My RD Journey

From Undergrad -> Internship -> RD -> Private Practice!


Leave a comment

Private Practice Tools & Apps

When I first started PorrazzaNutrition, I did a lot via paper (i.e. my accounting, charting, etc) and I soon realized just how many files I was accumulating. Over the past couple of years, I have implemented a few systems/applications in my practice and I have complied a list of just some of them for you today. There are tons of competing products/services on the market; however, these were ones I have used personally and were satisfied with. This is not a sponsored post and I do not work for any of the companies featured below.

Organization
Trello– I have just started using this free app/site and it is awesome for individuals and teams! I love that you can create different boards (topics) and lists. I used for long-term lists and also for some of the committees I am on. I also use the boards as ideas for my blogs and then I list out talking points. It is great for me when I am not able to sit down and write on paper.
Google Drive- If you have not used GD, start now! You get a ton of free storage! I store informational sheets, blank assessment forms, and documents that I use most often on-the-go. It is way better than storing a ton of stuff on my laptop and then only being able to access if I am on it. I use GD a lot for committees I am on. It is easier to share a folder with the minutes than emailing documents back and forth every month.
Tools for Wisdom Planner– I am totally still a pen-and-paper planner person. I tried using an online calendar and hated it! I like crossing things out and being able to flip through the months with a paper planner. I am super picky about my planners and will spend hours trying to find a good one each year (haha). I currently use the Tools for Wisdom since I specifically wanted a planner with a month view plus the days in columns with an hour-by-hour format. The pages are thick enough that highlighters do not bleed through (I am a color coding queen). I might switch up again for next year since this does not include any 2018 months. I am totally open to suggestions here!

Accounting – Quickbooks
When I first began my practice, I didn’t have a ton of income/expenses so I just tracked using ledger sheets. After about 2 years, I started looking around and Quickbooks came up a lot. It is super simple to use and cheap (I pay $5.30/month). You can save different transactions for the future so they are automatically categorized as they come in. I use the app a lot on-the-go, especially since you can scan in receipts. I still use a separate accounting sheet to track unpaid classes or checks that have not been cashed yet. It definitely makes tax season a lot simpler since you can just import your information from Quickbooks without having to enter in everything manually.

Media
Dropbox– I have the Dropbox app on my phone and computers and it makes it really easy to upload files or pictures. I take a ton of photos and it syncs automatically with my computer where I can then move them to an external hard-drive or save to my photos.
-Canva– Awesome for designing posts for social media, blogs, etc. So many free images/templates.
Pixabay–  Royalty free pictures. I take a lot more of my own photos now; however, this was really helpful for me initially.
Snapseed– Free app for editing photos. One of the best I have used so far.
Tiny Scanner– Free app that functions as a portable scanner. Your scans can be saved as a PDF or an image. I have the free version and just delete the scans once they are uploaded to where they need to be. Really useful for scanning large documents especially if you are out or don’t have a scanner at home (mine is a bit temperamental).

Newsletters – MailChimp
I use MailChimp for my bi-monthly newsletters. I also embedded a sign-up form on my website (GoDaddy) that links to my account. I like being able to embed newsletters in emails and then track the statistics after each email blast. I use the free version for my practice and have not felt the need to upgrade further yet.

As I mentioned in the beginning of the post, this is not a complete list of every tool/app I use in practice; however, it does include my main ones. I will be posting another blog to include my counseling/billing resources too!

I am always open to suggestions for tools, so leave a comment and let me know what types of software or applications that you use that have made your business life that much more productive (or simpler).


1 Comment

Balancing Work & Personal Life

Happy Saturday! This is going to be a bit shorter of a post since I have a ton of cooking to do for Easter tomorrow. I am making about 70% of the menu this year, which I am so happy about, since it was a slow process getting my whole family interested in healthier meals/sides.

The past few weeks, I have had a lot of time to reflect on how one-sided my life felt in terms of balance. I felt like I was always working and just squeezed in time for myself or my family. I still wasn’t working on the things that I had set goals for (like writing an e-book or creating Podcasts) and I really needed to make that change. I had a few family issues this week (all resolved) that made me appreciate the fact that I have a private practice and do have flexibility. I did realize that my time still needed to be adjusted for a more optimal day-to-day routine. So, with that being said, this post brings to you my top 3 tips/lessons for having a more balanced work and personal life.

