Operations audits · owner-run practices · worldwide
I audit owner-run practices, put a rand figure on every leak, and build the systems that close them. Including telling you when the software you already own does the job.
No pitch. No slides. If there's nothing here for you, I'll say so.
The three leaks
Calls that ring out during a procedure. Nobody logs them, so nobody counts them.
Every unanswered call is a patient who phones the next practice on the list.
A treatment plan goes out. Nothing comes back. There's no diary, no follow-up, and after three weeks it's forgotten.
The work was won and then lost in silence.
Stock counts, payroll, chasing accounts, writing up plans after hours.
Work worth a fraction of your hourly rate, done by the highest-paid person in the building.
None of this shows up in your practice management software, because none of it is clinical. That's exactly why it's still there.
How it works
01
FreeFree. I ask about your systems and where your day goes. If your existing software already covers what you need, that's what I'll tell you, and the call ends there.
02
Fixed feePaid, fixed fee, delivered as a document. Every finding gets a current state, a target state, a measurable change, and a rand value per year. Assumptions are labelled where I've estimated rather than measured. You own the document whether or not you work with me afterwards.
03
Scoped per findingWe work through the findings in order of value. Systems get built on top of what you already run. Nothing gets replaced, nothing gets migrated, and nobody has to learn new software.
Worked example
Every finding in the audit is worked out the same way, so you can check the arithmetic yourself.
Sample finding. Structure is identical in every audit.
That last line is in every finding. Where a number comes from a benchmark rather than your own data, it says so. An audit that doesn't discount itself isn't an audit, it's a sales document.
Evidence
Northumberland Dental, an implant practice, runs a follow-up system I built inside their own Google account. It sends the follow-ups, routes a call list to reception, and stops everything the moment a patient accepts. It runs on infrastructure they already pay for. I hold none of their data.
Nothing replaced. Nothing migrated. No new software for your staff to learn.
Designed against POPIA and the HPCSA's published guidance, and handed to you in writing for your indemnity insurer.
Most of what gets pitched to practices is either already in your software or solves a problem you don't have. Some of it is worse than that.
Migration costs more than it saves and your staff will quietly keep using the old one.
Drafting, sorting and flagging, yes. Deciding, no. A registered practitioner signs off on everything, every time.
Systems are designed against POPIA and against the HPCSA's published guidance on record-keeping and on the use of artificial intelligence in practice. The HPCSA does not approve or certify technology, and I don't claim otherwise.
A fixed fee, quoted before you commit to anything. You'll know the number on the 15-minute call, and it doesn't change afterwards.
Owner-run private practices worldwide. Most of my work so far is dental, and most of what I've learned there — medical scheme billing, quotes that go quiet, a front desk of one — is the same in an optometry, physiotherapy, dermatology or veterinary practice.
If you own the practice and you're also the one doing the admin at 7pm, this is for you.
Fifteen minutes. I'll ask what your day looks like and tell you honestly whether there's anything worth doing. If there isn't, that's the whole call.
Calendar not loading? Open it in a new tab
Fifteen minutes, on a call. Times shown in your local timezone.