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In This Deep Dive Episode:
We’re tackling the hardest and most expensive problem in chiropractic growth: getting from “great idea” to “real implementation.”
Drawing from a powerful masterclass by Dr. Noel Lloyd and insights from clinics just like yours, we cover:
🔥 What You’ll Learn:
📋 Tools & Framework Covered:
💡 Real Results:
Hear how one practice turned a simple idea like Pie Day into a perfected SOP that allowed them to handle 600+ patients in two days — smoothly and confidently — because the team was trained and the systems were dialed in.
🎯 Your Takeaway Question:
What single idea from your last seminar will you name, fund, and assign ownership to this week?
That decision is what drives real growth.
👉 Book your free implementation call with Dr. George Birnbach:
https://myfivestar.com/work-with-us/
👉 Subscribe to The Successful Chiro Podcast
Never miss a Deep Dive. Get weekly strategies, systems, and real tools to grow your practice with purpose.
👉 Want more trainings and system-building resources?
Visit Five Star Management for consulting, tools, and coaching that help chiropractors grow with confidence: https://myfivestar.com/
Welcome to the Chiropractic Deep Dive. This is our segment inside the Successful Chiro Podcast where we, uh, really focus on turning chaos into organized, profitable systems for your practice. Exactly. And you’re not just here for a summary, you’re here for a blueprint. Mm-hmm. And that’s what we’re laying out today.
Taken straight from a really powerful zoom call about implementation. And this deep dive is, I think, so important because it tackles the single biggest frustration for every DC and CA out there who invests in training. It really does. And before we jump in a quick word, this deep dive is brought to you by Five Star Management, a chiropractic consulting company.
We’re all about helping your practice. Stop chasing ideas and actually start building systems. Systems that help you see more patients have more fun and you know, achieve that financial success you’re working for. So today our focus is all about pulling the gold from those notes you took at say, Win-Win or New Patient Edge.
Mm-hmm. And the source material for this is a fantastic masterclass led by Dr. Noel Lloyd. He just zeroed in on the gap between, you know, inspiration and real implementation. Right, and that gap is where everyone gets stuck. You know the feel, it’s the fire hose effect. You leave a seminar totally buzzing.
You have pages of notes, oh yeah, you’re on fire. But you get back to the office on Monday and that momentum just fizzles. You’ve got 40 great ideas and absolutely no idea where to even start. It’s just paralysis. It’s a super common cycle. You have this huge excitement, tons of notes, and then what? Five days later.
That energy is completely gone. Dr. Lloyd was so clear on this. What did he say? He said, if you fail to turn those notes into action, all you really get is a warm, fuzzy feeling for about 12 hours, and that is a very, very expensive feeling. It is. I wanna stick with this analogy for a second about the cost of doing nothing.
Because it really hits home. He did not mince words at all. Yeah. He basically said, not implementing is like driving down the street with all your money in the back of the truck and you’re just blowing your money out. It’s not just the seminar fee you lose, it’s the uh, the massive opportunity cost.
The new patients you could have seen the retention, you could have systemized. It all just slips away. Okay. So the goal is to stop that bleeding, to turn the best ideas into actual standard operating procedures or SOPs that grow the practice. Mm. What was the framework Dr. Lloyd gave for that? He laid out a really simple five point structure.
It forces you to get clear right from the start. For every single idea you have to answer. Five questions are. Okay. First name it. Give it a clear title. Don’t call it that patient thing. Call it, you know, Pie Day. Right? The referrals workshop something concrete. Exactly. Two is why are we doing it? What’s the point?
Yeah. Three, what are we doing like the actual task. Four, how are we gonna do it? The step by step. The step by step. And number five, and this one’s key, what would happen if we do it well? That’s your success metric. That’s the motivation. Let’s use that example. You mentioned Pie Day because it’s. Pretty famous in these circles.
Mm-hmm. But not everyone gets what it is. It’s a brilliant, simple, systemized, patient appreciation day. You run it around March 14th, you have actual pie, and you use the event to generate a huge number of referrals and reactivations. So it’s an idea that when it becomes a system can bring in hundreds of patients over time.
Easily. That makes a lot of sense. But here’s what I found surprising about the framework. Dr. Lloyd starts by collecting mistakes first, not successes. Why would you start with what went wrong? It’s a really smart move for the team. Participants said it did two things. First. It’s comforting. You realize, okay, I’m not the only one struggling with this.
You’re not an outlier. And the second reason is more of an organizational advantage, isn’t it? It’s a huge advantage. It’s about leveraging the whole group’s wisdom. Your practice’s weakness might be another practice’s biggest strength. So you can get immediate help immediately. You’re basically crowdsourcing solutions.
