The second experience to share happened this past weekend when out of town visiting relatives. The first night there we ate at a restaurant that was totally packed with people. There was a line out the door. Food was great, service better, and the vibe was unmistakable.  The next night we ate at a place about a block away. Although the establishment was there for over a decade the place was close to empty. I asked our waitress what the deal was and she said the reason was it was hot outside, summer time vacations, the time of year, and about three other reasons.  The food was fair, service ok, and the vibe was dead.

Obviously the external factors mentioned would have effected both places equally so they couldn't be the reasons. The internal factors effected both office also and made the difference. The point being you have to honestly look at your office and analyze it.  What factors is keeping it where it is?  Is it the area, weather, time of year, location, or is it something or a series of things internal? 

Let me list the classic reasons one office goes flat while another down the street booms.

- front desk person

-people person skills of the doctor or lack thereof.

- infrequent promotions

- poor procedures

- stress somewhere with staff or the doctor -lack of focus, distractions -lack of motivation and passion, purpose -cross purposes

So take a moment this week and honestly look are your situation.  Use the above as a check list. Improve what you can. Change what you need to change. Toss out what holds you back.