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Notes on running
healthcare operations
Data, regulation and operations for healthcare providers — in plain language, with verifiable sources.
Earlier articles
94 articles
Practice operations9 minEmilia Santander
After-Hours Calls: Closing the Access Gap in NZ General Practice
One in three New Zealand general practices is now closed to new patients, and after-hours calls are where the remaining access gap shows up first.
Practice operations10 minSamuel Giraldo
Flu, RSV, and COVID Peak Together. Is Your Front Desk Ready?
CDC's own season outlook shows flu, RSV, and COVID converge into one hospitalization peak every winter — the planning window closes before phones start ringing.
Cardiology8 minSamuel Giraldo
What a Post-Discharge Hypertension Follow-Up Call Should Cover
Only 22.5% of US adults with hypertension have their blood pressure controlled. Here's the first-week follow-up protocol that actually lowers readmission risk.
Mental health10 minEmilia Santander
Telehealth or in person for your mental health plan review?
Medicare (Australia) tightened telehealth eligibility for GP mental health plan reviews in November 2025. Here's when video works, and when the room wins.
Dentistry8 minEmilia Santander
Dental Recall Systems: Why Lapsed Patients Cost More Than You Think
About a third of US adults skip their annual dental visit, and postcards alone rarely bring them back — here's what a working recall system requires.
Mental health10 minDavid Lara
The hidden gap between a positive PHQ-9 and treatment
Positive PHQ-9 screens are not treatment. Peer-reviewed US data show up to 30% get no documented follow-up, and few practices track their own rate.
Veterinary9 minNorbelys Chirinos
Vet answering service vs. AI voice agent: who answers first
A veterinary answering service and an AI voice agent both pick up after hours, but they triage real emergencies and routine calls very differently.
Cardiology9 minDavid Lara
Heart failure follow-up calls: a protocol for Australian GPs
Australian guidance points to GP review within about a week of a heart failure discharge. Here is how a GP clinic can structure that follow-up call safely.
Ophthalmology & endocrinology7 minVeronica Tobon
Diabetic Eye Exam Recall: Closing the Annual Screening Gap
Only 64.8% of US adults with diabetes report an annual eye exam, short of the federal target — why the exam lapses, and what a recall protocol actually fixes.
Chronic care / geriatrics12 minTomas Giraldo
Chronic Care Management: hitting the monthly cadence every time
Medicare pays for CCM when clinical staff log 20+ minutes of monthly care coordination. Here is how practices sustain that cadence for every patient.
Practice operations10 minTomas Giraldo
Urgent care walk-in vs. scheduled access with overflow handling
Urgent care visits keep growing, but a scheduled line with overflow handling protects continuity. An honest compare, with a clear verdict for US practices.
Practice operations9 minTomas Giraldo
After-hours AI for Canadian clinics: an operational case
CIHI shows weak Canadian after-hours primary-care arrangements. The operational case for an after-hours AI agent on the clinic phone.