About Blue Heron Consulting

Blue Heron Consulting is the nation’s leading veterinary consulting team. With a mission to improve the lives of veterinary professionals, they provide veterinary-specific solutions to practice owners, veterinarians, managers, industry leaders, and their teams. At their core is an experienced team that works to amplify strengths, elevate care, remove workflow gaps, create a culture of leadership, and promote sustainable profitability – all while keeping your definition of success at the center of everything they do.

Compensation by Design: Building a Pay Structure That Supports Your Hospital’s Culture

by Bobbie Stout | Blue Heron Consulting Understanding Veterinary Compensation Models (Without the Headache) Veterinary compensation models can sound complicated at first. Terms like ProSal, production, and negative accrual can make even experienced veterinarians pause for a second. But once you break them down, they’re actually pretty straightforward. Whether you're a practice owner designing pay [...]

Deepening Your Influence: Practical Tools for Leading with Influence

by Anita Dennison, DVM, MS | Blue Heron Consulting As a veterinarian, you are the leader of the practice, whether you signed up for that role or not. Leadership grows from how you show up in every appointment, every interaction, every crisis, and every quiet moment between patients. Whether you’re a brand-new veterinarian or a [...]

Solving the Loyalty Gap: Why Rewards Outperform Discounts

by Kelli Kerwin, CVPM | Blue Heron Consulting In the modern veterinary landscape, the "Good Doctor" model—providing excellent care and assuming clients will stay—is facing a new reality. Research shows that client loyalty is beginning to fade as pet owners become more price-sensitive and digitally savvy. When we reach for the "discount" button to fill our [...]

Why Your P&L Doesn’t Match Your Bank Account (and How to Fix It)

by Katey Keeton | Blue Heron Consulting It’s the end of the month, and you finally sit down to review your Profit & Loss statement. At first glance, things look encouraging. Revenue is strong. Expenses seem under control. The bottom line shows a profit. You feel a brief sense of relief—until you open your bank [...]

Career Planning & Goal Setting

by Stith Keiser | Blue Heron Consulting   This article was written for and featured in Clinician's Brief. Career planning encompasses exploring options that range from clinical practice (private or corporate) to academia (research or laboratory) and even to nontraditional entrepreneurial opportunities (laboratory or marketing companies, consulting groups). A clinician may choose to open a [...]

Is Your Practice Culture Stuck in the ’90s? A Panel Discussion on Leadership, Communication, and Management Tactics You Can’t Afford to Ignore

feat. Stith Keiser | Blue Heron Consulting Practice culture isn’t just a buzzword—it’s the heartbeat of your hospital. When leadership styles, communication, or management systems fall behind, the impact shows up everywhere: morale dips, efficiency stalls, and profitability suffers. If you missed our live session, you’re not out of luck. You can still access our [...]

What to Know Before You Buy a Veterinary Clinic

by Stith Keiser | Blue Heron Consulting This article was written for and featured in DVM360. Years ago, in college, I wanted to buy a horse, so I made the long drive from Kentucky to Wyoming to spend several days riding and roping a wide assortment. A roan quarter horse, Remington, eventually worked himself to [...]

The Power of Getting Team Buy-In

by Stith Keiser | Blue Heron Consulting This article was written for and featured in Vetsource. I was driving home from a clinic earlier this week and heard on the radio that unemployment had reached an all-time low of about 3.7% nationally[1]. The AVMA has confirmed that it’s even lower in veterinary medicine at around [...]

Performance Reviews Done Right

by Stith Keiser | Blue Heron Consulting This article was written for and featured in Vetsource. Holiday festivities. Family. Friends. Good food. Year-end inventory counts. Annual budgeting. Performance reviews. To some, the above two lines may seem as polarizing as a lump of coal and a shiny new present. Fortunately, for veterinary managers and owners [...]

How Medical Ratios Support Best Medicine – Every Time

by Stith Keiser | Blue Heron Consulting This article was written for and featured in Vetsource. We hear a lot about the importance of practicing “best medicine.” Conceptually, many of us would agree that practicing best medicine is, in fact, best. Even so, the question lingers, how do we do it in the real world [...]

