How to Build an Operating Manual Your Clinicians Actually Use
An operating manual is your practice's how-to: step-by-step processes for the work that happens every week. It isn't your employee handbook, which covers HR and compliance, and it isn't your policy set, which holds the rules. Keep the three separate. Have the manual link to policies instead of repeating them, and it stays usable at any size.
The 8 Numbers I Check Every Month Running a 40-Clinician Practice
There are eight numbers I look at every month, and they take about ninety minutes to review. Not thirty metrics on a dashboard — eight, each with a range I expect and a specific point where I stop and do something about it.
The Clinician Onboarding Checklist for Group Practices
Good clinician onboarding covers three things: operational (access and logistics), clinical (caseload and supervision), and cultural (team and values). Get all three right in the first month and your new hire ramps faster, feels supported, and is far more likely to stay. Here's the checklist I use.

