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May 1, 2014

Gossip – The Poison Triangle of Mistrust!

The Poison Triangle of Mistrust is toxic and can destroy the team and the practice culture!  What is The Poison Triangle of Mistrust?  In simple terms it is gossip. I refer to it as The Poison Triangle of Mistrust because it often involves two people talking negatively about a third person behind their back.  When the third person learns about it they no longer trust the two people involved.

This month is dedicated to learning how to create a culture that no longer tolerates Gossip – The Poison Triangle of Mistrust. 

I often hear the following statements regarding gossip:  It’s a woman thing, women just have to gossip, it’s really not a big deal because everybody does it, and you can’t stop it even if you try.

Gossip is not just a woman thing…men do it to they just call it something else.  It is a big deal and you can stop it if you are serious about having a no gossip office culture.  The reality is that gossip will continue to exist in our dental practices as long as we allow it to exist.  If we truly comprehended the negative impact from gossip it would no longer be tolerated.

 Gossip affects:

  • Trust
  • Communication
  • Team Performance
  • Morale
  • Patient Experience
  • Bottom Line

That’s just to name a few.  Gossip is not fluff stuff.  It is really big stuff!  Why would we continue to allow anything this poison to be a part of our culture?

Isn’t it time to add No-Gossip Culture to our Communication Standards?  You can read more about implementing Communication Standards in April’s Newsletter on Drama.

I teach my clients the 5 following steps to create a No-Gossip Culture and end The Poison Triangle of Mistrust!

Step One – Start with a team meeting with the entire team including the doctors.  Share with the team the impact gossip has on the team and the practice and that in the future it will no longer be tolerated.  Ask everyone individually to verbally agree to support a No-Gossip Culture in the practice.  For example, I agree to support a No-Gossip Culture.  Once they verbally agree they can’t say I didn’t agree.  I just didn’t say anything.

Step Two – Define what gossip means in your practice.   I define gossip as anything that is negative or private about another person that they do not want others to know.  As a team agree on a word or phrase to use if someone starts to gossip about another team member to them.  It could be something as simple as peace (as in keep the peace), please take it to the source, please stop, or remember we said we weren’t going to gossip anymore.   It doesn’t really matter what word(s) you use.  What is important is that everyone knows what it is and agrees to use that specific word or phrase.

Step Three – Establish consequences for gossip.  I suggest the same consequences as any other behavior that sabotages instead of supports the standards of the practice.  Establish consequences that you know you will be willing to carry out.  It is very important that the entire team understand what the consequences will be for gossip.  If you would like to receive a complimentary copy of my white pages on consequences please email me at Judykay@PracticeSolutionsInc.net.

Step Four – It’s time to actually stop the gossip.  This will take doing a few times before it becomes more comfortable.  FYI if you are on the receiving end of gossip you are just as responsible as the initiator. You play 50-50 role because if they have no one to tell the gossip stops. If a team member starts to gossip to you or you over hear two people gossiping about another team member say the word or phrase.  Please be mindful of your tone of voice and attitude.  Always speak from a place of care and concern not judgment and criticism.  If they continue to gossip remind them once more by saying remember we agreed as a team we would not gossip about each other.  Old habits die hard and we want to be supportive and help each other to stop the gossip.  If they are gossiping to you and they refuse to stop physically remove yourself from the conversation.  If they continue to gossip to another team member inform them that if they do not stop you will inform the doctor or manager (whoever handles conflict resolution in the practice).

Step Five – The doctor or manager holds the team member accountable by following through with the consequences.  It is important the entire team understands the consequences for participating in gossiping.  Yes you can terminate a team member for participating in gossiping.  It is very important to make it crystal clear what the consequences are for gossip and include as a part of your written communication standards.  Following through with consequences is where the line is drawn in the sand.  It will determine whether you succeed or fail at creating a No-Gossip Culture.  Gossip is really big stuff!  It affects trust, communication, team performance, morale, patient experience and your bottom line.  Isn’t it time to create a No-Gossip Culture and end The Poison Triangle of Mistrust?

 Contact Judy Kay today if you would like to learn more about how she can help you end The Poison Triangle of Mistrust in your practice!