1. Set (and Keep) Boundaries for Yourself
I am the worst at keeping my boundaries. I will say to myself that Tuesday I am not booking clients so I can work on x-y-z. Then, a client comes along needing an appointment and I say, “Hey, what’s an hour?” The reality is that the 1-hour appointment also includes travel time + prep + post work (billing, report writing, etc) and can really break the concentration I had going for the day. I now schedule in my calendar the days where I don’t see clients and I stick to it. Setting boundaries also means not checking emails or your phone constantly. I no longer answer emails after 8pm, unless it has been a late day for me. I always think to myself that, “It can wait, or they would call.” If not, I end up checking the email, spending the time to respond or react in some way and ultimately it feels like my work day is just dragging on and well into my personal time.

2. Schedule It
Going along with keeping boundaries, use your calendar to schedule when you are doing personal things. I planned out the days I would go to the gym and when I would be gardening. I also set days for office-work for my business and times when I would work on content creation. This could mean seeing clients on Mondays, Wednesday and Thursdays and also teaching classes on Wednesdays and Thursdays. It could mean Tuesdays are when I garden and spend time doing personal things. It could mean Fridays are office-work days where I follow-up on billing issues, work on social media, etc. At first I had the thought that my life was so planned it leaves no wiggle room; however, I discovered that by setting aside the time initially, I had more freedom and flexibility.

3. Don’t Overbook Yourself
When I first started my practice full-time, I just wanted to get as many clients scheduled as I possibly could. After realizing that I wasn’t spending time on furthering my practice, I began to cut back on my workload and space it out a bit more. If I overbook, I end up stressed out and really just not at my prime. Not overbooking yourself ties right into keeping the boundaries you set. If I lose a client because I can’t see them in 2 weeks, then so be it. It rarely has happened that someone doesn’t want to wait for an appointment; however, I know for my sanity and stress level that cramming in an appointment isn’t good for me. Usually, those cram-in appointments take the place of the time I wanted to go to the gym or time I wanted to create something. In the long-term, it isn’t worth it. In my last blog post, you can read all about how I have been striving to reform my practice to allow for more flexibility while maintaining income in the long-term.

In the end, the reason I am so busy is due to my own fault in over scheduling and plain overbooking myself. I no longer want to be so busy that I can’t enjoy the things I love like gardening or spending time with my family or cooking. So, my personal commitment is to streamline my business and tasks that go along with it to be able to have the optimal work-life balance for me.

Leave a comment and let me know what your tips/strategies are for keeping your work and personal life in balance.


3 Comments

4-Month Practice Recap – Self-Employed Vs. Employee

This blog post was originally going to be all about setting income goals and figuring out billable hours; however, as I approach my 4-month self-employed, private practice milestone, I had something different I wanted to share first. This revolves around mainly how I left a “9-5” employee job for a 9-7 if not 8-7 self-employed private practice. Was it worth it? Of course and I would do it again; however, I did come to realize a few things this past month that are going to redefine how I do business in the future.

When I first thought about private practice, I didn’t think it would end up being something full-time. Sure, I would have absolutely loved to just be doing my practice; however, I just didn’t see that as being realistic. I was certain I needed the traditional path of jobs to be successful. After a few years, I began to see that full-time private practice was definitely realistic and coming faster than I had imagined. Now, let’s flash-forward to when I was deciding to leave my full-time employee job. I debated with myself A LOT in the months leading up to my quitting. Would I make enough money? Would I actually like what I was doing? Would I get overwhelmed? I was someone who was ingrained with the idea of making money and saving for a future. Not that this was at all a bad thing, but I was fearful that I wouldn’t be saving and would instead drain the savings I had been building for years.

With those thoughts in the back of my mind, I still quit my job and was quite successful being a private practice business owner. My income surpassed what I was making being an employee, I was flexible enough to be able to spend time with my family whenever needed, and I loved being able to choose what I was doing. So, this doesn’t seem so bad at all, right? To be honest, my success was largely due to stretching myself beyond capacity, taking paying gigs whenever possible (even if they were at lower rates than I wanted) and seeing clients even on the days when I wanted to just focus on office work. I wasn’t spending time on creating products for my lesson plan store. I wasn’t spending time on making YouTube videos. I wasn’t spending time on writing a book. I was just working to make money (and of course because I truly like what I do). It was at this point that I realized that I couldn’t add more to my schedule because the time just simply wasn’t there. I also wasn’t adding in the pieces of my business that would be a source of passive income, thus lightening up my day-to-day workload. I was still bound to certain time constraints for classes or counseling for income and low and behold, that cut my flexibility in half.

