Blog
Notes on running
healthcare operations
Data, regulation and operations for healthcare providers — in plain language, with verifiable sources.
Earlier articles
59 articles
Practice operations10 minDavid Lara
Appointment wait times and no-shows are the same problem
Patients in the US wait 31 days on average for an appointment and one in four Australians waits longer than they find acceptable, while booked slots go unused.
Channels10 minTomas Giraldo
SMS vs messaging apps in UK clinics: verdict
UK clinics are usually SMS-first for operational outreach. Compare SMS, NHS App messaging, and consumer messaging apps—and take a verdict that does not treat WhatsApp as the default.
Access11 minNorbelys Chirinos
Self-schedule links vs staffed line: verdict for US practices
Self-schedule links and staffed phone lines serve different US booking jobs. An honest compare with a clear ops verdict—not a portal fairy tale.
Practice operations9 minVeronica Tobon
Virtual care access in Ontario: what OHIP actually covers
Ontario OHIP funds video and phone visits under Comprehensive vs Limited rules — access still fails if booking and confirmation paths break.
Practice operations18 minTomas Giraldo
Region study: outreach governance across Anglo markets
A region study of outreach governance in US, AU, GB and CA clinics: shared pattern, non-comparable national figures, and a policy stack you can actually run.
General practice10 minVeronica Tobon
Skin checks in Australian general practice: what Medicare covers
Australia has the world's highest melanoma rate, and skin checks start with the GP, not a dermatologist. What Medicare funds, and what recall catches.
Practice operations13 minEmilia Santander
After-hours in family practice CA
Canadian family practice after-hours design: CIHI access gaps, CMWF coverage signals, and a voice layer that protects clinician sleep.
Practice operations11 minNorbelys Chirinos
Designing a hybrid consult day in AU general practice
Hybrid GP days mix face-to-face and telehealth under Australian MBS rules. Design around eligibility, rooming, and contact—not around a video habit.
Primary care10 minDavid Lara
Medicare Annual Wellness Visit reminders that convert
US Medicare covers a yearly Wellness visit at $0 with assignment — if your practice qualifies people, books the right visit type, and follows up.
Practice operations11 minTomas Giraldo
Weekend overflow without burning the front desk
Weekend phone demand drains Monday capacity. A US practice playbook for covering overflow without burning the front desk or inventing a 24/7 hire.
Pediatrics10 minDavid Lara
Australia's childhood vaccination coverage: a five-year slide
National coverage has fallen every year since 2020, and the gap is widest in specific cohorts, not evenly. Here is what a general practice can do.
Practice operations11 minDavid Lara
Telephony overflow in UK practices
Why UK GP phone lines still overflow after digital telephony—and how practices redesign queues, callbacks, and first-line capacity without pretending the 8am rush vanished.