best practices

Read Part 1.

In Part 1 we discussed 6 Best Practices for subcontracting with Certified Legal Nurse Consultants to grow your CLNC^® business. Here are 9 more Best Practices.

1. Sign a formal contract with each subcontractor, and include a fair noncompetition clause. Use the recommended CLNC^® subcontractor contract from Vickie Milazzo Institute.

2. Have each CLNC^® subcontractor fill out a W-9 form at the time they sign their contract. Don’t pay their invoice until you receive a completed form. You can download a W-9 Request for Taxpayer Identification Number and Certification form and instructions from IRS.gov/pub/irs-pdf/fw9.pdf.

3. Market to your attorney-clients that you have a network of CLNC^® subcontractors in a variety of specialties to encourage them to send you more cases.

4. Communicate your expectations, deadlines and budget for the assignment clearly. Every attorney-client is different and there’s more than one right way to design the report. Clear communication helps to ensure that the CLNC^® subcontractor provides work product that meets your attorney-client’s needs.

Dale Barnes, RN, MSN, CLNC says,

“A mistake I made in the beginning was not giving the subcontractors a deadline. I found that by leaving the deadline to them, it was often last minute, and I got nervous about getting the report to the attorney in a timely manner. Now, I always give a reasonable deadline, allowing a bit more time than the CLNC^® subcontractor may need so that it can be done expediently.

I have also learned the importance of giving the subcontractor parameters and limits for hours allowed per case. It is the same as checking with an attorney before doing too much or too little. If you do not provide a budget, you could end up paying more than is necessary for details that are not needed quite yet.”

Nikki J. Chuml, RNC, FMC, PRN, CLNC says,

“I make sure my CLNC^® subcontractor knows the deadline and I have them check in along the way. I like to see the first page of their report. I just want to make sure they are on the right track. Once I approve the first page, they continue with the case.

About halfway through the case, I have them check in again to make sure it remains what I want. If all is okay, then they complete the work. If something is not meeting my expectations, I discuss it with them before they finish the entire report. I want to save them time also. I am confident that as long as we continue to communicate with each other, the report will be what I want for my attorney-client.

When the finished product is sent to me, I review it, make any necessary changes and send them the completed one so that they can see what I like and expect for the next time. I don’t believe in wasting their time or mine, so I like to be with them throughout the process.

One thing I always make sure of is that my CLNC^® subcontractors get paid on time. I like to keep them happy so they will work again.”

Don’t cut your deadlines too close. Get your work from the CLNC^® subcontractor as far in advance of the due date as possible to allow you to assess their work product.

5. Put each new subcontractor to the test. Start with small tasks and advance to more complex projects.

6. Be sure to review the work prepared for your clients by your subcontractors (especially beginners) before submitting it. Always allow time to carefully check and edit your subcontractors’ work. Share your changes so the subcontractor can learn to model your best practices.

7. Pay your CLNC^® subcontractors 50% of your billing rate. The attorney will be invoiced at your hourly rate. It is not necessary to indicate to the attorney the number of hours you worked vs. the hours your CLNC^® subcontractor worked. Pay within 30 days of invoice date to encourage loyalty and enthusiasm for future projects.

8. Treat each CLNC^® subcontractor as an individual. Focus on and use their strengths to supplement your own strengths. One CLNC^® consultant may write great personal injury chronologies, but is not as strong at analyzing medical malpractice cases. Likewise, the CLNC^® subcontractor who is masterful at analyzing malpractice cases may be easily bored by writing personal injury summaries.

9. Acknowledge and thank your CLNC^® subcontractors. Don’t take your CLNC^® subcontractors for granted.
   
   As Larry Frace, RN, CLNC says,

“Keep in constant touch with all of your CLNC^® subcontractors by teleconferencing, emailing and at the next NACLNC^® Conference.”

Follow these Best Practices and you will master the art of sensational subcontracting to achieve sensational results for your CLNC^® business.

