David Lara
Tech Mentor · Engineering at Arbol · Bogotá, Colombia
Marathon runner and cyclist when he's not behind the keyboard. Mentors builders on cloud architecture and product engineering, and helps the Arbol team ship systems that stay up when the clinic's phone won't.
- Their articles
- 19 articles
19 articles
- IrelandPediatrics
Ireland's Immunisation Catch-Up Gap Is a Recall Problem, Not Refusal
HPSC data shows MMR uptake in Ireland still below the WHO target as measles cases rise across Europe, and the gap sits mostly in missed GP recall, not refusal. - CanadaOptometry
Chain vs. Independent Optometrist in Canada: Who Books Faster?
Comparing how Canadians actually book eye exams at big optical chains versus independent optometrists, and what the two-year recall gap really costs. - United KingdomOptometry
Chain Opticians vs Independent Practices in the UK: Who Wins
With current UK sector data, we compare booking an eye test, waiting times and recall reminders between chain and independent opticians. - AustraliaPractice operations
GP Wait Times and Bulk Billing in Australia: What the Numbers Show
Government bulk-billing numbers are climbing, but patients still wait weeks for a GP. Here is what practices can control while the system catches up. - United StatesMental health
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. - AustraliaCardiology
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. - United KingdomPractice operations
Online vs phone booking for NHS GP appointments
The NHS App can cut the 8am rush when practices enable booking and cancellation — but phone remains essential for triage-heavy demand. Verdict inside. - English-speaking marketsTechnology
Region study: build vs buy contact (US/AU/GB/CA)
Build vs buy the clinic contact layer across Anglo markets (US/AU/GB/CA as data points)—non-comparable signals, matrix, and a clear verdict. - English-speaking marketsPractice operations
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. - United StatesPrimary care
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. - United KingdomPractice operations
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. - AustraliaPediatrics
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. - United StatesCompliance
TCPA for appointment reminders: ops, not panic
TCPA-aware appointment reminders for US practices: treat the FCC healthcare exemption as an ops checklist—purpose, cadence, opt-out, scripts. - AustraliaPractice operations
Bulk billing and reminders: what patients tolerate
Australian Medicare bulk billing and clinic reminders collide when messages feel like marketing. What patients tolerate—and how consent shapes ethical prompts. - English-speaking marketsPractice operations
Primary care access across Anglo markets: metrics aren't ranks
CMWF and national series measure different clocks. A RegionGrid guide for leaders who refuse fake league tables across UK, AU, CA, US and IE. - CanadaPractice operations
OHIP appointment access in Ontario: an operator’s guide
Health Care Connect attaches patients to primary care; your clinic phone still decides whether OHIP coverage becomes a booked visit. What operators can fix. - United KingdomPractice operations
NHS 111 vs practice phone: where demand actually lands
NHS 111 routes urgent need; the practice phone still carries day-to-day access. Here is where each channel sits — and why an agent belongs on the practice line. - United StatesPractice operations
Flu season fills chairs that unanswered phones never book
CDC puts flu medical visits in the tens of millions; MGMA ranks phone access among 2026 priorities — yet many practices still leave inbound demand unmeasured. - AustraliaPractice operations
After-hours clinic coverage in Australia: own the first line
Healthdirect took 1.4 million calls in FY25, mostly after hours. RACGP still requires clinics to own access — how a first-line voice agent closes the gap.
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