Client Case Study: Closed Room to Semi-Open Room

An Extreme Chiropractic makeover

 Practice Statistics

Subject client: 39 year old Female Chiropractor

Location: Long Island New York

Years in practice: 8 

Years with practice management company: 2

Weekly Patient Visit (WPV): 125      

PVA: 38

New patients per month (NP):  14       

Work Week : 23 Hours

Facility Size:  1,250 square feet

Before and after

Primary reasons for Remodeling:

Outdated decor did not reflect the professionalism of the doctor. It gave a horrible "First Impression" to her patients. She was capacity blocked at 125-135 weekly visist. She was unable to educate patients effectively, had an extremely unorganized Report of Findings and wasted too much time as her patients trapped her in her closed rooms to have non chiropractic discussions.

Her poor quality Report of Findings impacted her conversion ratio. She was unable to deliver a health care class due to the size of the reception room and her staff had poor productivity and efficiency both at the front desk and in the collections departments.

 Front Desk Area Before

 Primary Hallway, Restroom, and Filing Area Before 

 Exam and X-Ray Room Before

 Reception Room Before

Initial Consultation Room Before

 Report of Findings Room Before

Primary Goals

Within 3 years, she wanted to create the practice of her dreams. One that would reflect who she is and what she represents. Some of the specific statistical changes she wanted to achieve were as follows:

Weekly Patient Visit (WPV): 450       PVA: 48

New patients per month (NP):  38        Weekly Hours:about the same (23)

Business and Design Criteria

A word of caution: There are three general design options for any chiropractor. Closed room, Open room and Semi - open room adjusting each have their own pros and cons. After listening to the results the doctor is looking for, we determined that the semi-open room concept would yield her the best results based on her treatment techniques, practicing growth strategies and business systems. This is not the same for everyone. As you review this transformation, focus on the changes and how they align with the doctors needs rather than deciding if semi open is right for you. When we work together, we will help you make that decision.

After several consultations with the doctor, the design team at Davlen decided that the semi-open adjusting area would help her educate her patients, thereby increasing their PVA. Better educated patients refer more of their friends and her internal referrals would increase. A better Report of Findings room would greatly improve her conversion ratio and would also improve the patients understanding of her best recommendations. The natural light from the windows would add to the overall feeling of health and well being. The addition of plants and water features would support the feeling of life and health that all Chiropractic offices should represent. Her primary objective was to transform her symptomatic style of practice into more of a wellness style practice. She wanted to head away from third party payers and toward a cash model. Davlen set out to streamline her Front Desk CA's work area with a more efficient working environment. Together, we worked with her contractor to develop an acceptable budget that included changing the stained ceiling tiles, removing most of the flourescent lighting, and adding recessed can lighting and wall sconces to highlight the art work that her practice management consultant suggested. By creating an office that simplified her daily activities, she was able to do more in less time and in less space, making her much more efficient.

The Results

By eliminating the capacity blockages of the facility, and by creating an office that she was proud to come to every day, she was finally able to implement the practice building procedures that her management company had trained her to do. By having a Consultation and Report of Findings room that was developed to place everything that she needed directly at her fingertips, she was able to deliver a clear and concise Report of Findings. Her conversions went up and her PVA went up because her patients were able to better understand her best recommendations.

"Short Term" Practice Statistics after transformation

Within the first 4 months of completion, her weekly visit average had already climbed to over 210 WPV.

Her practicing hours per week actually decreased to 22

Her income had increased by over $15,000.00 per month.

 Front Desk and Reception Area After

 Primary Hallway, Restroom, and Water Feature After

 Exam and X-Ray Room After

 Reception Room and Product Display Area After

 Initial Consultation Room After

 Report of Findings are Adjoining the Consultation Desk After

 Semi-Open Adjusting Area in Patient Care Mode After

 With our unique, portable T wall system, this Semi-Open Adjusting Area transforms into Health Lecture Mode within 60 seconds After

 Billing and Administration Area After

 A Commanding View of the Entire Office from the Front Desk After

Return on Investment

Total Improvement:

Total Growth within 4 months of completion: 

The transformation helped the doctor attract over 130 new patients per year!

Approximately 95 wpv increase x $40.00 / 

yields an increase in income of $ 16,450.00 / month

 Total growth within 16 months of completion:

Approximately 175 wpv increase x $ 40.00/ yields an             

increase in income  $ 30,310.00/ month

          (Your results may vary)

Sidebar:

Since completion, her husband, also a well respected Chiropractor, decided that due to the capacity and operating efficiency of this one location, that he would consolidate both practices under one roof. They both now practice from this 1,250 square foot facility and have increased their income tremendously and have lowered their overhead significantly. They are currently on their way to seeing over 400 patients per week employing 1 CA, have added services and now have plans to build their own building within the next two years.

Note: While this client benefitted most from the Semi Open model, this may not be suitable for you and may not help you achieve the practice goals that you desire. We have over 3,500 Clients and every one is different. We specialize in understanding the results that you are looking to achieve and then design and furnish a clinic that is right for you. The results she achieved may not be similar to yours. We make no representations or guarantees to the results that you can achieve. Your results may vary. All designs are proprietary and copyrighted by Davlen and may not be replicated without prior written approvals from Davlen Associates, Ltd.