Success Is Inside!

Read Part 2.

The quickest way to grow your legal nurse consulting business is to expand with CLNC^® subcontractors. Check out these Best Practices and how the CLNC^® Pros are using them to expand their CLNC^® business in sensational ways.

1. Hire only Certified Legal Nurse Consultant subcontractors. This will save you time and heartache in the long run. Through the National Alliance of Certified Legal Nurse Consultants, you’ll find plenty of qualified CLNC^® consultants who can help you manage your cases. Working only with other CLNC^® consultants is the key to sensational subcontracting and the strongest method for building your CLNC^® business.

Suzanne E. Arragg, RN, BSN, CDONA/LTC, CLNC says,

“I am a firm believer in using only CLNC^® subcontractors. In the beginning, I tried using non-Certified Legal Nurse Consultants because I thought, ‘Gee, she is a good nurse… she knows what she’s doing.’ But the reality was, I ended up reviewing the chart and writing the report all over again because it just wasn’t a product that met my standards or those of my attorney-client. Needless to say, this was exhausting, double the work, and just wasn’t worth my time, energy or money!”

Dale Barnes, RN, MSN, PHN, CLNC shares,

“Many years ago, as a new CLNC^® consultant, I learned my first lesson about subcontracting. I knew so many RNs and thought I could use them as subcontractors. I found a couple of really good nurses who wanted to learn from working with me. Though I showed them reports I had written and clearly explained what I needed from them for the work product, they still lacked the CLNC^® training I had received as a Certified Legal Nurse Consultant from Vickie Milazzo Institute.

These RNs wrote their reports and gave them back to me. To my great disappointment, I found that I had to rewrite most of what they gave me. These were not billable hours. Due to their lack of formal training, they were not capable of producing the same level of work product. I wasted a lot of time and energy, and have only used Certified Legal Nurse Consultants since that time.”

Lawrence H. Frace, RN, CLNC recommends,

“Only use Certified Legal Nurse Consultants. I repeat… only use Certified Legal Nurse Consultants. I decided that since I was going to use subcontractors and had the agreement ready to go, why not start with nine CLNC^® subcontractors and cover the nine major areas of nursing. I chose CLNC^® consultants who had experience in long term care, emergency room, medical/surgical, neonatal, obstetrics, operation room, pediatrics, critical care, outpatient care and mental health. I had always feared that an attorney might offer me a case in which I lacked nursing experience. Now with nine hand-picked CLNC^® subcontractors in place, I feel confident that I can accept any case offered. No more fear for Larry, thanks to my CLNC^® subcontractors.

I had networked at prior NACLNC^® Conferences and from that networking, already had most of the names I needed to get started. I also accessed the listing of CLNC^® consultants from the National Alliance of Certified Legal Nurse Consultants. The reason that I stress using only Certified Legal Nurse Consultants as subcontractors is because it’s smart to bring a team together who are all singing off the same page from the get go. We were all trained by the best – Vickie Milazzo Institute – why settle for anything less?”

2. Build your CLNC^® subcontractor network in advance of needing each one. This allows you to respond timely to the attorneys’ deadlines on cases outside of your specialty. The best way to find subcontractors is by networking at the National Alliance of Certified Legal Nurse Consultants (NACLNC^®) Annual Conference and with the NACLNC^® members on our password-protected website. The online directory is an exclusive benefit for CLNC^® consultants only.

Nikki J. Chuml, RNC, FMC, PRN, CLNC explains,

“I subcontract my cases only to other Certified Legal Nurse Consultants. I like to search from the cards that I receive at the NACLNC^® Conferences or look in the NACLNC^® Directory for someone who meets the criteria.”