It’s shortcuts the learning curve like nothing else. Okay, so we’ve got the cost of inaction. And the framework for clarity now. Yeah. How do we physically get from scribble notes to refined gold? Cool. We heard from one participant who had this, uh, really meticulous manual process, right? That was a great share.
His process starts the minute he gets back that first Monday. Step one. Yeah. Type out all the notes. Every single point, but here’s the kicker. What’s that? You have to include your tangent thoughts, what makes those little side notes so important? Well, the speaker at the seminar is giving you the ideal advice, right?
The tangent is where your brain connects that advice to a specific problem in your practice. Ah, I see. So maybe the speaker talks about scheduling and your tangent is, oh man, our front desk is still handwriting referrals, and we lose half of them. That tangent is your most urgent action item. That’s the real goal.
Ah, so once it’s all typed out, then what? Then you review it and you highlight only the specific obvious action steps. After that comes the hard part. Prioritization. He sorts them into buckets. Easy wins. First things you can do today, like calling a school about an ad. Second things you can delegate. Third, the longer term stuff, the procedural changes that might take a month or two to really build out.
And he sets a deadline for himself, right? He does the deadline for implementation is the date of the next seminar. That pressure keeps the ideas from just, you know, dying on a to-do list. That manual process is so solid for getting grounded. But I mean, we live in a world with so much tech now. How are people using modern tools for this?
Yeah. That’s where the conversation turned to AI and specifically chat GPT . We heard some really cool applications. One participant completely streamlined her SOP creation. How did she do it? She literally just dumps her messy raw seminar notes straight into chat. GPT really just copies and pastes. Yep.
And the prompt is simple. Something like analyze these notes and create an SOP for my cas on how to run a successful pie day event. Wow, that takes hours of admin work and just shrinks it down to minutes. But what if the output is, you know, too robotic or dry? She just refines it. She’ll give it another prompt.
Okay, now make this into bullet points. Use a humorous tone and add a setup checklist. That instant iteration is where the real time saving is, and another participant shared a different use for ai. Right. Not just for documentation, but for, uh, for training. Yes. For objection handling. Instead of just practicing the five objections everyone already knows, she has chat
GPT generate new surprising scenarios. So it keeps the team on their toes. Exactly. It forces everyone, even the trainer, to think critically. It makes the training much closer to the real world. That’s a great way to use technology to build resilience. Now, before any of these SOPs get rolled out, Dr. Lloyd talked with another participant about the need for, uh, executive distillation.
Yes, this part is critical for getting anything done successfully. While he is traveling home, he ruthlessly distills his pages of notes down to just the few best ideas, maybe three or four max. Okay, but hold on. If he only brings back the few ideas he likes, doesn’t that risk making the staff who came up with other ideas feel
I don’t know, ignored. How do you manage that? That’s a great question, and it’s about the nuance of leadership. He doesn’t ignore them. He takes those few ideas to his leadership team first. Ah, so it’s a smaller group, right? They fine tune the ideas, they iron out the glitches, and they get buy-in at the top.
This way when it’s rolled out to the whole team, it’s a solid supported plan, not just another idea from the doctor. So you’re not dismissing staff ideas, you’re just using the executive team to pick the order of battle. Essentially. Exactly. And as he pointed out, if your leadership team isn’t genuinely on board, the rollout will always feel like an uphill battle.
This step ensures everyone’s pulling in the same direction, which brings us perfectly into systemic training and real team ownership. You need more than just a list of ideas. For that, you need a tool, and that tool is the project sheet. These are not just notes, they’re actual management documents. I mean, the really successful multi-site practices, we’re talking 10 clinics, 70 associates.
They live and die by these things. So what’s on a project sheet that makes it so different from just a page of notes? It has to have a name. A due date, A rollout expectations, specific action steps, and this is the most important part, an assigned owner. Somebody owns the sheet. Somebody owns the sheet, whether it’s a CA or a co-pilot, someone is responsible.
Without ownership, there is zero accountability, and these sheets are useless unless you have dedicated time to work on them. That’s where that protected training time comes in, right? It can’t just be squeezed in between patients. Training has to be a protected workshop space. On the calendar for one practice, it’s every Thursday at lunchtime.
It’s non-negotiable. And what does that training look like? Is it just random topics? No, it’s a structured curriculum. They have 12 recurring topics that cycle through the entire patient journey. You know, day one procedures, report of findings, the COA, even graduation day. And it’s not just a doctor lecturing, right?
Not at all. It’s preparation based. Team members might have homework or have to give a presentation, and the best part is the delegation. How does it work? Leadership makes sure the training happens, but they delegate the teaching. If a CA just mastered the new financial program. Guess what? She trains the rest of the team on it.
