, where do you think you’ll be next year?
See your future clearly, make your own business rules, and get off that roller coaster treadmill!
Dr. Peter Boulden and Chuck sit down to discuss the ideas and actions that allowed Dr. Boulden to get off of the treadmill and scale his business. Today, we work on understanding what is needed to build the structure that allows you to choose what is the best way for you to spend your time, and freedom.
Dr. Peter Boulden knows smiles have the power to change lives—he’s transformed more than 1,200 of them as one of the most credentialed cosmetic dentists in the world. Recognized in the greater Atlanta area as the “go-to” dentist for high-end cosmetic procedures, Dr. Boulden is the dental professional of choice for celebrities, athletes and prominent community leaders.
In the emerging work world of the Participation Age, we rehumanize dentistry by giving everyone their brain back.
But isn’t dentistry already “human”? No, 70% are phoning in their commitment, 51-65% have their resume on the street right now, and a full 86% haven’t found something they love doing yet. That doesn’t reflect humane conditions.
And we know it. Global Human Capital Trends annual survey the last two years shows that 90% of workplaces say our hierarchical, top-down system doesn’t work. “the organization of the future is racing to replace structural hierarchies with networks of teams released to take action.”
The Participation Age has two hallmarks, Participation and Sharing. People want to participate in building a great practice, and they also want to share in the rewards of having been part of that success.
So how do we rehumanize dentistry and get everyone participating and sharing? The key practice we must all adopt, Distributed Decision-making, through Distributed Leadership – everyone becomes a leader.
The more input I have in a decision, the more I will own it. INPUT = OWNERSHIP. Therefore, decisions should be made wherever they have to be carried out whenever possible, not by managers. We see a lot of dental practices moving quickly in this direction, and thousands of businesses that have been operating this way for at least 70 years.
Companies are racing to replace managers, who “tell”, solve and decide, with exponentially fewer leaders, who “ask”, train and get out of the way. And they are replacing childlike, obedient employees with Stakeholders; self-motivated adults who are able to make their own decisions, and who don’t need to be managed, just led.
Great practices are also Mission-Centered, a key characteristic of Participation Age business. We don’t serve bosses or departments, we all serve at the pleasure of, and for the fulfillment of the Mission (the result we want our patients to get from us). The Mission hires, the Mission fires, and all our strategies and tactics are lifted up to the Mission statement to see if they will help us accomplish that. This Mission-Centered focus flattens the practice and causes us to work together more as a team to fulfill the Mission, instead of working to lift up my department or myself.
Spodak Dental Group adopted the Participation Age model of Distributed Decision-making through Distributed Leadership, and their data shows the power of that transition. In one year they made $500,000 more on the same amount of revenue as the previous year, including saving $90,000 on supplies because the person in charge of supplies was invited to both participate in figuring this out, and shared in the rewards of having done so. Spodak’s pre-appointment and future visits data have also improved dramatically in the first year.
The reality is that Distributed Decision-making and self-managed teams results in more metrics, better metrics, tighter processes, more leadership, higher growth, and exponentially higher staff retention. That last one shouldn’t be surprising. When we give everyone their brain back be allowing and requiring localized decision-making, it rehumanizes them and makes them want to stay where the whole person is valued, not just the part that runs the machine.
The objective of conquering the Tyranny of the Urgent is:
To make MORE money in LESS time, get off the treadmill, and get back to the passion that brought us into dentistry.
The Three Main Resources in Life:
We take care of our own personal energy, but our practice either gives or takes away both time and money. To build a life of Significance, and get off the treadmill, we need to figure out how to get all three at once.
Freedom – is the ability to CHOOSE what to do with my time, money, and energy. Most dentists don’t have freedom at this level, and are hostages to their own practice. They don’t GET to do dentistry, the HAVE TO.
The Significance Formula:
Riches = Money
Wealth = Time + Money
Most dentists are at best rich, but not wealthy. The Significance Formula is T + M + E = S; Time, plus Money, plus Energy equals the ability to build a life of Significance where we’re free to practice dentistry, not hostages to our practice. How do we get these three to line up?
We have to conquer the Tyranny of the Urgent and focus instead on the Priority of the Important. The Tyranny of the Urgent is where we make money today while not investing in our future. We’re reactive, making decisions based on short-term pressures, and are hostages to our practices. The Priority of the Important are all those longer-term solutions like planning, developing processes, training, etc. where we take care of our future, not just our present. When we focus on the Tyrannical, we end up in the same place next year. A focus on the Important moves us to new and better levels of Freedom every year.
The Big Question – Are you making decisions based on where you are, or on where you want to be?
The Big Mindset Shift – USE your practice to build your Ideal Lifestyle. Most of us are being used by our practice. We don’t own a practice, we own a job. We need to build a practice that makes money for us, even when we’re not there (especially when we’re not there).
What do you want? One year, three years, five years from now? Get Utter Clarity on that, and figure out what the Next One Thing is you need to do to get there, put a date on when you will do that, and enlist some support from someone you can trust to hold you accountable to your own goal.
Focus on the Priority of the Important, get off that treadmill, and get back to the passion that brought you into dentistry!
Having a vision for your practice makes the difference between feeling trapped, and living the life you want with the freedom you desire. In this episode we talk with Dr. Craig Spodak, about creating a vision, and updating it as your situation and circumstances change!
Episodes featuring Chuck by himself (with no guest interviewed) will include the title along with, in the bottom of the episode image, the book that the content relates to:
MMIKYB (Making Money Is Killing Your Business)
WEAAABI (Why Employees Are ALWAYS A Bad Idea)