We spend a lot of energy worrying about how to keep people in care. Better reminders, nicer follow-ups, the occasional guilt text. But most of the drop-off happens for the same reasons: the pain eases, motivation dips, and the patient decides they are "good enough" before the job is actually done. Reminders don't work with patients, but a carrot to chase does. In my clinic, I call it the Shift Score. One honest number out of 100, captured at regular intervals and shown to the patient every time. It makes progress visible, and people stay when they can see they are improving. It also keeps everyone honest, because "I feel okay" and "I am actually rebuilt" are two very different numbers. We re-score every four weeks. It serves as a self-check that things are progressing the way I want them to, and keeps patients motivated for the long game. What tests are you currently using at the start of care and at your progress evaluations?

Here's how we deliver the rehab at Shift. What are you doing? I'd love to know! This is a demo of our Shift Rebuild App. It's loaded with a 12 stage progressive strength and mobility program that patients carry with them on their phone. Give it a try in the Shift Stack if you're looking for a way to deliver exercises that patients adhere to.

Hey friends, One of the things I started doing to lift our customer service is sending each patient a summary of their first visit. It's almost impossible for them to remember everything we covered, so it's a useful reminder, and it reassures them they're in the right place with a doctor who cares. To make it easier, I built software to automate it. It worked so well that I broadened it to GP care plans, WorkCover, and NDIS reports. It's flexible with how you work. If you're on Cliniko, it pulls the consult note, imaging, and intake form straight across for you. If you're not, you can just copy and paste the details in by hand. Either way, it drafts the letter, and you review it before anything goes out. It's in the Shift Stack if you'd like to try it yourself, free for 14 days. Students of the course get it free for 3 months when they buy the course.

I’m excited to be part of this community! Looking forward to connecting with you all, learning new things, and sharing ideas. Thanks for having me here. Looking forward to growing together! 😊

Who's this for? Chiros with a decompression table they want to fill, or one on the way, who want to run it as a real practice instead of a machine in the corner. What do I actually learn? The whole patient journey around the bed, day one to graduation: the first visit, the report of findings that gets a yes without a hard sell, how to price and fund it, how to track progress with an objective score so patients stay, and how to keep the table full and add beds. Nine modules, taught end to end. Is it theory or can I use it now? Use it now. It includes scripts, the report of findings, pricing, and the day-one flow you can run on a real patient this week. Do I need a particular machine or software? No. It's tool-agnostic, so it works with whatever table and system you already use. How much is it, and is it a subscription? $997, one-time. No subscription; work through it at your own pace. How is decompression funded? Can patients claim? The program is self-funded (weekly direct debit or pay upfront). There's no separate health-fund item number for decompression, but you claim a visit you deliver as a chiro, as the chiropractic consult it is. Funds vary, so check your own. The course shows exactly how we handle the money side. What's the Shift tech stack, do I need it? Optional. The method stands on its own. If you want the software (digital report, score and tracker, patient app, letter writer, live dashboard), it comes free for 3 months with the course. Not ready to buy? Try it free for 14 days at stack.shiftspinalhealth.com.au. I'm not in Australia; does it still apply? The clinical model and the system are universal. The examples show the Australian setup, and there's a US edition that covers insurance and personal injury. Still have a question? Drop it below, and I'll answer it.