Playbook

What owners wish they knew before they opened.

Space, people and paperwork, in the order that matters.

The lessons

Spend on the rooms you treat in before the lobby.

Patients come back for how they were cared for. Put early dollars into treatment rooms, privacy and the basics that make care run smoothly, and let the finishes grow with you.

Make your first hire someone who rebooks patients.

Hire a warm, organized person at the front who answers quickly and books the next visit before patients leave. That one hire often does more for a new practice than another provider.

Protect your calendar from day one.

Decide what a full day looks like for you before someone else decides it. New owners burn out fastest when every gap gets filled.

Have your own attorney and medical director review your agreements.

Lease, collaborative or supervising agreements, and vendor contracts all deserve a second set of professional eyes before you sign. Rules differ by state, so local advice matters.

Write down why you opened.

When the pressure hits, it helps to remember. Keep it somewhere you’ll see it.

Everything shared here is one owner’s experience. Check with your own attorney, accountant and medical director before acting on it.

All playbooks · Next playbook: Launching lean

Bring this to the room.

Talk it through with owners who have been there. Next Pressure Point: Wed, Nov 18 · 7:00 PM ET (4:00 PM PT).