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Shallow men believe in luck.
Strong men believe in cause and
effect.
- Ralph Waldo Emerson
Click to begin.
Time with
family and
friends
Cat 1
Inventory
Cat 2
Culture of
Practice
Cat 3
Employees
Cat 4
Animal
groups
Cat 5
Inventory Employees
Animal
groups
10 Point
20 Points
30 Points
40 Points
10 Point 10 Point 10 Point 10 Point
20 Points 20 Points 20 Points 20 Points
30 Points
40 Points
30 Points 30 Points 30 Points
40 Points 40 Points 40 Points
Culture
Of
Practice
Time
family friends
Too often we come to
think of these folks as
friends. But they are
people held together by
a paycheck.
Cat1 a1
What is staff?
Cat1 q1
This thing all things devours:
Birds, beasts, trees, flowers;
Gnaws iron, bites steel;
Grinds hard stones to meal;
Slays king, ruins town
And beats high mountain down.
cat1a2
What is time?
cat1q2
If I would say, for $200, I
can find you an extra 60
hours in a year, you
could find that time at
the bank by doing this.
cat1a3
What is having an extra
beginning of the day cash bag and
not waiting for receptionist to
final balance bag, and drop off
deposit and not wait for bank
teller to count deposit?
cat1q3
Waiting 8 min for end of day
receptionist to finish deposit x 5
days x 52 = 2,080 min
Waiting for bank teller to count
deposit 8 min x 5 (or 6) x 52 =
2,080 (or 2,496 41+ hr)
Even if 4 minutes = 20 hr!
cat1q3
With that extra time,
and you could have
dinner with anyone,
living or dead, it
would be this person.
Cat1 a4
With permission of
Master Foods
from Australia
Cat1 q4
You can put this sticker on
your medications and
virtually eliminated clients
asking to return medication.
It does NOT help to put the
exact same phrase on your
prescription label.
Cat 2 a1
What is “ Prescription
medications are non
returnable”?
Cat 2 q1
VeterinaryApparel.com
If you are buying an
existing practice, you
should make sure you
have a cap on this
number in your
preliminary buy/sell
agreement.
Cat 2 a2
What is a maximum
amount of inventory
you will buy without
prior approval?
Cat 2 q2
When you have more than
this many heartworm or
flea products in your
practice, you have a
confused staff, and an
empty bank account.
Cat 2 a3
What is more than
one (1)?
Cat 2 q3
When you use specials
purchase inventory
management, you tie up
this percent of your
cash flow (within 5%).
Cat 2 a4
What is 65%?
Cat 2 q4
Imagine you purchase
$100,000 of heartworm
prevention / year. You
know this by computer.
Cat 2 q4
You are offered delayed
billing by 3 months and
you get a 5% discount.
You also know exactly how
much you sold last year, so
you have an accurate
number.
Cat 2 q4
Why isn’t good for cash flow?
Cat 2 q4
Jan 1: $100K Product Bank $100K
Paid April 1 Bank $0
Sold equal amount each month ($8,333)
Specials purchase cash flow
Cat 2 q4
Date Special bank paid to vendor income
12/1/18 $100,000
1/1/19 $100,000
2/1/19 $108,333 $8,333
3/1/19 $16,666 $100,000 $8,333
4/1/19 $24,999 $8,333
5/1/19 $33,332 $8,333
6/1/19 $41,665 $8,333
7/1/19 $49,998 $8,333
8/1/19 $58,331 $8,333
9/1/19 $66,664 $8,333
10/1/19 $74,997 $8,333
11/1/19 $83,330 $8,333
12/1/19 $91,663 $8,333
1/1/20 $99,996 $8,333
Just in time cash flow
Cat 2 q4
Date income Bank Just in time paid to vendor
12/1/18 $100,000
1/1/19 $83,336 16,664
2/1/19 $8,333 $91,669
3/1/19 $8,333 $83,338 16,664
4/1/19 $8,333 $91,671
5/1/19 $8,333 $83,340 16,664
6/1/19 $8,333 $91,673
7/1/19 $8,333 $83,342 16,664
8/1/19 $8,333 $91,675
9/1/19 $8,333 $83,344 16,664
10/1/19 $8,333 $91,677
11/1/19 $8,333 $83,346 16,664
12/1/19 $8,333 $91,679
1/1/20 $8,333 $83,348 16,664
Comparison 1 yr
Cat 2 q4
-$20,000
$0
$20,000
$40,000
$60,000
$80,000
$100,000
$120,000
12/1/18 1/1/19 2/1/19 3/1/19 4/1/19 5/1/19 6/1/19 7/1/19 8/1/19 9/1/19 10/1/19 11/1/19 12/1/19 1/1/20
Special bank Bank Just in time
Comparison 2 year
Cat 2 q4
-$20,000
$0
$20,000
$40,000
$60,000
$80,000
$100,000
$120,000
Special bank Bank Just in time
Ave:
$87,834
Ave:
$57,688
Comparison 2 year
Cat 2 q4
$57,688/ $87,834
65.6%
If your vision is
different than the
current culture, this is
what will be the
predominant factor.