Overcoming Fatigue: Wellbeing for the Long Haul

feat. Stith Keiser and Kate Crumley, DVM, MS | Blue Heron Consulting Watch the webinar here! A veterinary hospital can be a stressful environment to work in. Combine that with the incredible level of dedication and passion veterinary staff bring to their jobs, and it’s not difficult to understand why burnout and compassion fatigue are [...]

Standing Out: How Independent Veterinary Practices Can Thrive

feat. Stith Keiser and Robert Sanchez (Digital Empathy) | Blue Heron Consulting In this webinar, Blue Heron Consulting and Digital Empathy dive deep into how independent veterinary practices can set themselves apart in a competitive market. Learn why positioning is crucial for attracting the right clients and team members, how to build an authentic unique [...]

Scheduling Appointments to Make the Day Flow Smoothly

A busy practice is good for business, but scheduling and workflow must be organized to positively impact Veterinarians, team members, and client satisfation. Click here to read the full article by Stith Keiser, which was featured  by Veterinary Team Brief.

Strategies for Attracting Veterinary Candidates

feat. Carissa Welsh | Blue Heron Consulting In this webinar hosted by Blue Heron Consulting and sponsored by WealthSouth, we dive into practical, data-informed strategies for attracting veterinary talent in a highly competitive job market. From writing compelling job ads to enhancing candidate connection and building standout benefits packages, this session is full of actionable [...]

The Veterinary Hiring Landscape: When to DIY & When to Use a Recruiter

feat. Carissa Welsh and Bobbie Stout | Blue Heron Consulting Blue Heron Consulting's Hiring Services team breaks down today's highly competitive veterinary hiring market. Learn when to manage hiring internally and when partnering with a recruiter can make the difference. This presentation covers current industry challenges, DIY hiring tips, best practices for job advertising and [...]

Empower Your Team, Elevate Your Practice

feat. Sydni Southwick | Blue Heron Consulting In this webinar from Blue Heron Consulting and PayJunction, Sydney Southwick and Jim Sperry team up to explore how empowering your veterinary staff can drive real results across your practice. From improving efficiency and decision-making to boosting morale and client satisfaction, they cover practical ways to elevate your [...]

Building Stronger Client Relationships

feat. Stacy Gentry | Blue Heron Consulting In today’s world, where strong connections are vital, building meaningful relationships with your clients is essential for long-term success. This webinar focuses on helping you create authentic connections that go beyond routine transactions. We delve into the pivotal relationship between the client experience and the long-term loyalty it [...]

How to Make a Difference Without Being the Boss

feat. Stith Keiser and Kate Crumley, DVM, MS | Blue Heron Consulting When you think of a leader, who comes to mind? A hospital director? A manager? Someone with a string of letters after their name? Sure, that’s one kind of leader. But in veterinary medicine, leadership doesn’t require a job title. In fact, some [...]

Navigating Difficult Client and Colleague Interactions

feat. Stith Keiser and Kate Crumley, DVM, MS | Blue Heron Consulting Every veterinary professional has had a day derailed by a tough client interaction or tension among colleagues. Whether it’s an aggressive remark, a misunderstanding, or a miscommunication rooted in stress, these moments can be draining. But with the right mindset, tools, and techniques, [...]

From Dream to Reality

by Stith Keiser | Blue Heron Consulting This article was written for and featured in Today's Veterinary Business. Do you remember when you first wanted to be a veterinary professional? Most of you do, and that goal became a calling that carried you through school and to where you are today. Once out in the [...]

Scheduling Appointments to Make the Day Flow Smoothly

by Stith Keiser | Blue Heron Consulting This article was written for and featured in Clinician's Brief. I recently spent a few days onsite with the new owner of a small animal practice. We had also met the previous evening and over dinner discussed her primary concerns. She said the practice was extremely busy—a good [...]

Calculate Your ROI Before You Buy

by Stith Keiser | Blue Heron Consulting This article was written for and featured in Clinician's Brief. During my recent presentation on veterinary medicine compensation models, a Michigan State University student asked why 25% of production is used as a rule of thumb for compensation and benefits. “Why not a higher percentage?” he asked. I [...]

