Business Consulting for Physical Therapy Practices

From strategic planning to financial analysis to marketing plans, there's a lot to know about how to position and operate a successful physical therapy practice. Because of the vast, yet specialized scope of services for which business consulting is used in private practice physical therapy clinics, we believe the due diligence process to be extremely important to identifying a consulting firm that will provide PT practices with the most appropriate consulting services available. 

We've found the following criteria useful in evaluating the expertise and resources available from business consultants in this area, and we recommend that they be used if you are considering such services:

1. Always request a non-disclosure agreement (NDA). NDAs should outline the way in which information you share with the consultant may be used, as well as what is prohibited. Consultants are exposed to some of the most intimate details of financial structure, marketing strategy, and referral networks, and this information must always remain confidential. NDAs aren't difficult to produce, and if a consultant doesn't have one, or doesn't want to use one, this is a red flag.

2. "Try before you buy." Consultants should have a plethora of knowledge in many areas of business and private practice, and it shouldn't hurt to give some helpful information away for free. I personally like to make sure that clients not only get a feel for the core competency of our services, but that they get a feel for our personality and way of doing business as well. Good client-consultant relationships are very close and require a good working relationship, so if you aren't 100-percent comfortable with your consultant or consulting firm, you probably aren't going to have a great experience.

3. Check references. Always, always, always check references. As stated above, there is a lot to know in the world of private practice physical therapy consulting, and knowing what you're getting upfront is difficult unless you really do your homework. Checking in with references provided by the consultant is a good way to do this. Also know that consultants will naturally guide you toward those clients that have had an especially good experience with the consulting firm, so it is also prudent to set some of the criteria yourself. Asking a consultant for references in a certain geographic location, or that have received a specific area of consulting service (e.g., marketing strategy, brand development, financial projections, business planning, startup) is a good way to lessen the selection bias of the consultant.

4. Know the deliverables. Understanding the expectations are key to finding value in the services provided by a PT business consultant. Even the best consultants that provide services that weren't contracted for or that provided unclear value come away with disappointed clients. In the proposal or statement of work provided by the consulting firm, make sure you understand exactly what will be provided, how the process will work, and all of the fees associated with the project. If you like all of the above and it is delivered by the consultant, chances are you'll be a satisfied client.

5. Understand the fee structure. Consultants are generally paid based on the time to provide their service. As the scope of consulting projects can vary drastically, so can the fees charged to a client.  A good consultant will be able communicate how fees are determined very quickly and very clearly to a potential client. It is typical for there to be a range of hourly fees associated with varying level of expertise required (e.g., legal and financial consulting will commonly dictate higher fees than projects that are more general in nature, such as marketing strategy or competition analysis), and fees will naturally be higher the more "hands-off" the client wishes to be during the project. Projects that require more data mining, research, concept development and copywriting by the consulting firm will be more expensive than those in which the consultant is acting in more of an advisory role.

Unfortunately, some of the smaller health care markets such as physical therapy sometimes lack the geographical availability of specialty consulting, and practices often employ the services of general business consultants. 

While in some circumstances this can work out well, the specialty nature of the physical therapy profession often benefits most from the business expertise provided by specialty consulting firms, and always requires a high level of due diligence to find the right fit.

Tannus Quatre is a principal and consultant with Vantage Clinical Solutions, Inc., a practice management and consulting firm located in Bend, OR and Denver, CO. He can be reached at tannus@vantageclinicalsolutions.com.



Small ortho group with 2 therapists, and one PTA, and 2 ATC's. I can not get them to develop uniform treatment plans, and treat patients for more than 30 min, and for more than a few sessions. HELP!!! ctw

corey welchlin,  orthopod/ownerNovember 02, 2012
fairmont, MN


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