The Clinic Freedom Score

How much of your practice still runs on you?

Not your revenue, not your valuation — how much of the work still routes through you, versus how much runs on documented systems that hold without you in the room.

See where your practice stands

What you’ll see · eight questions · about two minutes · no email required

  • Your overall tier on a four-rung ladder — from “It runs on you” to “Runs without you in the room.”
  • How each of your five systems reads today — charting, oversight, scheduling & retention, inventory, reporting.
  • The one or two specific gaps standing between you and a practice you could step back from.

A mirror built from your own answers, not a sales pitch.

When do your visit notes actually get finished?

The note that follows you home has an industry nickname — “pajama-time charting.” When the documentation runs on your evenings instead of the clinic’s clock, that’s the practice running on you.

If an inspector or your medical director asked for the documented good-faith exam and the dated sign-off on one patient from six months ago, how fast could you produce it?

A board doesn’t ask whether the oversight happened — it asks you to produce it. To a board, a record you can’t put your hands on is a record that isn’t there. This reads how well your oversight is evidenced — not a verdict on your standing; only a state board or HHS OCR makes that call.

What actually happens right now when someone no-shows or cancels last-minute?

An idle chair is a paid nurse earning nothing. The tell is whether the clinic has a system for the empty slot — or whether you and the front desk are the system.

Do you find out a member has lapsed before or after they’re gone?

A failed autopay, an expired card, a re-exam nobody flagged — these churn the members who never actually meant to leave. Mature practices see it coming; the rest find out once the revenue is already down.

Could you tell me right now which vials in your fridge expire this month — and what a partial GLP-1 dose actually costs you?

The drawer of expiring vials is money you already spent, waiting to be thrown out. Knowing your real cost — down to a partial vial — is the difference between a decision you can make and one you can’t.

How do you see the whole practice’s numbers — schedule, revenue, margin, membership — and how long does it take?

The month-end that turns into an 11pm spreadsheet is the giveaway. Either the numbers already agree, or you’re the one stitching them together after everyone’s gone home.

You take two weeks off and you’re completely unreachable — no calls, no texts. What happens to your practice?

This is the whole score in one question. A practice that can’t run without you isn’t just exhausting — it’s the most fragile thing you own. Everything else here is really about moving this answer toward the last option.

To run one patient from booking to payment, how many separate logins does it take — and how many times does their name get typed in?

Five logins open just to see tomorrow’s schedule; the same patient re-keyed four times a day. Every disconnected tool is one more place the work routes back through you.