Walk, Don’t Run, for the Exit

by Stith Keiser | Blue Heron Consulting This article was written for and featured in Today's Veterinary Business. As a consultant, I get nervous butterflies each time I prepare to review a veterinary hospital’s valuation with a friend or client. The video calls summarize the individual’s ability as a practice owner to build a legacy [...]

Making Dreams Come True

by Stith Keiser | Blue Heron Consulting This article was written for and featured in Today's Veterinary Business. I will never forget my first staff meeting as the new owner of a rural mixed-animal, one-doctor practice. To this day, I can still feel my nervousness and excitement. I vividly recall walking into the hospital’s small [...]

How to Succeed in a Mixed Animal Practice

by Stith Keiser | Blue Heron Consulting This article was written for and featured in Today's Veterinary Business. I’ve been fortunate to wear various hats in my career — hospital manager, veterinary association business manager, adjunct faculty member, consultant and small animal practice owner. The first one, which I’ve never removed, is the now-weathered, dusty, [...]

Follow the Money

by Stith Keiser | Blue Heron Consulting This article was written for and featured in Today's Veterinary Business. It’s 3 in the morning, cold, dark and rainy. I’m 3 or 4 years old and sitting in the backseat of my dad’s truck as he heads out to deliver another calf or fix another prolapsed uterus. [...]

Turning Around Employee Turnover

by Stith Keiser | Blue Heron Consulting This article was written for and featured in Today's Veterinary Business. I sat next to a registered veterinary technician at a recent continuing education meeting. As we chatted, she explained that she was no longer in practice. Her employer informed her that after over a decade of service, [...]

Facing the Fear of Change

by Stith Keiser | Blue Heron Consulting This article was written for and featured in Today's Veterinary Business. If I could assign one word to the feeling around change in this hospital, it was “fear.” Not the kind of fear like that feeling of excitement or pre-game jitters, but the primordial, fight-or-flight type of fear. [...]

A Tale of Two Managers

by Stith Keiser | Blue Heron Consulting This article was written for and featured in Today's Veterinary Business. I was speaking at a veterinary conference when an attendee, a midcareer owner of a multidoctor hospital, asked, “If you could identify one factor that separates average or even good hospitals from the great ones, what would [...]

A Balancing Act

by Stith Keiser | Blue Heron Consulting This article was written for and featured in Today's Veterinary Business. In case you missed my previous article, “Uneasy Street,” I examined the difference between flying by the seat of our pants as practice owners versus leveraging financial statements and key performance indicators (KPIs) to make educated, intentional [...]

Uneasy Street

by Stith Keiser | Blue Heron Consulting This article was written for and featured in Today's Veterinary Business. Daggers were shooting out of the eyes of the four veterinary hospital partners. You could have cut the tension with a butter knife. I was there as an impartial facilitator after the partners discovered through a professional [...]

Finding the Veterinary Job of Your Dreams

by Stith Keiser | Blue Heron Consulting This article was written for and featured in Clinician's Brief. On the first day of fall football camp, athletes ranging from seasoned upperclassmen to wide-eyed freshmen were silent as they pondered the coach’s question: How do you want to be remembered? Our answer was important, the coach said, because [...]

Chiefland, FL

Chiefland, FL Chiefland Animal Hospital Medical Director/SA Associate DVM Inspire Hospital, Client Education, VCPR focus

Unbridled – An Externship Experience

https://youtu.be/veP2qMYNJrU Unbridled – An Externship Experience Inspiring the Next Generation of Veterinary Practice Owners Thank you to our veterinary students, facilitators and sponsors for making Unbridled – An Externship Experience such a memorable experience! The externship, designed specifically for aspiring practice owners, was inspired by, and largely made possible through, collaboration with Colorado State University College of Veterinary Medicine [...]

Blue Heron Consulting owners speak to Rotary

On May 3, Rotarians Dr. Chuck Keiser and Dusty Bonner provided fellow Rotarians with an insider’s viewpoint of a local business start-up, Blue Heron Consulting. The company is an outgrowth of brainstorming ideas between college friends Stith Keiser and Dusty Bonner. Dusty joined the Marine Corps in response to 9/11. After receiving his bachelor’s degree, [...]