That builds so much confidence and ownership. It’s the ultimate transfer of expertise. It reinforces their own learning and takes the burden off the doctor. But even with all that structure, it falls apart if the team isn’t bought into the mission. Dr. Lloyd, had some great advice on that. Yeah, he said it starts with the prerequisites.
You have to have your mission, vision, and goals written down and visible, but the real magic is linking every single task back to the emotional why. Gimme an example of that. So you don’t just ask a ca to spend an hour on filing. You frame it as helping ensure the best outcome for, say, Chad and Carol’s daughter Petra, who is eight weeks old.
You connect the task on the project sheet to a patient’s story. That’s the fuel. That’s the fuel. That’s what makes the work meaningful. So how can you tell if you’ve actually succeeded? How do you know the team is truly bought in? Dr. Lloyd had a great visual for this. He said, you know, you’ve won when you feel their hot breath on your neck, because they’re so eager to move forward, not when you’re dragging them along, kicking and screaming.
That’s a powerful image. That internal urgency is the sign of true alignment. Okay, let’s wrap this up with the final critical piece. The post seminar debrief. Another participant shared a fantastic structure for this. Yeah, his process is all about fighting that fire hose effect. From the very start. He asks his staff to come to the debrief meeting with only their top two favorite ideas.
That’s it, just two that immediately forces focus What happens next? First, they have to explain why they love the idea, connecting it to the mission. Second, they have to propose five specific action steps to implement it, and third, they have to identify what resources they’ll need. Money, help, whatever.
And that ties right back to the project sheet ownership, doesn’t it? It does perfectly. The staff member who brought the idea is immediately put in charge of those action steps. They own the sheet. The person with a passion is driving the project. Okay. But a potential problem. If you delegate a whole project sheet to a ca, how do you avoid burnout or you know, a drop in quality control if they’re already busy.
That’s why that protected Thursday workshop time is so crucial. The quality control happens systematically during that training block. With leadership support, it’s not the doctor micromanaging them during patient hours. The system itself maintains the standard. That makes so much sense. And there’s an emotional value to this whole process, right?
Absolutely. Another participant pointed out that when the doctor actually takes the time to listen and structure the implementation, this way, the team feels more involved and they feel like their opinions matter, so then they wanna do it. That buy-in is everything. It’s the whole game. So to synthesize this for you, the listener,
to move from that paralysis of notes to real action, it’s about a few key things you have to prioritize. Ruthlessly use tools like project sheets that assign ownership and, uh, protect that calendar space for systematic team led training. And when you do that consistently, the capacity you unlock is just enormous.
Think about an idea like Pie Day. It started as one takeaway, but it became a perfected SOP. We heard one story of a practice managing over 600 patients in just two days with almost no hiccups. 600 patients, all because the team was trained, they were bought in and they were running perfected systems.
That’s the power of this. So the question for you is. What single idea from your last seminar are you going to name, fund and give ownership to this week? That is the question that drives real growth. And for help implementing these strategies in your own practice, you know, to move from that idea chaos to a structured system, we really encourage you to book a free call with Dr.
George Birnbach. You can find the booking link right in the show notes. And if you want more of these deep dives, more actionable strategies to make your practice truly successful, make sure you subscribe to the Successful Chiro Podcast wherever you listen. We’ll be back soon.
Current and cutting edge guidance to profit and joy in practice. Glad to have finally found them. I made an extra 75k this year and am moving out of my own personal “Groundhog Day” hell toward a joyous life.
I have been a client multiple times over the last 25 years. Excellent coaching, relevant and fresh content and have my best interest at heart.
Exceptional!! Definitely recommend. Game changer
I was a client years ago and just rejoined in Jan. 2018. Dr. Lloyd helped me learn how to attract and retain great patients years ago, and now with my new practice in Portland, OR. I'm super excited to be back with him and FSM. Thanks a lot Dr. Lloyd!
Best Organization ever. Very good and educated seminars. Dr Lloyd and Dr. Birnbach are the best.
Great program. Drs Noel and George provide powerful and highly relevant material that is current with changing times and tailored to our individual offices. I greatly appreciate the ability to grow while serving patients ethically and congruently.
So many ideas to promote my office. Like they say, if you can't find something you like on the menu, your not hungry!
I always look forward to going to the 5 star seminars to get recharged and callobrated for our office. In the previous 2 years we have grown personally and professionally in our practice with helping more people and having more fun! I am confident that we are able to train other Doctor’s and team members to be their very best. The steps are simple and Drs. Noel, George, and Leah are excellent and will help you with what you need! #bestdecision EVER!
