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Field Notes Clinical infrastructure, in practice
How to Review a Vendor BAA Before You Sign
Aug 12, 2026 ·6 min read

How to Review a Vendor BAA Before You Sign

The BAA is a contract, not a checkbox Most practice owners sign Business Associate Agreements the same way they accept terms of service: scroll, initial, done. I underst

EMR Contract Due Diligence for Clinic Operators
Aug 11, 2026 ·6 min read

EMR Contract Due Diligence for Clinic Operators

Every practice manager I know has at least one EMR horror story. The vendor demoed beautifully, the sales rep answered every question with confidence, and eighteen months

True Cost of EMR Migration: Hidden Budget Items
Aug 10, 2026 ·6 min read

True Cost of EMR Migration: Hidden Budget Items

The invoice is the smallest number you'll see all year When a practice owner tells me they're budgeting $40,000 for an EMR migration, I ask what number they'

AI Agents for Prior Authorization: A Practical Guide
Aug 9, 2026 ·6 min read

AI Agents for Prior Authorization: A Practical Guide

Prior authorization is the tax your clinical staff pay for every insurer that decided a fax machine and a 40-minute hold queue counted as utilization management. In most

Automating Refills in Compounding Practices
Aug 8, 2026 ·6 min read

Automating Refills in Compounding Practices

Refills are the tax you pay for having a compounding program. Every GLP-1 patient, every LDN protocol, every hormone regimen: they all come back around, and each cycle de

What Actually Triggers a HIPAA Audit: OCR Guide
Aug 7, 2026 ·6 min read

What Actually Triggers a HIPAA Audit: OCR Guide

What Actually Triggers a HIPAA Audit: A Practice Operator's Guide to the OCR Complaint Process Most practice owners I talk to have a vague fear of "getting audi

Concierge Practice Scheduling That Actually Works
Aug 4, 2026 ·6 min read

Concierge Practice Scheduling That Actually Works

Most concierge practices inherit their scheduling logic from the primary care world they left behind. Fifteen-minute slots, thirty-minute slots, maybe a sixty for a new p

EMR Migration Timeline: What Clinics Actually Need
Jul 28, 2026 ·6 min read

EMR Migration Timeline: What Clinics Actually Need

Every EMR vendor pitch includes a migration timeline slide. It usually says something like "8-12 weeks from kickoff to go-live." In practice, that number is eit

Where Concierge Visits Lose Time (And How to Get It Back)
Jul 21, 2026 ·5 min read

Where Concierge Visits Lose Time (And How to Get It Back)

If you run a concierge practice, you already know the pitch: fewer patients, more time per patient, better outcomes. What the pitch leaves out is how much of that "m

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