April 1, 2014

Drama, Drama, Drama!

Drama has become a just a normal part of the day for many dental teams.  The dictionary defines drama as a situation or sequence of events that is highly emotional, tragic, or turbulent.  Drama starts to unfold when there is a difference of expectations or opinion on who, what, when, where, how or why something should be done.  It escalates when there are no clear standards in the practice on how to address these differences. 

This month’s newsletter is dedicated to setting Communication Standards to derail the drama in your practice. 

I often ask my audiences for a show of hands if they have established standards for communication for their practice.  A total of two people was the most I have ever had raise their hand.  We set ourselves up for communication failure when we don’t establish standards. Here is why.  We all come from such different backgrounds with unique and individual experiences.  Therefore, are expectations on what is appropriate and what is not is skewed by our personal experiences.  Our personal experience create our personal truths.  How we view and judge the world on what is right or wrong.  

We expect each other to think, act and respond the same. These false expectations get us into trouble when we think; others must behave in the same manner as we do or their behavior is wrong or another person’s behavior must mean the same as if we did that same behavior…and haven’t we all had an encounter with a brother, sister, parent, child, or spouse where there was disagreement because of a difference of opinion. These are all examples of expectations based on our personal truths.  Personal truths are why communication fails and drama starts to unfold.  We can derail the drama by establishing clear communication standards.  Communication Standards will eliminate the drama of who is right or wrong and clarify the standards for the practice.  Everyone on the team will have the same expectations.   

It is important to create Communication Standards that are specific to your team.  I would suggest to start by having a team meeting and ask for participation from the entire team.  How do they want to communicate in their work environment?  What do they feel they need from their co-workers to feel safe and comfortable communicating?  The following video is an interview with Kevin Henry in 2011 talking about my session on Drama at the AADOM Conference in Nashville.

Here are some examples of Communications Standards!

 

•           Listen

•           No Judgment of Criticism

•           Have a Thicker Skin – Be Approachable

•           Believe in Positive Intent – Give Benefit of a Doubt

•           Avoid Sarcasm

•           Be Respectful

•           Support a No Gossip Culture

•           Positive Tone & Body Language

•           Be Open Minded

•           No Buts

•           Be Understanding

•           Time & Space Appropriate – Avoid Fly Bys

•           Ask Don’t Assume

•           Address Issues Concerning Patients & Practice Not Personal

It is important to go deep enough to clarify what each standard means in words and actions.

For example, Have a Thicker Skin – Be Approachable; could mean:

•           We are open to listen to what others have to say.

•           We are willing to talk about even difficult issues as long as it pertains to the patients and the practice. 

•           We don’t act hurt or say that hurt my feelings to stop the conversation from happening.  

 Establishing Communication Standards with your team will help you derail the drama and create a happy, healthy and high performing office culture! 

Contact Judy Kay today if you would like to learn more about how she can help you derail the drama and raise the level of communication in your practice!

March 1, 2014

The Power of Affirmations!

Affirmations are powerful!  They can either set us up to succeed or to fail.  Yet very few of us consistently practice positive affirmations.  The dictionary defines affirmation as: 

  • The act or an instance of affirming; state of being affirmed
  • The assertion that something exists or is true
  • Something that is affirmed; a statement or proposition that is declared to be true. 

This month is dedicated to learning how to practice daily positive affirmations to drive our future happiness and success!    

Affirmations are like planting seeds in the ground. It takes time to go from a seed to a mature plant.  It takes consistency and time from the first declaration to the final demonstration.  You can’t just say something positive once and expect it to appear.  

 

 

Here are five steps to help you succeed at practicing daily positive affirmations and live a life you choose!

Step One – Just get over yourself!  We are so afraid we may look silly or weird if we say positive things out loud to our self.   So what if someone hears us.  We are all weird.  LOL, for me it is normal to talk to myself…as I often work alone.  The key is making sure that the conversations are always positive.   

