The Journal

Practice operations intelligence, in writing.

Ideas on growth, patient attribution, referrals, retention, and running a healthcare practice on one source of truth.

How Do You Know If Your Patient Scheduling Is Leaving Money on the Table with Unfilled Chair Time?
Aug 07, 2026

How Do You Know If Your Patient Scheduling Is Leaving Money on the Table with Unfilled Chair Time?

How Do You Know If Your Patient Scheduling Is Leaving Money on the Table with Unfilled Chair Time? You measure provider schedule utilization by comparing actual booked appointment…

Read the article →
How Do You Know If Your Recall System Is Actually Working (or Silently Bleeding Revenue)?
Aug 04, 2026

How Do You Know If Your Recall System Is Actually Working (or Silently Bleeding Revenue)?

How Do You Know If Your Recall System Is Actually Working (or Silently Bleeding Revenue)? Here is a number that should keep every practice owner up at night: the average dental or…

Read the article →
How Do You Know If Your Front Desk Is Understaffed (Before You Start Losing Patients)?
Aug 04, 2026

How Do You Know If Your Front Desk Is Understaffed (Before You Start Losing Patients)?

How Do You Know If Your Front Desk Is Understaffed (Before You Start Losing Patients)? Your practice did not lose that new patient because of a bad Google review or a competitor's…

Read the article →
How Do You Know If Your Marketing Budget Is Too High (or Too Low) for the Number of Patients You Can Actually Handle?
Jul 31, 2026

How Do You Know If Your Marketing Budget Is Too High (or Too Low) for the Number of Patients You Can Actually Handle?

How Do You Know If Your Marketing Budget Is Too High (or Too Low) for the Number of Patients You Can Actually Handle? Here is a scenario that plays out in practices every week: a…

Read the article →
Where Do Most of My New Patient Inquiries Actually Get Lost Between the First Call and the Booked Appointment?
Jul 31, 2026

Where Do Most of My New Patient Inquiries Actually Get Lost Between the First Call and the Booked Appointment?

Where Do Most of My New Patient Inquiries Actually Get Lost Between the First Call and the Booked Appointment? Your marketing is working. The phone is ringing, web forms are…

Read the article →
How Do You Know If Your Practice Is Ready to Open a Second Location (Before the Numbers Force the Decision)?
Jul 28, 2026

How Do You Know If Your Practice Is Ready to Open a Second Location (Before the Numbers Force the Decision)?

How Do You Know If Your Practice Is Ready to Open a Second Location (Before the Numbers Force the Decision)? Your schedule is packed. Patients are waiting weeks for appointments.…

Read the article →
How Long Does It Really Take a New Patient to Become Profitable, and How Do You Speed It Up?
Jul 28, 2026

How Long Does It Really Take a New Patient to Become Profitable, and How Do You Speed It Up?

How Long Does It Really Take a New Patient to Become Profitable, and How Do You Speed It Up? Most practice owners can tell you what they spend to acquire a new patient. Far fewer…

Read the article →
Which Provider in My Practice Is Actually the Most Profitable (and Why Volume Doesn't Tell You)?
Jul 28, 2026

Which Provider in My Practice Is Actually the Most Profitable (and Why Volume Doesn't Tell You)?

Which Provider in My Practice Is Actually the Most Profitable (and Why Volume Doesn't Tell You)? Your busiest provider sees 30 patients a day. Your quietest sees 18. So the first…

Read the article →
Which Front-Desk Metrics Actually Predict Whether a Practice Will Grow?
Jul 21, 2026

Which Front-Desk Metrics Actually Predict Whether a Practice Will Grow?