After a long chat with my beyond supportive boyfriend, I set goals for myself to cut the fat out of my business. My time was more valuable than what I was being paid for some classes and that needed to change. I also needed to actually set and stick to a schedule where I would only see clients and have classes on certain days. I stopped trying to join various committees and groups to network or invest my time in (for free). I stuck with the organizations I was already in and set boundaries for myself as to how involved I would be. I needed to block off time for content/product/program creation. I refused to be a slave to my own business anymore.

So, why I am I sharing all this with you? Well, for me, the easier route in private practice was to just go out and make that quick money. It was the instant gratification and certainly short-term. What was harder was investing (or starting to invest) my time into what would turn into a long-term income source. This long-term income source would free up more of my time so I could actually enjoy being self-employed. I could get back to more of my hobbies without feeling guilty that I wasn’t working on the business. I could spend more time with my family without bringing work along. I could invest more time in personal development and enhancing my skills as a Dietitian. The positive side of this was simply endless.

If you ever get to this point in your practice, think to yourself what you truly want in being self-employed. Do you want to work like crazy for the goal of not having a boss or company telling you what to do or do you want to have more flexibility in what you do on the day-to-day, while still making money through passive income sources? Once you think about what your long-term goal is, break it down to determine short-term goals and plan your schedule around that. It is so easy to get sucked into the work and make money thought process; however, this process can be simplified, streamlined, and more so minimized to create more time for yourself. In the end, isn’t that what we all want…more time?

To sum up this lengthy blog post, I want to say that when I think about my future, I want that future to include more time for myself, my family, and eventually my kids (I don’t have any now). I don’t want to be forced into 8 or 10 hour workdays to make enough money, even if it is on my own terms. This post is by no means me saying that if you want the traditional private practice that it is in some way less ideal or wrong for you. The beautiful thing about private practice is that YOU can create the type of business structure that will suite YOUR needs above anybody else.

So, leave me a comment and let me know your thoughts on this topic. What does your ideal private practice look like? What does your ideal workweek entail?

Stay tuned next week where I will be sharing my thoughts on how to set income goals and defining billable hours!


7 Comments

Tips for Setting Fees in Private Practice

After turning down an opportunity for a another set of contract classes that I had run in the past, I thought this would be the perfect time to talk about how important knowing your worth is and how to set fees based on that. It is hard to put a price on the service provided as a Dietitian. I want to help people and almost feel guilty charging too much and losing a client; however, at the same time, I rely on my business for income now. I have changed my fees multiple times in the past few years, so today’s blog is going to guide you through my thought process and give you tips for setting your own fees (for individual sessions + classes).

Research Dietitians in Your Area
One of the first things I did when trying to figure out what to charge for counseling sessions was to see what other RDs were charging near me. A few did not list their fees on their website (I will talk about this in other blogs); however, the majority were in the $120-$175 range for an initial 1-hour consultation. I ended up going a bit lower since I had just started my practice and didn’t have a masters degree or specialty certification yet.

Factor in Expertise + Education
As I mentioned earlier, I low-balled my initial fees for counseling; however, after getting my masters and having my practice for a year or two, I bumped up my fees to match what others charged in my area. When setting your hourly rate or counseling fees, think about your education, experience, certifications, etc. Your knowledge and level of experience is adding to the value that the client receives in the session (or class).

Base off of Insurance Fee Schedules
If you are a provider for insurance companies, you will have a flat rate that they will reimburse you and that changes slightly from initial to follow-up visit for MNT. You can use the rate that insurance reimburses for self-paying clients or choose to make that a little bit lower since they are paying out-of-pocket. The fee schedule for insurances helped me to alter my pricing a bit.

Triple Your Hourly Employee Rate
Something else I thought about when setting fees for counseling was determining what I was paid hourly when I was an employee and multiplying that by 3. Three seems arbitrary; however, I thought that 1/3 goes to me, 1/3 to taxes, and 1/3 to time spent on prepping. This can just help to give you that baseline rate to build from.

Offer Packages + Add-ins
When I think about my initial counseling fee, I also factor in what other “service” I bring to the session. Will the session include bio-metrics? Will I calculate nutrient needs? Will this be an in-home visit or office-based visit? If your initial session is simpler, you can charge a bit lower for the hour and have add-ins that clients can choose from. Say they want menu planning help, that can be added for an extra $60 (or whatever you will charge). Maybe they want a nutrient analysis done for their current meal plan, that can be an extra $50 or so. I also find it helpful to offer packages to clients.

