90-Day-Roadmap
The Runs‑Without‑Me 90-day plan
Start with a diagnosis, then put a COO in the seat for 90 days.
Start here · 2–3 weeks
Practice Health Assessment
A structured diagnostic of the whole practice. It is the fastest way to know what is really going on, and it is the basis for everything that follows.
- Confidential interviews with the owner, managers, providers and front desk
- Review of financials, schedule utilization, intake and lead data, policies and vendor contracts
- An on-site or virtual walk-through of the patient journey, from first call to follow-up
- A scored readout across seven operating areas, with a ranked list of fixes and their likely impact
You keep the readout whether or not we work together afterward.
Core engagement · 90 days
The Runs‑Without‑Me 90-day plan
I step into the COO role for a fixed term. The goal is a practice that runs on systems and managers, with the owner back to leading instead of firefighting.
See the whole practice
- Practice Health Assessment and scored readout
- Competitive market and pricing analysis
- Weekly leadership meeting and a short KPI set
- Fix the two or three leaks costing the most money now
Install the systems
- Review and assessment of current software and SaaS platforms
- Defining roles and responsibilities
- Creating new income streams
- Written SOPs, patient policies and compliance documents
Make it run without me
- New systems live and staff trained
- Managers own their numbers and run the meetings
- Dashboard the owner reads in ten minutes a week
- A one-year operating roadmap with clear owners
Typical work includes the weekly leadership cadence, a short KPI dashboard, role design and hiring, SOPs, scheduling templates, intake and lead follow-up, pricing and policy review, vendor and EMR decisions, and oversight of the revenue cycle with your billing team or partner.
After day 90 · Monthly
Ongoing Fractional COO
For practices that want a senior operator on the team without a full-time salary.
A set number of days each month to run leadership meetings, review KPIs, coach managers, lead hiring for key roles and manage the projects that come with growth. Scope is reviewed every quarter.
Ready to talk?
A 30-minute call is enough to tell whether an assessment makes sense.