Which Front-Desk Metrics Actually Predict Whether a Practice Will Grow? Your marketing budget is bringing new patients to the door, but most of them never walk through it. The…

Read the article →
Why Do New Patients Book Once and Never Come Back? How to Find and Fix First-Visit Drop-Off
Jul 21, 2026

Why Do New Patients Book Once and Never Come Back? How to Find and Fix First-Visit Drop-Off

Why Do New Patients Book Once and Never Come Back? How to Find and Fix First-Visit Drop-Off Your practice spent hundreds of dollars acquiring that new patient. They booked, they…

Read the article →
Why Is My Practice Busy but Not Profitable? How to Spot the Gap Between Patient Volume and Revenue
Jul 17, 2026

Why Is My Practice Busy but Not Profitable? How to Spot the Gap Between Patient Volume and Revenue

Why Is My Practice Busy but Not Profitable? How to Spot the Gap Between Patient Volume and Revenue Your schedule is packed. Your waiting room is full. Your team is working harder…

Read the article →
Which Marketing Channels Actually Bring in High-Value Patients (Not Just More Patients)?
Jul 17, 2026

Which Marketing Channels Actually Bring in High-Value Patients (Not Just More Patients)?

Which Marketing Channels Actually Bring in High-Value Patients (Not Just More Patients)? Your Google Ads dashboard says you generated 200 new patient leads last month. Your front…

Read the article →
What's a Healthy Patient No-Show Rate, and How Do You Actually Lower It?
Jul 14, 2026

What's a Healthy Patient No-Show Rate, and How Do You Actually Lower It?

What's a Healthy Patient No-Show Rate, and How Do You Actually Lower It? Every empty chair in your practice has a price tag. A single missed appointment costs an estimated $200 on…

Read the article →
How Many New Patients Do You Actually Need Each Month to Hit Your Revenue Goal?
Jul 14, 2026

How Many New Patients Do You Actually Need Each Month to Hit Your Revenue Goal?

How Many New Patients Do You Actually Need Each Month to Hit Your Revenue Goal? Most practice owners set ambitious revenue targets each year but never reverse-engineer the one…

Read the article →
Why Online Reviews Are a Revenue Lever for Practices
Jul 13, 2026

Why Online Reviews Are a Revenue Lever for Practices

Why Online Reviews Are a Revenue Lever for Practices Here is a number that should keep every practice owner up at night: nearly 72% of patients say online reviews are their first…

Read the article →
Patient Reactivation: Turning Lapsed Patients into Revenue
Jul 13, 2026

Patient Reactivation: Turning Lapsed Patients into Revenue

Patient Reactivation: Turning Lapsed Patients into Revenue Your practice already has a goldmine of untapped revenue sitting in your patient database. Every lapsed patient…

Read the article →
Cost Per New Patient: The Metric Every Owner Should Track
Jul 10, 2026

Cost Per New Patient: The Metric Every Owner Should Track

Cost Per New Patient: The Metric Every Owner Should Track Your practice spent $12,000 on marketing last month. You got 30 new patients. That sounds like a win, right? But what if…

Read the article →
Referral Leakage: How Practices Lose Revenue, and How to Stop It
Jul 07, 2026

Referral Leakage: How Practices Lose Revenue, and How to Stop It

Referral Leakage: How Practices Lose Revenue, and How to Stop It Every time a patient receives a referral from your practice and never follows through, or ends up at an…

Read the article →
How Multi-Location Practices Get a Single Source of Truth
Jul 03, 2026

How Multi-Location Practices Get a Single Source of Truth

How Multi-Location Practices Get a Single Source of Truth Running one profitable practice is hard enough. Running three, five, or fifteen locations while relying on separate…

Read the article →
What Is Patient Attribution, and Why It Matters
Jun 30, 2026

What Is Patient Attribution, and Why It Matters

What Is Patient Attribution, and Why It Matters for Your Practice's Growth Every month, new patients walk through your doors. Some found you on Google. Others were referred by a…

Read the article →
How Healthcare Practices Track Marketing ROI
Jun 29, 2026

How Healthcare Practices Track Marketing ROI

How Healthcare Practices Track Marketing ROI Your practice spent $15,000 on Google Ads last month, $5,000 on social media campaigns, and $3,000 on a local SEO agency. Leadership…

Read the article →
What Is Practice Operations Intelligence?
Jun 23, 2026

What Is Practice Operations Intelligence?

What Is Practice Operations Intelligence? Your EMR tracks what happens in the exam room. Your billing software tracks what gets paid. Your scheduling tool tracks who shows up. But…

Read the article →