Podcast: Financial Wellness

We are back for Part 2 of our Financial Wellness Series, and today we are diving into the specifics of practice ownership. Everything from how to find a practice, what to look for and how to get the money to buy in is on the table today as Stith Keiser rejoins us and gives us [...]

The Ulitmate Measure of Leadership

Almost a month under new ownership, a newly appointed Lead Veterinary Nurse—let’s call her Brittany—shared with me how impactful the experience had been on her definition of leadership. The new owner, a long-time associate at the practice, immediately shed the shackles of authoritative leadership and asked her team, regardless of title, to be leaders in [...]

The Business of Healing Pets: 5 Lessons for Better Leadership

Thus far in our series, we’ve explored the health of our practices and reviewed what financial statements and key performance indicators tell us about our medicine and management. Most recently, we examined leadership styles and how a better understanding of our own leadership preferences can help us be better stewards of our hospitals. Regardless of [...]

Podcast: Financial Wellness with Stith Keiser

Have you ever considered owning a practice or buying into a practice, but the financial intimidation is keeping you from moving forward? You aren’t alone, and Stith Keiser is here to shed some light on the message of financial wellness with the help of First Financial Bank. Click here to listen.

Performance reviews—a valuable gift or a lump of coal?

It’s that time of year again. Often dreaded by both management and employees, how do we ensure that performance reviews bring value to both? What’s the right way to deliver constructive feedback and at what frequency? Consultant Stith Keiser delves into answering all these questions, and more! Click here to read the article.

Performance Reviews Done Right: The Gift That Keeps on Giving

Holiday festivities. Family. Friends. Good food. Year-end inventory counts. Annual budgeting. Performance reviews. To some, the above two lines may seem as polarizing as a lump of coal and a shiny new present. Fortunately, for veterinary managers and owners alike, exercises that many designate to the end of the year are in fact, when done [...]

The Business of Healing Pets: What’s Your Leadership Style?

The Business of Healing Pets, Trupanion’s blog series written by Stith Keiser of Blue Heron Consulting, takes a deep dive into the business side of animal medicine. Look for a new installment each month featuring topics such as business best practices, effective leadership, strategic hiring, and more. What’s Your Leadership Style? In our last post, we [...]

How to Establish a Collaborative Relationship between Practice Managers and Owners

Missy Tasky, DVM will be presenting How to Establish a Collaborative Relationship between Practice Managers and Owners at the Hudson Valley Veterinary Management Group from 8:30 AM – 12:00 PM on Wednesday, November 28th.  The seminar will provide attendees with a better understanding of the following: How to tie projects and desired changes to the practice owner’s vision, [...]

Webinar: The Ace in the Hole for the Jack of All Trades

Stith Keiser will be featured in a FREE webinar on November 7, 2018 at 2 PM Eastern for VetMedTeam. Here's more information from VetMedTeam: Practicing medicine, leading the team, overseeing the beast that is human resources, bookkeeping, marketing, client experience, hospital operations, and the list goes on and on. This is the job description for [...]

Changing a Team Resisting Change

THE PROBLEM You are ready with ideas for improving the practice’s financial health, culture, and service offerings, but the team is cautious. After a few steps in the right direction, team members seem more interested in just getting through the day rather than working toward change. Change for the sake of change may be pointless, [...]

Free CE Webinar: Lead More, Stress Less — Yes, Really

Veterinarians and veterinary staff are very important to us. They are our friends, colleagues, classmates, and caretakers of our beloved pets. Sadly, we are seeing a decrease in career satisfaction from industry professionals, which is leading to a high level of burnout. Sometimes this is caused by a lack of education around “soft skills” such [...]

The Business of Healing Pets: Leadership, Part Two

This post originally appeared on Trupanion.com. The Business of Healing Pets, Trupanion’s new blog series written by Stith Keiser of Blue Heron Consulting, will take a deep dive into the business side of animal medicine. Look for a new installment each month featuring topics such as business best practices, effective leadership, strategic hiring, and more. Leadership: Where [...]