Step Two – Start your day by defining how you want to feel or be today.  Choose words or a phrase to describe that feeling or state of being.  It could be words like happy, successful, healthy or awesome!  When I am about ready to present I think of how I want to be with my audience.  I practice words like connecting, loving, authentic and present.  Stand in front of a mirror and make eye contact with yourself. Okay, I know this seems a little weird…but it’s a good weird!  It is important to say it loud as if it already exists.  I am…  It must be I am not I want.  It is more powerful when said out loud and your mind believes it already exists because you stated I am.  For example, I am happy, I am awesome, I am going to make positive things happen today, I love my life, I love what I get to do, I am going to make good decisions today,  I like how I look today, I am going to rock it today, I am going to have an awesome day!  You can say as many things as you want.  There is no limit to positive self-talk!  

Step Three – Say it with conviction and attitude!  Just like little Jessica in the video above.  Think about the level of happiness and success you want to attract. The more energy and emotion you put into it the more you attract!  It’s the Law of Attraction in action.  Like seeks like based on the frequency of energy emitted! 

Step Four – Replay the same message over and over throughout your day.  Ask yourself; do my words and actions support those feelings or state of being.  Reset if necessary to align your words, actions and state of being.  Replaying and resetting will enable you to overcome the negative noise distractions from the world and instead focus on what you want.  

Step Five – End your day by saying out loud how you felt or state of being for the day.  I was happy today.  I was awesome today!  I made a difference today!  I made others smile today.  I helped someone today!  I changed someone’s life today by giving them a new smile!   

Contact Judy Kay today if you would like to learn more about how she can help you become a better leader, get your team to work together better and create an office culture you can’t wait to go to every day.

January 1, 2014

Performance Standards

I thought writing about performance standards was a great way to get started in 2014!  Performance standards are really to provide the team with specific performance expectations. They are the observable behaviors and actions which explain how the job is to be done and the results that are expected.  The main purpose of performance standards is to communicate clear expectations.

 The higher the standard the higher the performance!

It is just that simple…right?  Wrong!  Just because you set high standards does not mean you will get better performance.  Doctors and managers often struggle with getting the team to support the practice standards.  Yet they continue to set new and higher standards in hope that they can raise the level of performance in their practice.  Raising the level of performance is really dependent on the following principles.   Here are four principles that will help you nurture a culture of top performers!

The first principle is Leadership. 

Model the waddle you want to see.  In other words walk the walk! If leaders don’t “lead by example,” it is next to impossible to raise the level of performance. How can anyone trust a leader who says one thing, but does another?  We don’t support people we don’t trust.  People will do as you do not as you say.  Everything really does come from the top down. Set standards, don’t allow double standards; live and maintain those standards. If you want your team’s focus to be what’s in the best interests of the patients and the practice, yours must be as well. Actions always speak louder than words. If you say one thing and do another they will start to doubt and be suspicious of everything you tell them. They may lose trust that you’re doing the right thing, or that you even know what you’re doing. They will stop following your lead.  The vision you’re trying to make happen will falter when your team doesn’t trust or respect you anymore resulting in plummeting performance.

The second principle is Precise and Consistent Expectations.

A team meeting setting works best to get everyone on board. Don’t generalize be specific.  Define clearly what you want.  Go deep enough for everyone to understand the who, what, when, where, why and how behind each standard.  What does it mean in words, attitude, actions, body language, and tone of voice?  Discuss any potential obstacles and a plan of action to overcome.  Allow input from the entire team to create immediate ownership.  Once the team has agreed on a standard, title it and print it out as your Standard Operating Procedure (SOP).  A simple 3 ring binder with clear sheet protectors works awesome as an SOP Manual.

The third principle is Accountability Monitoring and Feedback.

Monitor results on a daily basis.  Your daily huddles are what I refer to as accountability meetings.  They allow the team to discuss and get feedback on what is not working or not being done in a real time basis. Utilize a white board to list any reminders that need to be addressed instead of waiting for the team meeting.  The team is responsible to review the white board prior to the huddle.  A white board will help you to communicate effectively even if you have different shifts.  If it is specific to only one or two team members list their name and who to check in with to discuss further.  Otherwise, just list it on the board for everyone.  Monthly team meetings are great to review benchmarks in terms of quality, quantity, or timeliness and give feedback of how the team and practice is doing.

The fourth principle is Commitment.

