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 […]
What Hiking Taught Me About Business

Hiking in the mountains is one of my favorite things. I do it whenever I can. Over the years I’ve started to notice that the same mistakes show up on the trail that show up in business. When you’re new to hiking, most of your attention goes to the next rock or root. You spend […]