Total Health CRM | Visit 9 Method

The retention gap

The care plan you recommend isn't always the care plan patients complete.

Patients can start care with a clear plan, then stop before they reach the point where that plan is completed.

The result is a gap between recommended care and completed care.

That gap can be difficult to see in the day to day operation of a practice, but it can have a meaningful impact on both patient continuity and practice revenue.

Where does the gap open in your practice?

Before looking at how to solve it, use your own numbers to see what the retention gap may be worth.

Your number

Size it with your own figures.

Compare your PVA against the visits you actually recommend. Worked here at three common plan lengths, holding revenue per visit at $65 and new patients at 20 a month.

Recommended plan	PVA	Gap	Per patient	Per year
12 visits	7	5	$325	$78,000
24 visits	14	10	$650	$156,000
36 visits	21	15	$975	$234,000

Run your own numbers, live

Move the sliders to your own numbers. This is a rough version of the exam that opens Tab 1 of the training, fully interactive, not a screenshot.

An opportunity, not a forecast. Some patients stop for reasons no system addresses.

PLAN COMPLETION SNAPSHOTEXAMPLE

Care plan completion

24 visitsRecommended

14 visitsActual PVA

VISIT GAP10 visits

Run your own numbers using the live calculator alongside.

RETENTION CALCULATORLIVE

Visits you recommend, on average

Your actual PVA

Revenue per visit

$65

New patients per month

Your annual retention opportunity

Visit gap0

Per patient$0

Per month$0

If that number is bigger than nine dollars, the training has already paid for itself many times over.

Mechanism

Now that you can see the gap, here's how the Visit 9 Method addresses it.

Why it works

Three retention mechanisms that help patients keep moving through care.

The Visit 9 Method applies three behavioral principles to the care experience.

Each addresses a different reason patients may stop before completing the plan.

Make Progress Visible

Patients are more likely to stay engaged when they can clearly see where they are in the process.

The Visit 9 Method gives practices a structured way to make progress, milestones, and next steps more visible throughout the care experience.

The principle: Visible progress helps create a clearer sense of momentum.

Make Progress Worth Protecting

Patients who recognize the progress they have already made have something meaningful to protect.

The Visit 9 Method incorporates progress and continuity into the patient experience, helping make the value of completing the plan more tangible.

The principle: People tend to place greater value on progress they already have than on an outcome they have not yet reached.

Create a Clear Path Forward

Continuing care should not feel like a series of disconnected appointments.

Clear milestones, expectations, and next steps give patients a better understanding of where they are going and what comes next.

The Visit 9 Method brings those elements together into a structured retention system.

The principle: A clear path makes continued participation easier to understand and follow.

How the three work together

The Visit 9 Method combines these three principles into one structured retention approach, designed to help practices improve the gap between recommended care and completed care.

The three tabs

Nothing held back. Everything you need to build it yourself.

The Visit 9 Method doesn't teach chiropractic and doesn't sell you ads. It shows you where the gap opens and hands you the complete build.

Where patients quit, and what it costs

The two gaps that compound, the three retention points, and the retention opportunity calculator, worked with your own numbers before you build anything.

YOU GET: THE FULL MATH, WORKED AT YOUR PLAN LENGTH

The complete retention engine

Earn List, Streak, Reward Menu, Progress Exam Bridge, Relief Conversation, Reactivation Sequence, with point values, message copy, and a compliance guide.

YOU GET: EVERYTHING NEEDED TO BUILD IT, NOTHING WITHHELD

An eight-step workbook

What to build first, second, and third, with honest timings for each step, so the system goes live in the right order rather than all at once.

YOU GET: A STEP-BY-STEP LAUNCH PLAN, NOT JUST THEORY

Why this exists

I did the exact thing this training is about.

Dr. Dillon Hammes, DC · Founder, Total Health Chiropractic

At sixteen, I hurt my shoulder playing football and had chronic headaches for years alongside it. A chiropractor helped. After a handful of adjustments, my shoulder improved and the headaches disappeared.

So I stopped going. The pain was gone, so in my head, there was nothing left to fix.

It took a real back injury years later to bring me back to a chiropractor's office, and that visit is what put me on the path to Palmer College of Chiropractic. I didn't build the Visit 9 Method from a spreadsheet. I built it from being the patient who quit the moment I felt better.

Age 16

Shoulder injury and chronic headaches. A chiropractor helps. Pain resolves.

2007

A back injury brings me back. I start to understand what I'd walked away from the first time.

Since 2013

Founder, Total Health Chiropractic, Coralville, Iowa. Same gap, now from the other chair.

Who this is for

If you recommend care plans and see a share go uncompleted, this is built for you.

Strong fit

You recommend care plans and a meaningful share goes uncompleted
Your PVA is below what your own recommendations imply
You have patients nobody has contacted in a year
You've tried appointment reminders and they changed very little
Cash, insurance, PI or a mix, solo or multi-doc

Probably not a fit

Your patients aren't starting care in the first place, that's a case acceptance problem, fix that first
You just opened and don't have a patient base yet
You're looking for technique or clinical material
You want new patient marketing, a different discipline entirely

Get it now

The complete training, delivered in about ninety seconds.

Tab 1 · The ProblemWhere patients quit, the two gaps, the retention calculator
Tab 2 · The SystemThe complete retention engine blueprint, point values and message copy
Tab 3 · The BuildThe eight-step workbook to implement it
Compliance GuidePlain-English map of the rules, with a pre-launch checklist
Retention Opportunity CalculatorRun it with your own numbers

One payment. No subscription.

Send me the Visit 9 Method →

Instant access · Yours to keep

FIND ONE FIX OR FREE

Go through the training and run the calculation with your own numbers. If you don't come away with at least one actionable way to improve retention, email us within 30 days and we'll refund your $9.

Not ready to build it yourself?

ChiroStars installs this exact engine live and branded to your practice, no building required, starting at $99/month.

See ChiroStars

Questions

What chiropractors ask before they buy.

Who actually wrote this, and why should I trust it?

Dr. Dillon Hammes, DC, founder of Total Health Chiropractic in Coralville, Iowa, practicing since 2013. It's built from his own patient experience first, and his clinical experience second.

Is this a lead generation product?

No. There's no ad spend anywhere in it. Every dollar it finds comes from patients you already have.

Is this just repackaged marketing content?

No. There's no funnel theory or ad copy. It's specifically about the gap between a recommended care plan and a completed one, and the behavioral mechanics of why that gap opens.

Do I have to buy software to use it?

No. The Progress Exam Bridge and the Relief Conversation need no software, no points and no budget.

Does this replace my EHR or reminder system?

No. It sits alongside Weave, Solutionreach, Podium, or your EHR's built-in messaging.

What if my numbers don't match the examples?

They won't exactly, and that's the point of the calculator. Your own PVA, plan length, and revenue per visit are what it actually uses.

How long does it take to go through?

An evening. The calculator is in Tab 1, so you'll have your own number before you finish the first section.

What if I'd rather have it built for me?

ChiroStars installs the same engine live and branded to your practice, starting at $99/month.

What if it's not for me?

Email us inside 30 days and we'll refund your $9.

Turn the patients who quietly stop into patients who finish.