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Marketing minute


Shoestring Marketing
Promoting your practice doesn’t require a huge budget. Build your practice
using the fundamentals of good business and solid relationships.

By Julie K. Silver   Published November/December 2006

How can you market your practice if you are on a shoestring budget? In “Marketing Judo,” authors John Barnes and Richard Richardson claim that what you need to be successful is brains, not budget. To begin they suggest that you not “spend a penny on marketing your business until you know the basics are working.” Essentially, you need to have high quality and efficient services to insure that any marketing you do is successful. As in any real judo match, they then suggest that you “pick the right partner.” In health care, your partners may be mentors and advisers, office support staff, and other doctors in your practice. Choosing an A-team is essential. Next in the judo theme is “choosing the right opponent.” In business, this is akin to identifying companies that have weaknesses. “Corporate sloths” are the ideal opponent. Just as in business, in health care it is wise to evaluate your competition and determine how you can stand out in the market. We all know doctors who do little to change their practices—offering no new services, working in old and dilapidated buildings, and ignoring the need to constantly improve customer service.
In any match, whether it is judo, basketball, tennis, or some other sport, it helps to have the crowd on your side. According to our judo marketing guides, “Getting the crowd on your side means working hard with the local communities where your business is.” They advise, “Work the crowd. Accept the invitations to talk to local business or community groups. Allow your staff to work for local charities in return for extra paid leave.” Your patients are also part of the home crowd. Keep them satisfied and they’ll cheer for you.
Next, Barnes and Richardson tell us to use our size to our advantage. If you are in private practice or part of a small group without a big budget, then marketing is all about the 3 F’s:  Fit, Fast, and Focused. To be fit, you need to train your staff well. To be fast, you need to stay ahead of your competition. And finally, stay focused on what you do best. Once you have accomplished the 3 F’s, the next step is to “do the unexpected.” The unexpected gets you noticed. Keep in mind that small things count with both patients and referral sources. What can you do that they don’t expect but will appreciate?
The final step in the judo marketing game plan is to keep your balance. This means that when a crisis hits, you are prepared. Keeping your balance also means trying to plan for what might go wrong and avoid unnecessary problems. Additionally, judo doctors who stay balanced will not let things happening in the community, including the medical community and community at large, blindside them. They stay tuned to upcoming changes and can anticipate how to react.
When I asked Jeanette McMurtry, the author of “Big Business Marketing for Small Business Budgets,” what one of the most important things doctors with a shoestring marketing budget should know, she replied, “Health care is a relationship buy more than it is an awareness buy.” McMurtry gave the example of one of her physician clients who she advised to discontinue his expensive weekly ads in the local newspaper. Both McMurtry and her client validated that the ads were doing little to help him when his practice volume didn’t diminish without the ads. The most costly forms of advertising—newspaper, radio, and television ads—don’t help doctors build practices. “These forms of advertising are very expensive and do not typically pay off for industries that are driven mostly by relationships,” says McMurtry. Rather, she says, “Patients choose health-care providers based upon referrals from friends, recommendations from influencers such as hospital administrators, other doctors, nurses, and so on. They are looking for credible information on which to base a very important decision. It is hard to achieve credibility in pure-play advertising programs.” On the other hand, she does admit that mass media marketing is good for larger health-care institutions which are already established and simply need to maintain a presence or preserve a reputation.
McMurtry, the principal of The McMurtry Group which provides strategic and tactical marketing and public relations support to large and small businesses, reports that there are three key “big business marketing” strategies that doctors can do on a small business budget. They are:
1. Know your patients inside and out. McMurtry suggests that you talk with them and do your homework to determine what drives their decisions. She wonders, “What criteria need to be met to win their confidence and business?” It is also important to know what fears they have associated with this type of practice or medical specialty. McMurtry says, “When doctors know this, they can create compelling messages that appeal to the emotions behind the decisions and thus communicate with relevance and meaning.” One surefire and inexpensive way to get to know more about your patients and what they want is to create a short list of questions, a survey, that you attach to the patient history questionnaire that people fill out in your office.
2. Add value.  Many patients want as much information as possible. You can easily make some “fact sheets” on different diagnoses, medications, and so on, to hand out in your office. Free open houses are another inexpensive way to add value and build credibility.
3. Network.   Build a network with other physicians and allied health-care providers. This not only helps you build your practice but also provides you with good referral sources for your patients when they need outside help.

When I asked Jay Levinson, the author of “Guerrilla Marketing for Free,” what his top three “free” marketing tactics for physicians would be, he suggested:
1. Write a column or an article for your local newspaper.  This gives you credibility and offers people insight about you and your practice. It also helps to establish you as an expert which is a key “guerrilla marketing” technique. Keep in mind that you can make copies of these articles and place them in your office or send them out to patients and others.
2. Send postcard reminders of upcoming appointments or appointments that should be made.  This is a gentle way of reminding patients that you care about them and their health. In a busy world, many of us need such a reminder to follow up with our doctors.
3. Train all office employees in customer service.  At every office, there is a certain “culture” that usually comes from the top. Be sure that your office culture is one that promotes outstanding customer service. A good way to monitor this is via anonymous surveys. Often doctors don’t hear about complaints because their administrative staff handles them. Still, you want to know who is complaining about what and how often this is occurring. It is good to remember that sometimes administrative staff members will “protect” the doctors from what is really going on in the office. Of course, we are too busy to be involved in all the minutiae that happens, but on the other hand, we don’t want major or minor (but persistent) problems to continue without us having the opportunity to intervene.
If your marketing budget is small or nonexistent, you can still do a lot to build your practice through tried and true marketing techniques. Although you don’t need a big budget to market your practice, you do need to develop a thoughtful and focused approach. Jeanette McMurtry reminds us, “Referrals are dependent on much more than skill—it’s the total experience that the patient goes home with—the information, time waiting, service, concern and personal attention from the doctor...all of these are marketing.”

Julie Silver, MD is an assistant professor at Harvard Medical School and the author of more than a dozen books including the recently released, After Cancer Treatment:  Heal Faster, Better, Stronger.  She is also the director of the Harvard CME course, “Publishing Books, Memoirs and Other Creative Nonfiction.”



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