It is necessary for every team member to commit to supporting the practice standards in attitude, words and actions.  Whenever you are implementing something new or changing an existing standard, system or protocol ask each team member to verbally commit their support in front of the entire team.  (A team meeting setting works great for this as well.)  Sometimes even when you utilize the first three principles; you can’t get that one team member on board.  The reality is they have their own agenda and therefore are unwilling to commit to supporting yours.  Performance standards are based on best practices for the greater good of the patients and the practice and not any individual. If they are only willing to do what they choose and are only concerned about WIIFT it is time to have a line in the sand conversation.  If they want to be a part of the team it is necessary to support the team standards.  Otherwise, wish them well and let them join another team that may be a better fit for their standards.  Yes I know, they may be extremely good at what they do when they want to be.  In most cases they are and will use it as leverage to hold the doctor hostage.  However, if you allow one team member to not support the practice standards you sacrifice the entire teams performance!  The bottom line is that if they are not supporting they are sabotaging the practice.

Embracing these 4 principles will help you raise the level of performance in your practice!

 Contact Judy Kay today if you would like to learn more about how she can help you raise the level of performance in your practice!

 

November 1, 2013

Delivering W.O.W. Service!

This month’s is all about delivering W.O.W. Service!  I might as well confess right here right now…I am an acronym addict!  I absolutely love them! W.O.W is an acronym for Weed Out the Weeds!  

Here is why!  I work with General Dentists as well as Specialty Practices (Oral Surgery, Periodontal, Orthodontic, Endodontic, Prosthodontic and Pain Clinics) to help them create an exceptional service culture.  What I have found is once we eliminated the weeds in their practice they were able to deliver WOW Service!  A weed is anything that can make a patient feel uncomfortable or unwelcome or could possibly destroy a relationship.

 Your patients will forget everything except how you made them feel! 

 
In order to create a W.O.W. Service Culture it is important to focus on the patient’s experience. This means one-sided practice focused rules and procedures have to be eliminated. It is necessary for the entire team to be trained on how to deliver W.O.W. Service.  It only takes one untrained person to create a weed experience and lose a patient.  I teach a 3 step process to help my clients Weed Out the Weeds and create a W.O.W. Service Culture.  A team meeting setting works awesome.

  • The first step is for the team to define their ideal service culture! 
  • The next step is to list all the obstacles that may get in the way! 
  • The final step is to discuss service strategies and implement SOPs to overcome the obstacles. 

It is important to remember the reality behind exceptional service.  Service is a triangle.  If you want to deliver exceptional service it usually requires additional time, money or people or all three!  If you are unwilling to invest in the 3 the level of service you deliver will be limited.  

Here are the TOP 10 Service Standards for Delivering W.O.W. Service!

1.  Smile – Seriously…this is the simplest, and the only standard that does not require extra time, money or people and gives the biggest ROI!  Yet I can’t tell you how many people struggle with smiling.  For some it’s like pulling teeth! 

 2.  Slow Down – Yes I know you are trying to be efficient and effective and raise the highest PPH (Production Per Hour) to pay overhead.   When it comes to service…if you don’t take time for your patients…they will go to an office where someone does!  This is one of the biggest complaints patients have regarding service.  How effective and efficient are you if you are losing patients.  Do you know what your monthly net patient count is?  Research shows it costs 6 to7 times more to attain a new patient than it does to retain an existing patient.

 3.  WIIFTP – Always ask yourself when you are interacting with a patient…what’s in it for the patient…how I can serve them best at this moment.

 4.  Own It – Four magic words in service…I CAN HELP YOU!  Even if that means that you reach out for assistance from someone else.  Don’t refer them to someone else.  Because it is YOUR JOB!  Your job is whatever legal, ethical and is within your licensure that will help to create a W.O.W. Patient Experience and help the practice thrive!

 5.  Help Each Other – In other words team work!  It means you ask for help when it could enhance the patient’s experience.  You say yes when someone asks you for help unless you are already with another patient…even if you don’t like that person!  Part of team work means we play well together and work for the greater good.  How ironic that playing well together was expected starting in first grade…even a part of the report card.  Now it often ceases to exist even in the most professional of environments!