Blue Heron Consulting Celebrates Status as RACE Provider

Blue Heron Consulting is happy to announce that we are now an approved provider by the Registry of Approved Continuing Education (RACE), a program through the American Association of Veterinary State Boards (AAVSB). As a RACE provider we will seek approval on our future CE programs, allowing you the opportunity to earn CE credits at [...]

No Matter the Location, All Veterinary Practices Need These 3 Things

https://youtu.be/bFVW3QiEI8M Stith Keiser, BA, chief executive officer and director of client experience for Blue Heron Consulting, says no matter where your veterinary practice is located, all practices need three similar things: 1) staff, 2) patients and 3) clients. Whether your veterinary practice is located in a rural, metropolitan or suburban area, 90 percent of [...]

Blue Heron Consulting Accredited by Better Business Bureau

Blue Heron Consulting was one of a handful of local organizations to be accredited by the Better Business Bureau. We are honored to receive this accreditation and we congratulate all our fellow organizations being recognized for how they do business. NEW ACCREDITED BUSINESSES BEREA Precision Window Films DANVILLE Blue Heron Consulting Danville Paint Center FRANKFORT [...]

Buying a Veterinary Hospital? Ask Yourself These 2 Things

https://youtu.be/JmBVdpuPR6Y When buying a veterinary hospital, Stith Keiser, BA, chief executive officer and director of client experience for Blue Heron Consulting, says ask yourself these two things. Ask yourself why veterinary medicine, and why practice ownership? Keiser also stresses the importance of not being an island. You're never going to be the best at [...]

Where is Veterinary Education Lacking?

https://youtu.be/K3rRJG1JqQY Stith Keiser, BA, chief executive officer and director of client experience for Blue Heron Consulting, says there are two different paths that veterinary schools are on. Schools on one path have realized that the client is the student, schools on the other path have not. If we miss the interpersonal, communication, leadership skills, [...]

BHC proudly joins the MightyVet Movement

“Be the change in transforming the veterinary ecosystem” BHC’s efforts to improve the lives of veterinary practice owners, veterinary team members, clients and patients received a boost through joining the ranks of AAVMC, Trupanion, WVC, Not One More Vet, and others through the MightyVet movement. MightyVet’s mission is to nurture and evolve the veterinary ecosystem [...]

Stith Keiser Named Adjunct Faculty Member at Washington State University

We are proud to announce that Stith Keiser has been named an adjunct faculty member at Washington State University. Chair of the Department of Veterinary Microbiology and Pathology, Robert H. Mealey, DVM, PhD, Diplomate ACVIM, commended Stith on his "excellent contributions to their teaching mission, especially the Diagnostic Challenges." We hope you will join us [...]

Dr. Tracey Jensen Recently Elected Vice President of ABVP

Part of BHC’s ‘why’ is improving the lives of pets through helping each of clients consistently practice their definition of progressive, ‘best medicine.’ In light of this mission, we’re proud to share that BHC’s Chief Medical Officer, Tracey Jensen, DVM, DABVP, CVA recently stepped in as Vice President of the American Board of Veterinary Practitioners.

BHC Invitational: Unbridled Success

Are you tired of conflict amongst employees?  Do you dread having difficult conversations?  Do you ever wonder why some people seem to have the knack for effective communication AND the ability to solve problems?  We have the answers to those questions and more.  “Unbridled Success,” the 2018 Blue Heron Invitational, will focus on the often-overlooked, [...]

A New Year – Time for Resolutions and Future Planning

For many practice owners, the new year marks a time for self-reflection, resolutions and planning for the upcoming year. In this series of Podcasts, listeners learn tips for building a healthy practice as well as laying the foundation, now, for a successful exit strategy. Click on each topic below to help make 2o18 the best [...]

A Christmas Poem from the Hallett Crew

Tis the season for Santa to be doing his thing, Delivering the goods and all of that sparkling bling. He’s off with Dasher, Dancer, Donner, and Blitzen on his heavily loaded sleigh, Prepared and ready for delivery; all for the big day. Christmas came early this year for the Hallett crew. As October rolled around [...]

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