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Are you being left behind? Are your competitors doing a better job of adjusting to consumers?
If you are losing volume, not attracting the mix of patients that you want, having difficulty recruiting physicians, pay attention. These are warning signs.
Communication carries culture. If you want to make the change from the patient to consumer model start with core beliefs and communication. TCI can help. It takes a third party to help guide an organization along this path. Someone who is objective and experienced.