 6.  Be Professional – Professional can mean many things to different people.  Leave nothing up to assumptions…Establish guidelines and standards for appearance, communication, attitude, and behavior.   I suggest a team meeting and have the team define the standards.  When the team establishes the guidelines and standards they are much more likely to embrace and own them!

 7.  Protect the Privacy of Patients, Employees and the Company – We are all familiar with HIPAA.  Privacy also means no gossip!  You can stop gossip in your practice if you don’t allow it!  NO…women do not have to gossip!!!  That’s a whole other newsletter! J 

8.  Maintain a Sparkling Clean Environment – You may have a janitorial service to assist at night.  During the day it is everyone’s responsibility to maintain the office.  If your patient sees dirty gauze on the floor they will assume that the office is not clean/sterile.  If they see a messy and coffee stained reception area they will assume the office is not clean/sterile.  If you see it, clean it or pick it up!

9.  Be On Time – I know that you can’t predict everything to be able to schedule every appointment appropriately.  Nor can you just stop working on the patient once their time is up.  Although there are times we may wish we could!  However, if you consistently run behind it is time to evaluate where you run behind and the time you are allowing for those appointments.  If your patient always has to wait it becomes a very big weed that could eventually destroy your relationship.  They will believe that you don’t respect them or their time.   I know of practices where their brand is just being on time and they are thriving because of it!

 10.  Practice – Your patients aren’t test sites, guinea pigs or experiments.    Please practice before you ever take anything out on the floor to try on your patients.  Practice verbal skills, role playing and even the physical walk through.  I can already feel the push back on role playing.  Ick we hate that!!!  If you can’t say it to each other how in the world can you say it to a patient?  You will avoid fields of weeds if you just practice!  In Real Estate the 3 magic words are location, location, location well in delivering W.O.W. Service its practice, practice, practice!

 I ask you to think about what steps you are willing to take to make a difference for your patients.  Implementing Service Standards will help you nurture a W.O.W. Patient Environment!  Bottom line is that no matter how great of a dentist you are…your patients will forget everything except how you made them feel!  The secret is delivering W.O.W. Service!

 Research shows that dentists who build their office environment around the patient’s experience own and dominate the market.

 If you would like help creating your ideal W.O.W. Service Culture please contact me to learn more about my 2 day onsite training “Delivering W.O.W. Service”! 

September 1, 2013

The Sunny Side of Life III

I teach my audiences and clients 5 Rays to help them rise above their circumstances and live life on the sunny side!

• Entitlement Expectations
• SPF
• Labeling
• Mindful Talk
• Celebration

Hopefully your July and August were a little happier after reading the past two news letters on Entitlement Expectations, SPF, Labeling and Mindful Talk!
This month we are going to wrap up the Sunny Side series with Celebration!

Ray 5 – Celebration

It’s time to celebrate life, even the little things in life…we take things so seriously…we get so busy…we don’t allow time to celebrate. If we don’t make time to celebrate we will lose our joy for life.

Being present is the first step in celebration! It is important to filter out all the noise from worry and fear and focus on what is actually happening in the present moment. It is only when we are present in the moment that we become aware of all the little things in life worth celebrating.

The next step is to lighten up and have a little fun! Seriously…it’s time we stop taking our self so serious and acting so important. We are but a spec on this planet. Yes I know we are all sooo sooo busy doing whatever it is we are doing that is sooo important for the rest of the world to continue to exist. I think the planet will survive if we take a moment now and again to act silly and have a little fun!

When we are stressed and don’t feel like celebrating; if we change our physiology (body patterns) we can change our psychology. Body patterns are the repeated actions our body reflects when we feel certain emotions. They are how our body speaks to us and therefore have a direct connection to our mood. Some examples of negative body patterns that make us feel stressed are rubbing temples, wringing our hands or a hunched over closed position. Whereas smiling, laughing, or a victory pose (Ta-dah) are positive body patterns that help us feel happier. So if we want to change our mood to be happier all we have to do is change our body pattern and we will feel like celebrating!

