The Successful Chiro

How to Build a World-Class Community Outreach Assistant (COA) System to End the New Patient Rollercoaster


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In this episode, you’ll learn:

  • Why the “new patient volume rollercoaster” happens—and how to stop it
  • What makes the COA role a must-have in every growth-focused clinic
  • The biggest hiring and management mistakes (and how to avoid them)
  • The exact KPIs and accountability systems that drive consistent new patient flow
  • Proven call metrics from top COAs (8–12 hours/week, 1,200+ calls/month!)
  • How to build the culture, systems, and communication loops that keep your outreach thriving

Next Steps:

📞 Book a Free Strategy Call with Dr. George Birnbach to build your COA system, KPIs, and accountability structure: Book Here → https://myfivestar.com/work-with-us/

🎟️ Join Us Live in Orlando — November 15–16, 2025!
Choose your track: 

The New Patient Edge – Proven systems to fill your schedule fast.

Win–Win Associates – Build and scale with profitable associate relationships.
👉 Register now: https://myfivestar.com/win-win-live-nov-25/

🎧 Subscribe to The Successful Chiro Podcast so you never miss a Deep Dive episode filled with practical, system-based strategies for sustainable chiropractic success.

🎙️ This episode was created using AI-generated voices to bring Dr. Noel Lloyd’s teachings and Five Star Management resources to life.

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The Successful ChiroBy Noel Lloyd

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