One of the most overlooked problems is lack of enough business space to administrate the potential production per operatory. Consistently high production goals are almost never met in those cases. One other factor must be considered here and that is the percentage of acceptance of comprehensive treatment plans in the practice. We find that most doctors don't know this important indication of the success of their practice. First is ineffective verbal skills.
Most management consultants start here with a new client.
When your environment is not congruent with what you're expecting your patient to accept, then expect your acceptance rates to be significantly lower than they could be. It's common for doctors who have just moved into their new office to report a high incidence of existing patients asking for treatment that was presented years before. But that only occurs when the new office has a visual image that is consistent with the quality of care they provide. People react much more to what they see and feel than what they hear. Remodeling is usually the least optimal choice unless sufficient additional space can be added and the construction can be phased so that production is not lost due to partial or complete shut-down of the practice.