Cat 3 a1
What is culture?
Cat 3 q1
This is the most effective
thing to do so staff know
what you want to happen
for an outpatient wellness
visit.
Cat 3 a2
What is write it down?
Cat 3 q 2
Your staff will more
quickly get in the cultural
habits if you do this every
time you see them doing
something right. It is
more fun than having to
correct wrong behavior.
Cat 3 a 3
What is reward the
right behvior?
Cat 3 q3
Of culture or vision or
rules, this is the most
important in terms of
what your clients will
think about when
they see your logo.
Cat3A4
What is
Culture?
Cat3 q4
Cat3 q4
There is no right
or wrong.
Cat3 q4
If you are taking over as
sole proprietor, this is
the best and cleanest
way to have the
employee’s work under
your new benefit plans.
Cat4 A1
What is old clinic
fires at end of last
day, and you hire all
on first day?
Cat4 Q1
This is the best way to
make sure all your staff
know their part in the
culture you want to
create. It’s even better
than telling them.
Cat4 A2
What is writing
down every client
experience from
beginning to end?
Cat4 q2
Daily Double
When hiring an individual,
this is the most difficult
to teach among:
veterinary medicine,
being polite, computer
basics (copy/paste/ multi window).
Cat4 A3
What are computer
basics?
Cat4 q3
To avoid a ‘recency bias’ it
is best to have this as you
interview and as you
evaluate an employee’s
work with a review.
Cat4 a4
What are ‘written
questions’ ? (that
don’t change from one
interview /review
session to next)
Cat4 q4
Group of crows.
Cat5 A1
What is a murder?
Cat5 q1
Group of ferrets.
Cat5 a2
What is a business?
Cat5 q2
Group of
Cockroaches.
Cat5 a3
What is our
intrusion?
Cat5 q3
Group of bats.
Cat5 a4
What is a cauldron?
Cat5 q4
Group of Alligators.
Cat5 a5
What is a
Congregation?
Cat5 q5
Final Jeopardy
Final Category
Make your wager
How to reach
summit
Final
jeopardy
category
This is when you get
to rest and not worry
about the practice
because it is operating
smoothly.
Final 30 sec music begins after 10 sec
Final clue Ans
What is “ you are
always giving small
corrections” ?
Final question
Questions?

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Rjr 8secrets part 2 jeopardy-

  • 1. Shallow men believe in luck. Strong men believe in cause and effect. - Ralph Waldo Emerson
  • 2.
  • 9. Inventory Employees Animal groups 10 Point 20 Points 30 Points 40 Points 10 Point 10 Point 10 Point 10 Point 20 Points 20 Points 20 Points 20 Points 30 Points 40 Points 30 Points 30 Points 30 Points 40 Points 40 Points 40 Points Culture Of Practice Time family friends
  • 10. Too often we come to think of these folks as friends. But they are people held together by a paycheck. Cat1 a1
  • 12. This thing all things devours: Birds, beasts, trees, flowers; Gnaws iron, bites steel; Grinds hard stones to meal; Slays king, ruins town And beats high mountain down. cat1a2
  • 14. If I would say, for $200, I can find you an extra 60 hours in a year, you could find that time at the bank by doing this. cat1a3
  • 15. What is having an extra beginning of the day cash bag and not waiting for receptionist to final balance bag, and drop off deposit and not wait for bank teller to count deposit? cat1q3
  • 16. Waiting 8 min for end of day receptionist to finish deposit x 5 days x 52 = 2,080 min Waiting for bank teller to count deposit 8 min x 5 (or 6) x 52 = 2,080 (or 2,496 41+ hr) Even if 4 minutes = 20 hr! cat1q3
  • 17. With that extra time, and you could have dinner with anyone, living or dead, it would be this person. Cat1 a4
  • 18. With permission of Master Foods from Australia Cat1 q4
  • 19. You can put this sticker on your medications and virtually eliminated clients asking to return medication. It does NOT help to put the exact same phrase on your prescription label. Cat 2 a1
  • 20. What is “ Prescription medications are non returnable”? Cat 2 q1 VeterinaryApparel.com
  • 21. If you are buying an existing practice, you should make sure you have a cap on this number in your preliminary buy/sell agreement. Cat 2 a2
  • 22. What is a maximum amount of inventory you will buy without prior approval? Cat 2 q2
