The Four Pillars of Private Practice:
The get it done implementation!

A workshop series with Kaye Frankcom & Dr Aaron Frost

Online starting July 2024
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About the book and workshops

Includes a copy of the book to be posted when you register!

Creating Impact: The Four Pillars of Private Practice
published to acclamation in 2022 is the work of five psychologists working in Australia and writing about what it takes to be successful in private psychology practice. We would now like to bring you the Implementation workshop!

The course is about making the Four Pillars model work for your circumstances and as your trainers, we will be bringing our expertise and success in private practice to help you to make your dream practice a reality.

Two of the authors, Aaron Frost and Kaye Frankcom are teaming up to run a workshop series based on the 4 pillars in the second half of 2024.

  Each pillar will incorporate two modules X 2 hours: one takes you through the pillar and how to apply the ideas to your practice and the second module is a “Get it done” approach where we coach you to identify targets or goals related to the pillar and how to implement the target or goal in your practice. 

We will delve into the issues currently facing us in each of the four pillars and we will “diagnose” pain points and share remedies for these that you can adapt to your practice.

  This workshop series is applicable whether you are starting out in private practice or have been
in private practice for some years. The model aims to address the various factors the
influence the success or otherwise of a business/practice and to bring these ideas
together in a way that is doable and does not induce overwhelm.

For each pillar, we will share a set of KPIs for you to consider for your practice context. We will help you target the problems and leave with solutions or a way forward.

The Four Pillars of Private Psychology Practice

The Four Pillars model for Private Psychology (and allied health) practices provides a road map for managing business and clinical needs in your private practice.

We start with
focussing on the client and how to establish evidence-based practice by implementing measurement-based care or routine outcome measurement. The second pillar turns to the therapist or clinician where we explain how to implement a continuing professional development program that improves client outcomes but also clinician job satisfaction and retention. The third pillar looks at how to use outcome data to help clinicians adjust their approach to a client by taking into account the client’s feedback and how to implement strategies that deliver continuous improvement in your performance as a clinician across therapy modalities. The fourth pillar is the business pillar which examines the way in which clinical governance and business KPIs can manage financial risk and create safety and improvement in growth, sustainability and profitability of your business.

The other four concepts across the top of the pillars: Innovation, Strategy, Leadership and Culture are intertwined in all of the four pillars and operate as levers for ongoing professional and/or business growth and help you to bring your administrative team and other clinicians along the journey with you as practice director.

Module 1:  The Client Pillar

The client: Making feedback and transparency central to therapy work

• Overview of the implementation of measurement based care
• Choice of measures---what is right for whom
• Automatisation and optimisation policies and procedures that enhance clients completing the measures
• Understanding the culture of feedback and how to influence clinicians to embrace outcome measurement as a client-centric practice
• Using data from the start to enhance the therapeutic alliance between clients and clinicians
• The role of innovation, strategy, leadership and culture in this pillar

Module 3:  Therapist Pillar

The therapist: how do you know what you/they are doing is working?

• What is your value proposition: your model of care
• How do you communicate hope and expectancy to clients and referrers
• How to inspire ourselves and other clinicians to engage with feedback from clients, to see engagement as their task, to feel connected to the practice and its mission and vision
• What is your supervision model and let’s talk about how to implement DP activities that focus on clients and data not narratives and case presentations
• The role of innovation, strategy, leadership and culture in this pillar

Module 5:  Practice Pillar

The Practice: Methods that help you to know that the practice is effective and safe

• How would you know if your clinical governance was set at the right level for your practice?
• Do you understand SOPs, how regularly are they reviewed and by whom?
• induction of clinicians and administrative staff
• Templates and documentation that can support client engagement, goal consensus, transparency and collaboration.
• What KPI reports do you obtain regularly from your PMS or other sources? Who do you share it with and how does this drive improvement. What is your idea of a set of metrics?
• Clinical risk management
• The role of innovation, strategy, leadership and culture in this pillar

Module 7:  The Business Pillar

The Business of healthcare: Let’s talk numbers, profit and sustainability

• Business and Practice are not the same thing
• Financial literacy—let’s get real
• Financial terms: what do you need to know to measure your sustainability, decide whether you can grow and if you are making a profit
• Budget forecasting
• Financial risk management: what could impact your viability as a business
• Employment and business models
• What is the exit strategy (even if you don’t use it)

Module 2:  Client Pillar

Getting it Done

• Map the client journey in your practice and consider how measurement can be introduced and made easier to complete and to identify who will action the measurements and compliance
• Identify whether you want progress measures (given each session) or more of an evaluative approach (administration of measures at various points in the client journey) and what measures, platforms are most suited, potential costs and your budget to implement. Some people may decide to use a pilot approach where they try out measurement with a small group of clinicians &/or clients.

Module 4:  Therapist Pillar

Getting it Done

• Develop a diagram of the client journey to identify points where the client engagement is assessed e.g. through treatment plans and goal setting templates or review of measures that have been administered.
• Establish a reporting process/KPIs or dashboard that can be updated and a strategic plan that integrates the establishment of the practice model of care with strong buy in
• A CPD program that uses individual and aggregated data from clients to focus clinicians on the foundational skills that are required for a positive outcome for clients regardless of therapeutic modality

Module 6:  The Practice Pillar

Getting it Done

• What are your risk mitigation strategies for the practice related to the clinical work and what risks are likely and what have serious consequences?

• Make a list of risks that keep you awake at night or worry you and let’s look at mitigation strategies, risk appetite, how you innovate without going above your level of comfort

• Use the Clinical Governance checklist or PPMS to benchmark your governance systems.

• Is clinician progression and issue for you. How do you retain clients and keep them engaged in the work that they are doing. What are the options?

• The role of innovation, strategy, leadership and culture in this pillar

Module 8: The Business Pillar

Getting it Done

• The barefoot P & L health check

• Expenses below and above the line

• Budget forecasting methods

• Case study P & Ls –what can you diagnose?

• Contingency planning and how to build your business for others to want to buy it or to deal with an unpredicted change in your circumstances

• The role of innovation, strategy, leadership and culture in this pillar

2024 Creating Impact Dates

Module 1:  17th July 2024

Module 2:  31st July 2024

Module 3: 14th August 2024

Module 4: 28th August 2024

Module 5: 2nd October 2024

Module 6:  23rd October 2024

Module 7:  6th November 2024

Module 8:  20th November 2024

17th July 2024: 7pm to 9pm AEST

The client: Making feedback and transparency central to therapy work

31st July 2024: 7pm to 9pm AEST

Getting it Done!

14th August 2024:  7pm to 9pm AEST

The therapist: how do you know what you/they are doing is working?

23rd October 2024: 7pm to 9pm AEDT (PLEASE NOTE DAYLIGHT SAVINGS TIME)

Getting it Done!

6th November 2024:  7pm to 9pm AEDT

The Business of healthcare: let’s talk numbers, profit and sustainability

2nd October 2024:  7pm to 9pm AEDT 

The Practice: Methods that help you to know that the practice is effective and safe.

20th November 2024: 7pm to 9pm AEDT

Getting it Done!

28th August 2024: 7pm to 9pm AEST

Getting it Done!

Enrol in the workshop series here

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