Note About Charging for Classes
The classes were the hardest for me to determine rates for; however, I found the formula below to help me:
Start with Base Rate – $100/hr (I base this off of my flat counseling rate)
+ Travel Expenses – $.50/mile
+ Parking Fees
+ Prep Time/Lesson Development – $40/hour
+ Cost for Supplies/Handouts

When I determine how I am charging for a class, I alter it on a case-to-case basis. My base rate my be lower or higher depending on if this is an ongoing class or a one-time seminar. If I am driving for more than 30-minutes, I may also add in a fee based on the time spent in my car. Parking may be free for some classes/areas; however, others tend to be $20 just for the hour, so this will change too. If I created lessons on this topic before, I may charge $30 or $40/hour for prep time. If this is a new topic or the client wants it to be more involved, then I may charge $50 or $60 for the hour of prep. Lastly, I factor in a few dollars based off of how many handouts I needed. If I am providing a cooking class, I estimate the amount of food needed and will have another fee added to the pricing.

There are so many ways that you can calculate fees for classes. I have often charged a flat rate (lower than $100) and then added in a cost per person ($20/head) with a minimum number required to run the class. Charging for classes will definitely vary per client/company. For some non-profits, I have accepted a lower rate for a one-time class in exchange for them distributing my business cards or keeping me on a list as a dietitian. It is ultimately up to you to decide what you feel the most comfortable charging.

Final Tips
Setting fees for individual clients and group sessions is often difficult. One of the key things I have learned is really knowing your worth and not being afraid to walk away from something. I have had companies/organizations try and take advantage of my services. I even had one goes as far as guilt tripping me into thinking I was a monster for trying to charge even 1/3 of what I normally do. I am all about giving back to my community and providing free programs/seminars. What I need to be careful of is keeping the balance between free and paid work. I often think about if doing something will open doors for me or create opportunity. If the answer is yes, I will provide a free service (i.e. lunch n’ learn for a company I may partner with, teaching in a school for the day, etc). If the answer is absolutely no (or slim), I rethink my decision. After all, one of the reasons I went into private practice, which I am sure may be the reason for many, is having the ability to choose your own destination.

Leave a comment and let me know if this blog was helpful to you in determining how you will set fees for your practice. Was there something else you thought about that I didn’t mention?

Stay tuned for my next blog that will break down billable hours + setting income goals.


7 Comments

First 10 Steps to Starting Your Private Practice

A few weeks ago, I wrote a blog post about preparing yourself for full-time private practice. I realized afterwards that I hadn’t included a post about getting started with your private practice! So, while this is just slightly out of order, I have included a lot of links and resources for getting yourself set-up for private practice. Some of these resources I used when I was first starting out and others I found out about afterwards. I actually ended up doing some of the steps out of the order mentioned below; however, this is what seems to make the most sense for me now.

1. Get an NPI –> LINK
Even if you decide not to accept insurance, it is still something you want to get. It doesn’t even take long to register for one. Excerpt from the website: “The Administrative Simplification provisions of HIPAA of 1996 mandated the adoption of standard unique identifiers for health care providers and health plans. The purpose of these provisions is to improve the efficiency and effectiveness of the electronic transmission of health information.”

2. Get a Tax ID Number or EIN –> LINK
Your EIN is your federal tax ID number that is used to ID your business entity; generally businesses need this. This was a pretty simple process as well. You will need to choose a business name. Here is a LINK for information on registering your fictitious name. For my business I am Felicia Porrazza doing business as PorrazzaNutrition. If you are doing business under your full and proper name, you are not required to register your personal name as a fictitious name. I think I spent maybe 2 hours initially trying to figure out if I needed to further register my name in PA. This may vary state-to-state so be sure to check your individual Department of the State website to see what regulations are in place. You will also need to choose your business entity or business structure in this form. Here is a great LINK explaining the types of business structures by the US Small Business Administration, a great resource!

3. Get Professional Liability Insurance –> LINK
I am a member of the Academy of Nutrition & Dietetics and the one they recommended is Proliability by Mercer. I am pretty sure they still offer a discount for AND members. It is reasonably priced and covered the basics for what I needed as a Dietitian.

