The Remarkable CEO for Chiropractors

334 - How The “Last to Now” Exercise Turns Assessment into Real Execution for 2026


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Stop guessing. Start assessing. This conversation gives chiropractors a clear, CEO-level way to review the past year so you can plan 2026 with confidence. Dr. Pete and Dr. Stephen break down the APPEAR process and show how to score your five domains, surface real constraints, and turn them into projects that boost throughput, retention, and profitability. You’ll learn how to use the Accountability Grid, align KPIs to owners, and set a simple rhythm that keeps your team focused and your growth sustainable. 

In this episode you will:

  • See how the APPEAR framework turns vision into execution. 
  • Learn to score attraction, conversion, retention, team, and collections with real data. 
  • Identify true constraints and translate them into 2026 projects. 
  • Assign clear ownership and KPIs using the Accountability Grid. 
  • Build a repeatable end-of-year assess → plan rhythm your team can follow.

Episode Highlights

01:38 – Learn why Last to Now is the essential starting point for the APPEAR framework.

02:17 – See why discipline and restraint make this assessment so valuable for leaders.

03:29 – Understand how the APPEAR process works and why the Assess step runs deeper than most expect.

04:08 – Hear how belief systems shape behaviors and why outcomes trace back to mindset.

05:32 – Learn why successful chiropractors reflect before they plan and how this habit produces better years.

06:23 – See why entrepreneurs struggle with slowing down and why looking back is uncomfortable but necessary.

07:16 – Understand how last year’s vision and goals become the anchor for your annual review.

09:18 – Learn how your vision story and goals turn into a data-driven roadmap for assessment.

10:53 – See why outcomes reveal the truth of your inputs and why emotional reactions are part of the process.

13:06 – Learn how to create a proper CEO environment for meaningful annual assessment.

14:52 – Understand how the APPEAR process ties assessment, planning, and execution into one clear rhythm.

17:12 – See how the updated Accountability Grid simplifies scoring and clarifies ownership.

21:26 – Learn how to connect beliefs, behaviors, and tools so your assessment becomes actionable.

26:02 – Understand how the three tributaries of marketing reveal the health of your attraction strategy.

34:09 – Learn how constraints limit throughput and why identifying them drives your 2026 projects.

37:58 - Coach Dr. Eric talks with Success Partner Dr. Chad Glines from Genesis Back and Neck about bringing a principled decompression system into a chiropractic practice without adding confusion or extra work. Dr. Chad shares how their proven protocol, targeted marketing, and full training support make disc care consistent, profitable, and easy to integrate. It’s an encouraging look at growing your practice and serving tougher cases with confidence and integrity.

 

Resources Mentioned

Download for the Accountability Grid & Walk-Through Video: https://theremarkablepractice.com/podcast-ep334-acctgrid/

Learn more about the TRP Remarkable Business Immersion - March 6 - 7, 2026 in Phoenix, AZ and March 20 - 21, 2026 in Brisbane, AUS - https://theremarkablepractice.com/upcoming-events/

To learn more about the REM CEO Program, please visit:  http://www.theremarkablepractice.com/rem-ceo

For more information about Genesis Back & Neck visit: https://genesisback.com

Book a Strategy Session with Dr. Pete - https://go.oncehub.com/PodcastPC

Prefer to watch? Catch the podcast on YouTube at: https://www.youtube.com/@TheRemarkablePractice1

To listen to more episodes, visit https://theremarkablepractice.com/podcastor follow on your favorite podcast app.

 

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The Remarkable CEO for ChiropractorsBy Dr. Peter Camiolo and Dr. Stephen Franson

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