3. Don’t become dependent on just one or two subcontractors. Continue to expand your CLNC^® subcontractor network. This frees you to meet tight deadlines or to let go of someone who is not the right match for you.
4. Hire CLNC^® subcontractors who live outside your geographical area. This will help to avoid any competitive attitude between you and your CLNC^® subcontractors. Avoid networking with local groups who may mean well, but are more interested in competing with you than helping you.
5. Look for a CLNC^® subcontractor who has three to five years of experience in the nursing specialty of the case and who is still connected to the healthcare system. This assures you’re subcontracting with a true expert on the issues.

Nikki J. Chuml says,

“I will contact the CLNC^® consultant and do a phone interview. Once I like how the telephone interview goes, then I will tell them a little about the case and see if their experience fits the case. After the agreement has been made, I will send the CLNC^® subcontractor an agreement to sign.”

6. Require all subcontractors to provide a resume and to produce some sample work product before you hire them. Assess the samples to be sure all work product is consistent and represents the same level of quality you provide to your attorney-clients.

Success Is Inside!

Mistakes and failures are great for teaching Certified Legal Nurse Consultants what not to do – they help us to grow and learn. However, mistakes don’t always help us discover what works. You could move from one mistake to the next and never identify the success formula to make your business prosper or overcome a specific issue or challenge. After 27 years in business, I’ve learned to study my successes at least as closely as I study my failures. Success promotes success. The more you succeed, the more you will succeed.

Apply this formula for becoming a student of your own successes to easily launch or grow your business as a Certified Legal Nurse Consultant.

1. Identify an achievement or success, either business or personal. Draw inspiration from a situation in which you feared failure but didn’t let fear stop you and you embraced courage instead. Whenever I tackle a challenging project, I remind myself of my past successes to help me step up to the new challenge with confidence. For example, once I had stepped out of an airplane at 14,000 feet, stepping into an interview with a prospect wasn’t nearly so scary.
2. Break down the elements of that past success and examine the courage that motivated you to succeed. Focus on what you did and the steps you took that made the difference. Capture your state of mind at each step. I’ve hiked along the rim of active volcanoes and Himalayan mountain switchbacks. Keeping track of the correct steps and keeping focused on the steps I’m taking makes all the difference in the world. It focuses you on getting to the final goal.
3. Identify the best practices from that previous success that might help you launch or grow your legal nurse consulting business. Just because you are venturing into your new CLNC^® career doesn’t mean you should forget all you learned in the past. Remember the nursing education process in which we learn, then demonstrate. Re-demonstrate the successes you’ve learned in the past.
4. Identify a specific business challenge that can benefit from these best practices. It can be as simple as making a phone call to an attorney-prospect or practicing questions and responses for an upcoming interview with an attorney-prospect.
5. Apply the best practices to the relevant legal nurse consulting challenge or objective. You’ve done it before. You can do it again!
6. Continue doing what you do well as a Certified Legal Nurse Consultant to create bigger and better successes. Soon success will become second nature.
7. To accelerate your growth exponentially, surround yourself with successful people and learn from their successes. Hang with the biggest winners, not the biggest losers. You’ll have more fun and learn and achieve more too!
8. Keep a Success Journal and write down one success daily. Review your journal weekly to remind yourself of your ability to succeed. Reliving past success will help gear you up for future success.
9. Celebrate and reward yourself for your successes. Have a celebratory goal, whether it’s a good (or cheap) wine, a new iPhone or a weekend vacation. Use rewards as goals to spur you to even more success.

As an RN you have countless successes. You handle emergencies as easily as making the bed in the morning. You make split second decisions that are the difference between life and death for your patient. You can catheterize, defibrillate or ventilate an attorney without a second thought. If you can do all of these things, you can do something as straightforward as launch or grow your legal nurse consulting business.

Any time you are challenged to grow or succeed, give your past successes an encore. Relive the applause. Every time you encore a small success, the applause sets you on fire and your next success becomes easier. Remember, We Are Nurses and We Can Do Anything!^®

Success Is Inside!

P.S. Comment and share one of your successes that deserves an encore.