Dr. Vince LeoneOwner, Consultant, Specialized Practice · Owner, Consultant at Specialized Practice

Under Promise, Over Deliver: The Secret to Happy Patients

20 Jan 2026 · 1 min

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1:01

In this segment Dr. Vince Leone introduces the "Prognosis Playbook," a patient‑care strategy built around the principle of under‑promising and over‑delivering. He explains that clinicians often feel pressure to promise more than they can reliably achieve, especially when eager to move patients into care. The playbook advises setting realistic expectations and pre‑framing what success looks like for each patient, particularly in spinal decompression treatment. By aligning expectations with achievable outcomes, clinicians can ensure patients experience significant results, feel satisfied, and become enthusiastic advocates who refer friends and family to the clinic.

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Absolutely. We're calling this the Prognosis Playbook, under-promise and over-deliver. And I think what Dr. Kyle is referring to is sometimes we take a little bit too much onto our shoulders in terms of what we can deliver. And because we want to help patients so much or move them into care, we tend to maybe overstate or over-promise with not having, you know, solid backing in terms of what we can actually deliver. For sure, consistently, time in and time out. And so what we want to do is dive into setting realistic expectations with the patient, pre-framing them for what success looks like, so that when we get to the end of care, everybody is happy, so that you have a patient that has gotten significant results and can tell their friends and family about the amazing, you know, spinal decompression experience that they had in your clinic.