Situation

A practice that is opening.

The lease is signed, the first clinician has a start date, and the systems, the front desk, the referral pack and the patient videos all have to exist before the first appointment is booked.

What the situation looks like

A new practice has a date. Everything that has to be running on that date is non-clinical, and none of it exists yet. There is no EMR configured, no scheduling, no way to check eligibility, nobody to answer the phone, no material for the physicians who will send the first referrals, and nothing on the website that explains what the practice does.

The clinician who is opening the practice is usually still working somewhere else until the week before. The person setting everything up is either that clinician in the evenings or an office manager hired early, and the list of things to buy, configure and hire grows faster than it shrinks.

What a practice usually tries

The usual approach is to buy each piece from a different vendor. The EMR vendor configures the EMR and stops at its own edge. A staffing agency finds a receptionist who has never seen that EMR. A designer makes a logo and a brochure. The website is built from a template by whoever was cheapest. Nobody makes the patient videos, because nobody thought of it as part of opening.

Each of those vendors is competent at its own piece. The problem is the gaps between them. The receptionist starts on day one and learns the EMR from a manual. The brochure says one thing and the website says another. The referral pack goes out late, so the first weeks are quiet. Every one of those gaps is closed by the practice itself, usually by the clinician, usually at night.

How the four handle it together

The Medical Engineers sets up the EMR, the scheduling and the eligibility checks, and installs AI scribing so the clinician is not typing notes from the first day. Because the same business builds the systems the other three run on, the front desk and the billing are set up inside that configuration rather than beside it.

The Medical Staffers supplies the front desk and the billing on opening day. Those staff are trained on the systems The Medical Engineers set up, so they are working inside the practice's own EMR and its own automations from the first call. The practice interviews every candidate itself and every rate is published, so there is nothing to negotiate in the last week.

The Marketing Surgeon writes the referral one-pager and the presentation that go to every physician in the area, and the patient collateral that the front desk hands out. When the practice needs a website, The Marketing Surgeon plans and writes it and The Medical Engineers builds it, so the two say the same thing.

Medical AI Videos delivers the first condition and procedure videos for the website and the waiting room, scripted by our team and approved by the clinician who will perform the procedures. They use the same language as the referral material, and the staff send them to patients as part of booking.

Who does what.

  • The Medical Engineers

    Sets up and integrates the EMR, scheduling and eligibility checks, installs AI scribing, and builds the website that The Marketing Surgeon writes.

  • The Medical Staffers

    Supplies the remote front desk and billing staff for opening day, trained on the systems The Medical Engineers set up.

  • The Marketing Surgeon

    Writes the referral one-pager and presentation, the patient collateral and the website, and sets down the brand so staff can reuse it.

  • Medical AI Videos

    Produces the first condition and procedure videos, approved by the practice's clinician, for the website, the waiting room and the booking emails.

What the practice stops doing.

  • Configuring the EMR and then teaching it to a receptionist who has never seen it.
  • Interviewing through an agency that does not know the practice's systems.
  • Reconciling a brochure, a website and a referral letter that were written by three different people.
  • Explaining the same procedure to every early patient by hand because there is no video yet.
  • Managing five vendors who have never spoken to one another.

The practice keeps every clinical decision, every approval and every file. The clinician approves the video scripts and the referral material before anything goes out, and the practice owns the systems configuration, the website and the videos from the first day.

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