The clinical resource
Clinical insights for independent care
Practical perspective on the systems, revenue operations, and workflows that help independent practices build for the long term.
18 resources found
The Automation That Never Happened
A behavioral health physician wanted to automate his practice to reduce administrative costs. He hired developers, spent months on the project, and eventually ran out of money before the system was finished. Two years later, I reached out to ask how things had turned out.
Is $199/Month Really Enough for a Custom EHR?
Most practices assume custom EHR means enterprise pricing. Here is what Tarevo actually includes at $199/month — and why independent practices are switching.
The Doctor Who Paid for an EHR He Never Used
A physician paid for an electronic health record system for eighteen months without entering a single patient. Then, just when it appeared he might finally begin using it, he asked us to shut it down. This is the story of an EHR implementation that left me with more questions than answers.
What Does It Actually Cost to Open a Private Practice?
Most cost estimates for opening a private practice are either too vague or too optimistic. Here is a realistic breakdown — and a free calculator to run your own numbers.
The EHR They Barely Use
A plastic surgery center purchased an entire EHR but uses only a small portion of its capabilities. Two years later, it's still a customer. Sometimes the value of software isn't measured by how much of it you use.
Your EHR Is Working. So Why Does It Still Need Maintenance?
The freedom of open-source software comes with something many healthcare practices don't initially consider: the responsibility of ownership.
Build Your Own EHR in the Age of AI: Who Is Responsible for What's Missing?
AI coding tools make building a custom EHR feel achievable. But writing the software is only part of the work. Someone must know what the system needs, verify that it works, and accept responsibility for operating it.
How to Evaluate an EHR: Bring Your Workflow and Count the Clicks
Most EHR demos look impressive. The ones that reveal the truth start with your actual workflow—and a click counter.
What Does It Really Cost to Open a Small Practice?
The financial side of opening a practice is only part of the picture. Here's what the money, time, and emotional weight of starting on your own actually look like.
Protecting Your Data Is Only Half of an EHR Migration Plan
Data sovereignty matters, but owning your export does not mean your organization is ready to operate in a new EHR. Migration planning is a separate discipline.
Why Small Practices Shouldn't Have to Choose Between an Affordable and Custom EHR
Small practices are often told they must choose between an inexpensive EHR and a customized one. With the right foundation and technical partner, they can have both.
Why Your EHR Implementation Should Start With Workflow, Not Software
Choosing an EHR based on a feature list is the wrong starting point. The first question should be: how does your practice actually work?
Patient Loyalty Builds a Sustainable Practice
Patient loyalty is not a marketing slogan. It is the operating discipline that gives an independent practice room to plan, invest, and grow.
Why Clinics Lose Money Before They Open
Revenue loss often starts before a clinic sees its first patient, when workflows, payer readiness, and systems are treated as afterthoughts.
Build a 10-Year Foundation for Your Practice
A new medical practice needs more than a launch plan. It needs an operating foundation that stays useful as patients, providers, and services grow.
Building a Strong Community Code of Conduct for Your Medical Practice
Clear conduct guidelines protect your staff, set expectations for patients, and create the kind of environment where everyone — clinicians and patients alike — can do their best work.
Establishing Boundaries: What Behavior Is Acceptable in Your Medical Practice
Setting clear behavioral standards protects your staff, your patients, and the care environment you've worked hard to build. Here's how small practices can define, communicate, and maintain those boundaries effectively.
7 Essential Considerations for Starting a Private Counseling Practice
Starting a private counseling practice is one of the most rewarding moves a clinician can make — but the foundation you build in year one determines whether you're still standing in year five.