Office Hours with Angelique and Toby

Office Hours episode: Strategies for Navigating Peaks and Valleys


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In this episode, Angelique and Toby share the real-world challenges of managing a rapidly growing practice, including scheduling, client communication, and insurance strategies. The discussion provides practical tips for handling peaks and valleys in client volume while maintaining quality care and clinical efficiency.

Key topics:
Navigating peaks: how to allocate slots for emergent and ongoing care
Strategies for managing scheduling and cancellations
Transitioning to all-cash practices and insurance considerations
Building a reliable referral and network system
Recognizing practice peak signs and when to expand staffing

Timestamps:
00:00 - Introduction: managing rapid practice growth

00:40 - Approaching full booking and scheduling challenges

01:44 - Communicating capacity limits with patients

02:41 - Recognizing whether current growth is a peak or a new normal

03:24 - The importance of leaving buffer slots for emergencies

03:54 - Strategies to control new patient intake and manage demand

04:21 - Transitioning to cash-only or insurance models and leveraging staff

05:18 - Building a referral network for urgent patient needs

05:44 - Tips for delaying new patient appointments to create breathing room

06:03 - Preparing for potential patient demands for specific treatments

06:33 - When to consider going all cash and expanding staff

07:07 - Identifying when your practice has passed the peak

07:40 - Long-term patterns of practice growth and patient re-engagement

08:13 - The impact of delivering excellent results on word-of-mouth

09:26 - Managing cancellations and patient respect for your time

10:09 - Using waitlist systems effectively

11:36 - The value of human office management vs AI automation

12:00 - Staying calm during peaks and valleys in practice volume

12:30 - The likelihood of peaks becoming the new normal

13:12 - Valuing health services and patient willingness to pay

13:41 - Comparing costs and value of biomedical treatments vs alternative care

14:10 - Closing thoughts: riding out growth cycles together

Resources & Links:
Jane Scheduling Software — for appointment management and waitlist features

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Office Hours with Angelique and TobyBy Toby Daly