Notes on building a practice that works.

Clinic owners who come to me with a new program are usually ready to launch and have already done the hard clinical thinking. They know what they’re building. They’ve sat with the framework for months, sometimes years. The vision is clear. What isn’t clear—yet—is what must be in place for that program to reach someone without falling apart in the middle. Here’s what I’ve witnessed: a clinic owner launches a new program with a strong clinical foundation and real excitement.