  • 23. When you have more than this many heartworm or flea products in your practice, you have a confused staff, and an empty bank account. Cat 2 a3
  • 24. What is more than one (1)? Cat 2 q3
  • 25. When you use specials purchase inventory management, you tie up this percent of your cash flow (within 5%). Cat 2 a4
  • 27. Imagine you purchase $100,000 of heartworm prevention / year. You know this by computer. Cat 2 q4
  • 28. You are offered delayed billing by 3 months and you get a 5% discount. You also know exactly how much you sold last year, so you have an accurate number. Cat 2 q4
  • 29. Why isn’t good for cash flow? Cat 2 q4 Jan 1: $100K Product Bank $100K Paid April 1 Bank $0 Sold equal amount each month ($8,333)
  • 30. Specials purchase cash flow Cat 2 q4 Date Special bank paid to vendor income 12/1/18 $100,000 1/1/19 $100,000 2/1/19 $108,333 $8,333 3/1/19 $16,666 $100,000 $8,333 4/1/19 $24,999 $8,333 5/1/19 $33,332 $8,333 6/1/19 $41,665 $8,333 7/1/19 $49,998 $8,333 8/1/19 $58,331 $8,333 9/1/19 $66,664 $8,333 10/1/19 $74,997 $8,333 11/1/19 $83,330 $8,333 12/1/19 $91,663 $8,333 1/1/20 $99,996 $8,333
  • 31. Just in time cash flow Cat 2 q4 Date income Bank Just in time paid to vendor 12/1/18 $100,000 1/1/19 $83,336 16,664 2/1/19 $8,333 $91,669 3/1/19 $8,333 $83,338 16,664 4/1/19 $8,333 $91,671 5/1/19 $8,333 $83,340 16,664 6/1/19 $8,333 $91,673 7/1/19 $8,333 $83,342 16,664 8/1/19 $8,333 $91,675 9/1/19 $8,333 $83,344 16,664 10/1/19 $8,333 $91,677 11/1/19 $8,333 $83,346 16,664 12/1/19 $8,333 $91,679 1/1/20 $8,333 $83,348 16,664
  • 32. Comparison 1 yr Cat 2 q4 -$20,000 $0 $20,000 $40,000 $60,000 $80,000 $100,000 $120,000 12/1/18 1/1/19 2/1/19 3/1/19 4/1/19 5/1/19 6/1/19 7/1/19 8/1/19 9/1/19 10/1/19 11/1/19 12/1/19 1/1/20 Special bank Bank Just in time
  • 33. Comparison 2 year Cat 2 q4 -$20,000 $0 $20,000 $40,000 $60,000 $80,000 $100,000 $120,000 Special bank Bank Just in time Ave: $87,834 Ave: $57,688
  • 34. Comparison 2 year Cat 2 q4 $57,688/ $87,834 65.6%
  • 35. If your vision is different than the current culture, this is what will be the predominant factor. Cat 3 a1
  • 37. This is the most effective thing to do so staff know what you want to happen for an outpatient wellness visit. Cat 3 a2
  • 38. What is write it down? Cat 3 q 2
  • 39. Your staff will more quickly get in the cultural habits if you do this every time you see them doing something right. It is more fun than having to correct wrong behavior. Cat 3 a 3
  • 40. What is reward the right behvior? Cat 3 q3
  • 41. Of culture or vision or rules, this is the most important in terms of what your clients will think about when they see your logo. Cat3A4
  • 44. There is no right or wrong. Cat3 q4
  • 45. If you are taking over as sole proprietor, this is the best and cleanest way to have the employee’s work under your new benefit plans. Cat4 A1
  • 46. What is old clinic fires at end of last day, and you hire all on first day? Cat4 Q1
  • 47. This is the best way to make sure all your staff know their part in the culture you want to create. It’s even better than telling them. Cat4 A2
  • 48. What is writing down every client experience from beginning to end? Cat4 q2
  • 50. When hiring an individual, this is the most difficult to teach among: veterinary medicine, being polite, computer basics (copy/paste/ multi window). Cat4 A3
  • 52. To avoid a ‘recency bias’ it is best to have this as you interview and as you evaluate an employee’s work with a review. Cat4 a4
  • 53. What are ‘written questions’ ? (that don’t change from one interview /review session to next) Cat4 q4
  • 55. What is a murder? Cat5 q1
  • 57. What is a business? Cat5 q2
  • 61. What is a cauldron? Cat5 q4
  • 65. Final Category Make your wager How to reach summit Final jeopardy category
  • 66. This is when you get to rest and not worry about the practice because it is operating smoothly. Final 30 sec music begins after 10 sec Final clue Ans
  • 67. What is “ you are always giving small corrections” ? Final question
  • 68.