4. Insurance Vs. Self Pay Acceptance 
I am not going to go into too much detail here because this will be featured in another post; however, one thing to think about is if you will be accepting insurance or only self-paying clients (or both). If you will only accept self-paying clients, you can move to step 5. If you will accept insurance, I would highly suggest getting yourself set-up with CAQH ProView. This is a free resource that allows you to decrease paperwork for becoming a provider with insurance companies. It will ask for your professional and practice information, credentialing info, directory services, etc. When you go to apply to become a provider for a particular insurance company, they will ask for your CAQH number. It has really helped me to streamline the process and avoid entering the same information 10 times. The application takes a bit of time; however, it was very much worth it! I started working on this step while I was still working a full-time job since it took a few months to get credentialed anyways.

5. Deciding Pricing 
This is again going to be another blog post; however, setting your fees is often the hardest step. I find it difficult to put a number on the valuable service I provide. Needless to say, it has to be done. One way to get started on this is by checking out what other Dietitians or health professionals are charging in your area. Factor in your expertise, years of being a dietitian, etc. If you choose to accept insurance, they will have a contracted amount that you will be paid per unit (15-minutes per one unit and you can have multiple units per appointment). You could also use this as a guideline for how you charge self-paying individuals. I found it to be helpful to include counseling packages for savings with self-paying clients.

6. Payment Acceptance
Along with deciding your pricing, you will need to figure out how you will accept payment. Will you set-up an account with PayPal? Get a merchant account through your local bank? There are a lot of different options out there. You can choose to do only checks or cash; however, I would suggest getting a separate business banking account regardless of the route you choose.

7. Decide Your Online Presence
When developing your online presence, you can choose from a number of sites and hosting services. For your website, you can choose to go with companies like Wix, Squarespace, GoDaddy, etc. You could also use WordPress and update your account to have a .com address. I am not going to get too far into website design and such; however, I am going to just touch on what you may want to include on your site –> information page about yourself and your business, location, services offered (you may or may not include pricing too), contact information, pictures, blogs (or link to blog), testimonials (may come later), newsletter opt-in, etc. I created my website about a year before registering my business and accepting insurance. I didn’t have much on the site and I basically just linked it to my blogs where I was much more active. This is a step you can do at basically do at any time in creating your practice.

8. Decide on Office Space/Set-up
This is definitely a step that you can do earlier in the ballgame. There are a few options for how you choose to see clients. You can do in-home counseling appointments, where you basically go to the client’s home. You will need to make sure insurance will cover this if you are a provider. You can rent office space for yourself or sublet from another provider (doctor, chiropractor, etc), which is usually cheaper. Other options for renting office space can include using a shared office where you schedule times to come in and pay either monthly or on a single-use basis. You can see clients in your own home; however, you will need to need to check to see if there are stipulations or zoning laws. Here is a LINK for some more information on that. You can also provide virtual counseling services, which again have stipulations especially in the insurance provider realm. Here is a great article from Today’s Dietitian on the TOPIC. If you are a member with the AND, you can also check out this LINK. 

9. Create Office Forms
One of the last things you will need to do before seeing clients is to get your office paperwork in order. You will need an initial client form, privacy notices, privacy consents, HIPAA forms, release of information form (for you to speak to family members or doctors), and a policy form relating to your business (for information on cancellation fees, rescheduling, non-payment, etc). I would also suggest thinking about how you will log business income and expenses too. EatRightPro has a great section on HIPAA with education and forms –> LINK.

10. Additional Tips 
There are a lot of free resources out there for starting your business. Some may not be related to the Dietitian realm; however, they can still prove to be quite useful. Check out your local Small Business Administration for tips on building your business. Network with other Dietitians or health professionals in your area to see how you can help one another. I purchased this AND book and found it to be really helpful when I first started out. The AND published another book on credentialing and billing that is free for members; however, I didn’t find it useful at my stage of practice (it may be for those just starting though). I also discovered that the Free Library of Philadelphia had a lot of free online and in-person resources for business owners, so I suggest checking out your local library too.

This is by no means intended to be an all encompassing list. I am sure there are additional steps that you may have heard of or wish to include in starting your own private practice. This was simply from my point-of-view and how I thought might be helpful for others. You can jump around with the steps I have included and even eliminate those that may not apply to your business. Regardless of how the information today was presented, I hope that this helped you in some aspect of starting your business!

Leave me a comment to let me know what I missed, what you found helpful, or where you are in your private practice 🙂


Leave a comment

Two-Month Private Practice Anniversary

Today official marks the two-month milestone of quitting my full-time job and jumping into a full-time private practice. If you have read my previous blogs, I recently wrote on finding out what success looked like for me and what direction I wanted to take my practice in. While I am still figuring out what my long-term goals are, I know that I am rushing for things to happen, which is not good. It mean it does make sense that I was getting ahead of myself since my practice became my sole income source. I was constantly trying to plan my next move, develop more ideas, create partnerships, and more! I was becoming overwhelmed and ultimately beginning to dislike the position I was in.

