The First Test of Your New Manager Is Somebody Walking Past Them to Your Door
When you hire a new manager, your team learns who decides from what you do the first time somebody walks past them and brings you the problem.
The Goal that Got You Here May Not Be the Goal You Need Now
After a big milestone, a clinic owner’s next goal is rarely a bigger number. How to name what the clinic should support in this season of your life.
Your Team Keeps Coming Back to You Because the Decisions Aren’t Clear
The clinic owner bottleneck isn’t a work-ethic problem, it’s undefined decisions. How to delegate the judgment, not just the task.
Don’t Make the Clinic Director Promotion the First Leadership Test
Promoting a clinic director should confirm leadership you’ve already seen, not test for it. Give real leadership reps before the title, not after.
Finding Good Clinicians Starts With Defining Good
Finding good clinicians starts with defining good. Why a better hire still fails in a clinic that never made its standard observable and teachable.
A Better Schedule Does Not Erase Years of Burnout
A better schedule helps, but it won’t undo years of clinician burnout. How owners set recovery expectations and protect the team’s standards.
Why Good Employees Quit When the Standard Gets Soft
I have sat with clinic owners after the resignation landed and watched them replay every recent conversation with the employee who left. The owner is usually competent. She knows her patients, she knows the schedule, she knows which clinicians families request by name, and she can tell you which staff member can calm a hard […]
You Cannot Outpay Every Setting
A clinic owner can do everything right in an interview and still feel the conversation change when the candidate says what the hospital offered. That’s the moment many owners feel the real pressure to attract physical therapists. The owner knows the clinic is a good place to work. The caseload is reasonable. The patients are […]
Clinical Director Admin Time Needs a Visible Standard
A staff PT sees a cancellation at the end of the day. For a minute, the day looks like it may end on time. Then the clinical director moves their last patient onto the staff PT’s schedule and heads out. Once, the team may let it go. Twice, they start comparing notes. If it happens […]
When Your Clinician Starts Looking for a Side Hustle
When a good clinician starts asking about a side hustle, it is usually a retention signal, not disloyalty. Here is how to read it and what to do.
If It’s Not Right, Don’t Do It
Marcus Aurelius on the cost of getting it right You know that moment when doing the right thing is going to cost you? That’s when it actually matters. I remember getting a phone call. A daughter wanted more home health care for her mom — a patient we’d helped get better. The problem: her mom […]
Is Your Business Really Living?
Marcus Aurelius on what existence isn’t “Just teach her daughter an exercise program and get out of there.” Those words changed a lot for me. I was working at a so-called nonprofit home health agency, caring for a patient who had suffered a massive stroke. She could only use one side of her body. She […]