
Thoughts on execution, communication, and the work that happens between a good decision and the results everyone expected. Drawn from 25 years of working inside complex practices — and the patterns that keep showing up.
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One Idea. One Hundred Decisions.
It starts with one simple sentence. Something like this: this year, we’re growing surgical volume by 10%. For the person who said it, the hard part is over. The vision is set. The direction is clear. And for a moment, it feels like the biggest work is done. For the…
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The Implementation Went Fine. So Why Isn’t It Working?
Every year, healthcare practices invest in new technology. New systems. New platforms. New workflows promised to make everything run better. And every year, a version of the same thing happens. The system goes live. The training gets done. Implementation wraps up. And somewhere in the weeks that follow, the practice…
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the heartbeat of your practice
I’m honored to share my latest article, “Scheduling for Success: How Patient Templates Power Profitability,” featured in the October 2025 issue of Ophthalmology Management. The piece explores how intentional scheduling design drives efficiency, improves patient flow, and strengthens a practice’s financial foundation. You can read the full article here: https://ophthalmologymanagement.com/issues/2025/october/scheduling-for-success/
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Driving Profit: Execution for the Win!
If you aim at nothing, you will hit it every time. Zig Ziglar Picture this. You’ve put together a promising growth plan, and the execution falls short. Disappointing volume numbers. Revenue that didn’t materialize. Schedules that aren’t filling despite successfully recruiting a new physician. The outcome is far from what…
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“Unlocking EXECUTION in 2024: The Power of Effective Communication”
“The single biggest problem in communication is the illusion that it has taken place.” — George Bernard Shaw As you read this, consider how often you’ve been on the receiving end of that assumption. A direction was shared. A meeting was held. An email was sent. And somewhere between the…
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From Where I Sit the Race to Increased Profits Starts Here
No race actually begins at the starting line. The answer to where it starts isn’t as exciting as a new laser. It isn’t as widely discussed as new technology or as visible as a marketing campaign. But without it, invest in any of those things and expect problems. Internal operations.…
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A WORD OF ADVICE – DECIDE!
Most strategic plans don’t fail because of bad ideas. They fail because of decisions that were never made. Not dramatic decisions. Ordinary ones. Who owns this? How will we know if it’s working? What do we do when the numbers don’t match the plan? These are the decisions that quietly…