I thought back to my previous 3 years of just doing my practice on the side, without much real effort (minus the insurance provider part). During that time, I still gained clients and had opportunities arise. I realized I was stressing myself out over just 2-months of focusing all of my efforts on my business. I thought to myself that I really did a lot more than I was giving myself credit for. I did something scary and challenging by quitting my job in December. I reached out to potential partners and gain two solid ones on top of those I already was working with. I landed a contract for a 6-week class that turned into an additional 7-week class (since the participants were so happy with the program I did). I created and stuck to a more consistent blog, Facebook, Twitter, and Instagram post schedule. I began networking with other Dietitians in my area. I took the chance to run for a position with the Philadelphia Academy of Nutrition & Dietetics. I became a blogger for Eat Right PA. The list goes on and on.

You may be reading this thinking to yourself that it may be great I am doing all of these things; however, why should you care. Well, if you are in private practice or are thinking about it you may probably get to the stage that I am in where you wonder if you should be doing more. You may wonder why (constantly) you chose to do something that is scary and unknown most of the time. I challenge you to take a few moments and write out all of the positive things you have done in the last month or even week. Doing so can help you to put in perspective just how much effort you have put into your business. The reason why I do this despite all of the doubts I have is that it is so rewarding to have success in something that you worked so hard for on your own (i.e. without a large company supporting you along the way, especially financially).

While the first two months have been flying by I know that I am doing all the right things and I need to not worry so much about forcing new ideas or opportunities. I know that if I keep doing what I am doing on a daily basis (at the level of quality I am), these opportunities will come, just as they have in the past. Getting overwhelmed is stressful and to be blunt, useless. It paralyzes you and can inhibit your creativity and drive. If I start to get overwhelmed, I journal (which really helps me to see what I have accomplished already), I go for a walk, I make a list, I go to the gym, etc. Taking that time to clear my head gets me back in the game, gets me motivated, and helps me to weed through clutter to make real progress.

So, what are your stressing over that is useless and inhibiting your creativity and drive for success?

Check out my last blog post on “Tackling Your Business Fears”Tackling Business Fears


1 Comment

Private Practice Tip: Thinking of Your Big Picture

After my last two blog posts, I found myself thinking a lot about where I wanted my practice to be in the next few years. Although I am still working out the details, I finally have a clear picture of what I envision for PorrazzaNutrition. I would HIGHLY recommend anyone reading this, whether you have a private practice or not, to really brainstorm your ideal set-up. Do you want to niche down in a certain area of your field? Do you want this to be a full-time role or just something you will do on the side? Do you want to take insurance? Do you want to have a virtual component? Questions like these can help you to see the big picture and give you a sense of direction.

I hear so many dietitians say to me that they want to have their own practice, but most don’t have a clue as to what they want to do with it. While that may not be a bad thing, I realized, for myself, that having little sense of direction can be paralyzing. We often do nothing when faced with too much unknown. Having that big picture in mind will allow you to focus your efforts towards a path that will help you to reach your goal. I have been asking myself this question a lot –> “Are the things you are doing now, supporting your end goal?” If the answer is yes, I keep investing my time in that area. If the answer is no, I think to myself if this is something I need to stop doing or spending less time on.

Once you have an idea of what you want your practice to entail, think about your action steps. An idea or knowledge is great, but it is what you actually do that matters. Let’s say you want your practice to be able to accept insurance to drive more clientele while first starting out. Some of your action steps may be: 1. Gain an NPI, 2. Gain a Federal Tax ID Number , 3. Fill out a CAQH application, 4. Send in provider inquiries or initial applications for each insurance company, etc. Prioritize your goals! No matter how big your end result (goal) is, make it manageable and less intimidating by breaking it down into monthly, weekly, and daily tasks.

This week, I also made a commitment to myself that I would not buy or read another business-related book until I took action. While these personal/business-development books are really awesome and provide a lot of great information, the information means nothing unless you actually use it. Instead of just taking notes and moving on to the next book, I create actionable steps for the knowledge I gain in any capacity to use either that day, or that week.

For all my readers out there (whether you are dietitians or not), I challenge you to think about your ‘big picture” or “end goal.” What does that really look like and how can you break it down into small and manageable steps? Leave a comment and let me know what YOUR journey looks like.

Check out my first week in Private Practice HERE or my last post about organization HERE