Dr Lloyd is very precise and gives you the tools that can be valuable to not only uplift your practice but also improve the psyche to know that you can get to a target with his steps<br>Thank you for terrific weekend.<br>Dr Jignesh Bhakta. I would throw in a six star but they only allow 5.
Dr. Lloyd & Dr. Birnbach have been instrumental in providing us with the skills to make our practice grow. Thanks to their guidance we are on target to make our goals a reality. Thank you Five Star Management. You all are truly a class act operation.
Having great time at the new patient seminar. Dr. Loyd and Dr.<br>Birnbach dishing out great info.<br><br>Dr. Guyton
Fantastic work teaching chiropractors to expand their offices. Dr. Lloyd and Dr. Birnbach have been instrumental in helping us create the practice of our dreams and sharing chiropractic with our community!<br>Thanks<br>Dr. J
Five Star has changed my practice and my life. My stress is down, my success is up and my patients are happier than ever!
I love the seminars. Always great content to help a chiropractic or alternative medicine practice run smoothly. Thanks for your help!
Fantastic group! They helped me start a successful practice.
It is hard to imagine a better organization to coach and advise chiropractic businesses than Five Star Management. Every person at Five Star is available to whatever I need of them at the moment. I have valued my personal coaching relationship with Dr. Noel Lloyd. Everyone at my clinic knows that this year will be our best year ever in practice. Thanks to their guidance I have hired my first associate chiropractor and we are about to rip it up. No looking back!
Fivestar is a focused, step by step, approach to getting your practice in shape and then shooting for the stars.
Best year ever after best year ever, love this program. Thank you Dr. Lloyd!
Dr. Lloyd and Dr. Birnbach are fantastic! I learn something new every time I go to a seminar! They provide great feedback and offer resources to make your practice operate with ease! Thanks so much
I have been a member for 2 years. Since joining I have hired an associate, a community outreach assistant and had my first child with a 16 week maternity leave. I have had best ever numbers across the board and have helped more people than ever! Plus I have more time off to spend with my family. 5 star is hands down the best! Thanks Dr Llyod and the 5 star team because you guys rock!
Dr Noel Lloyd has been amazing to work with. He can help with any situation and can customize it for your office. Not the typical practice in a box only one way to do things. He's help make practicing fun again as well as increasing my profits.
Fivestar has helped me streamline my clinic procedures to provide excellent care to our patients in a low-stress atmosphere, with plenty of time for each patient. Thank you for helping me care for our patients better!"
My husband and I have been clients for two years. We have been thrilled with five star. The coaching is custom tailored to fit the needs of your practice and the vision that you have for your practice. Dr. Noel Lloyd, Dr.George Birnbach, Dr. Leah Meadows and their fantastic team do not have their own agenda. They listen to you and help you to reach your goals. The seminars are fantastic. I always come away with a very long to do list. The information is relevant to chiropractic practices today.We would highly recommend five star to any doctor looking to help more people, have more fun, make more money, or reduce their stress.
I've been a client for over 4 years now. Solid systems, solid support, great staff. I have tripled my my income in the last 4 years without working additional hours and the seminars help not only me, but help train and involve my staff. Dr. Lloyd, Dr. Birnbach, and Dr. Meadows are all truly committed to getting you to the next level and beyond. The clients in Five Star vary from the beginner to the seasoned multi practice owner with multiple associates making it relevant for just about anyone. Thanks for all your help!
My Name is Dr. Ricky Hanks. I have been in practice now fore 30 years.I am in my second year as a client in 5 Star Management. The whole team is amazing. The front line ladies of Amanda and Brittany are wonderful. The personalized coaching form of Dr. Lloyd is refreshing, caring, and based in chiropractic wisdom. Drs. George Birnbach and Leah Meadows add a special variety of marketing wisdom, business organization, and chiropractic office skills to the overall program. The 5 Star website is a virtual gold mine of wisdom and webinars that are taking me to the next level of excellence.<br><br>The whole 5 Star program has been an experience that has returned more than 10 times a ROI (Return on my Investment) in this program just in my first year.<br><br>Dr. Lloyd has been a compassionate, caring and understanding consultant/coach who has led me to be a better husband, father, grandfather,chiropractor,business owner, and person overall.<br>He has taught me to communicate better and more effectively with my team and my patients. His business/financial training has re-enforced that life is a fair and equitable exchange.<br><br>Have more Fun...Help more People...Be more Successful !!!<br><br>I highly recommend 5 Star to old veteran Chiropractors like me and especially young Chiropractors still in school or just fresh out of school. I only wish I had started with the Five Star Team 30 years ago!!!<br><br>Ricky L. Hanks DC