Harvard research supports that if we just get happy we will be more:
Successful
Intelligent
Creative
Productive
Healthier

Celebrate by saying a Ta-dah a day and be more successful, intelligent, creative, and productive while keeping the doctor away!

August 1, 2013

the Sunny Side of Life, Part II

I teach my audiences and clients 5 Rays to help them rise above their circumstances and live life on the sunny side!

  • Entitlement Expectations
  • SPF
  • Labeling
  • Mindful Talk
  • Celebration

Hopefully your July was happier after reading last month’s news letter on Entitlement Expectations and SPF!  This month we are going to continue on with Labeling and Mindful Talk!

Ray 3 – Labeling

Words that label have tremendous impact on our attitude and how we feel. We have to be careful about how we label the relationships, events and outcomes we have in life. If we label something as bad it becomes our belief and we manifest feelings and emotions that support the label of bad. I find using the word interesting instead of bad takes away the negative power.

Our beliefs of positive and negative are based on our past experiences. If we do something and we have what we believe to be a negative outcome we will label it as negative. Yet we may have an entirely different outcome if we attempted to do it again. For example, I went on a hot air balloon ride over Napa Valley for my 50th birthday (just a few short years ago). It was serene and wonderful. I am even afraid of heights and I would do it again in a heartbeat. I would label it as a very positive experience. However the following day the winds came up unexpectedly and the balloons had a difficult time landing. I may have labeled it as negative had I gone on that day…and most likely would never consider going again. The great news is we can change our belief from negative to positive when we add new experiences that our positive.

Truthfully, how can we label something as good or bad if we don’t know the end? None of us have a crystal ball. So how do we really know if something is good or bad? There have been many things in my life that at the time seemed interesting that actually turned out generating a very positive outcome. Haven’t we all thought or said this is going to be bad at one time or another and yet it turned out to be one the best things to happen to us. 


 

Ray 4 – Mindful Talk

It is imperative that we are mindful of our self talk if we want to live life on the sunny side!  The majority of self talk takes place so quickly and automatically that we don’t even notice we are doing it. Even if you don’t really listen to your chatter, your subconscious mind is listening.  The subconscious mind just accepts everything you tell it, and responds accordingly. 

 Some examples of negative self-talk are:

  • Worry – Fear of what if ???
  • Perfectionism – Not good enough or should haves!
  • Self-Criticism – Compares you to others, with you being the loser.
  • Self-Doubt – Lack of confidence that you can do or achieve your dreams.
  • Being a Victim – You have no control over your circumstances, and you and your life are bad luck!

The awesome news is we can hard wire our brain to start thinking more positively!  When we have mindful talk and actively choose where to focus our thoughts and repeatedly apply it to a wholesome and constructive thought we eliminate the negative deceptive self talk!

June 22, 2012

W.O.W. Patient Philosophy

This month is dedicated to creating a W.O.W. Patient Environment Philosophy.  W.O.W. is an acronym for “weed out weeds”.  We implement wonderful amenities like warm towels, aromatics and massage chairs to entice new patients and retain existing patients but fail to see the weeds we have growing in our office.  Weeds are anything that can make our patients feel unwelcome or uncomfortable and damage a relationship.  We want to weed out the weeds and instead nurture flowers.  Flowers are what make our patients feel welcome and help our relationship to grow and flourish. Set yourself apart from your colleagues, embrace a W.O.W. Patient Philosophy and be the office patients can’t stop talking about!

May 25, 2012

A Habit Away From Success! How to Sustain Change

You have just heard the most fantastic speaker share a step-by-step process for 5 systems that will make your business thrive!  Instant success right?  Wrong!  The problem is we learn what we need to do to implement change but we don’t learn what we need to do to sustain what we implement.  All the good intentions and great ideas in the world won’t make a difference if we can’t sustain them!   Forming new habits is the key to sustain change!  Listen to Judy Kay share her R.I.S.E. Philosophy to help you implement any new idea, system or protocol!   Learn how to form new habits and R.I.S.E. to Success!     

 

April 30, 2012

Fluff & Stuff of Appreciation

What’s the big deal?  After all how important could appreciation really be?  The truth is appreciation is not fluff but instead it is really the stuff that helps nurture our purpose and value!  Please watch the video below!

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