  • 69.

Editor's Notes

  1. 5
  2. 6
  3. 7
  4. 8
  5. 9
  6. Time 40 pt = video
  7. 11
  8. Not saying can not like or do things with staff – just saying they are not ‘friends’ in the sense of friendship
  9. IT is important to realize what the poem points out- it is not the huge chunks of time that causes problems, it is the regular relentless little 5 min a day that creates the problems, or finds the solutions – next questions will look at: how do we find more time with the most important folks – family.
  10. Next slide shows the math 0 take over lunch
  11. Next slide shows the math 0 take over lunch If like too many practices x 6 with satu Do it over lunch as driving by, then pick up.
  12. 2 min long video How do I make time – and remind my self regularly to make time for those who care about me. “I’ll sit hear and listen as long as you pay me”
  13. Talk about Satisfied customer – no
  14. In our case, was given an inventory of $30K for preliminary buy sell ~ 6 Wk before. 1 Wk before close, was given a computer inventory report of $80K!
  15. Cat 2 q3 talk about the inventory you must keep, etc. Best to get one of the great online pharmacy partners like what Midwest Veterinary supply is going
  16. Cat2 a4
  17. Cat 2 q4
  18. Cat 2 q4 look at hypothetical
  19. Cat 2 q4 – if new – really have NO CLUE Even if you have been at practice and ‘clients see not change’ – share Frontline story
  20. Cat 2 q4 once outline premise – move quickly past next 2 slides to chart
  21. Cat 2 q4move quickly past next 2 slides to chart
  22. Cat 2 q4 move quickly past next 2 slides to chart
  23. Cat 2 q4 spend time here, next slide 2 year plan
  24. One more slide with %
  25. Cat 2 q4 back to main screen Also discuss how the same principal works with multiple medications/ tests in same category -
  26. Cat 3 a1
  27. Cat 3 A 1 – culture eats vision for lunch. What mean by that….. – If into football – patriots just aacquired ‘troubled’ WR Antonio Brown – could your culture be strong enough for aacquiring this to not be a concern?
  28. Cat 3 A2
  29. Cat 3 Q2 and go into excruciating detail. It is incredible how helpful this can be. As I did so, I realized I needed a ‘what receptionist does’, what assistant does, what CVT does, what Dr does.
  30. Cat 3 a3
  31. Cat 3 q3 – not have to be something big – candy bar, M&M’s, if big thing, tickets to movie. But make it immediate – so need to have on hand.
  32. Cat 3 a4
  33. Cat 3 q4
  34. Word association – when you see these, what do you think of?- go through quickly
  35. Motel 6 and Marriot and Hampton make money.
  36. Cat 4 a1
  37. Cat 4 q1 So that means you have all the I9 paperwork, etc must be completed. This also starts all benefits for your practice on day 1, and also has the benefit where you do not have to fulfill the benefits to the previous owner that you did not reap the benefits for.
  38. Cat 4 a2
  39. Cat 4 q2 This is very important and helpful and something you can do before you buy your practice!! . What I did was write down how I wanted the client to experience it, then I wrote down what I expect the receptionist to do, the exam room assistant, the CVT, and even myself as Dr
  40. Cat 4 a3
  41. I do NOT meant to say that you could not do so. In an Electronic Medical Record environment, or if you calendar, accounting and labs are on computer, I have found our the hard way that this must be ‘second nature’ to the individual. First learned at start of practice, and reinforced just here in 2019. We can teach / simplify the vveterinary things If willing to be coached, we can teach them how to be polite. But even the willingness to learn computer basics, is not enough when that has to be taken for granted – share story of recent – was the trainer in a bank when they introduced that 20 yr ago…. But did not know how to copy/paste. Tried to work with her, but that has to be second nature because of everything else going on in clinic.
  42. It is only human to think “Ugh, that last employee left because of school, or husband had a transfer or …… , so I’m not going to go through that again. IN my practice – I have a banfield, is closest, and 2 ‘parking lot shot clinics’. How we differentiate ourselves is by explaining to the client what is going on, justify why we are asking to get blood tests, diagnostics. If staff are not comfortable, or not helping the process along as employees, will they hurt the practice or help?
  43. Final 30 sec timer begins after 10 sec
  44. 68