Do you frequently call audibles?
American football quarterbacks, when sizing up the defense and determining that the originally planned play is likely to fail, will often call "an audible," changing the play at the last moment. Some chiropractors do something similar, contradicting established procedures or policies, changing things on the fly. Obviously, as the practice owner you can do whatever you want.
But you pay a price for doing so.
Besides the distraction from the mental and emotional vigilance of constantly monitoring the reception room and the appointment book, it takes a toll on your support team who isn't sure whether to trust the standard operating procedures.
Second guessing you, produces a hesitation and lack of confidence that creates needless friction and uncertainty. A problem made worse by not having established and consistently followed procedures. Is modifying your established procedures motivated by fear? Cash flow? Lack of training? Mood? What?