Field Notes
Ownership, measurement, and the legal exposure that arrives with a vendor login. Written for the person who signs the checks.
If your agency stopped answering the phone on Monday, how much of your own practice could you still log into? Most owners have never checked. The audit takes twenty minutes.
The agreement that protects patient information is not a form you sign once with your EMR. It is a chain, and most practices have signed exactly one link in it.
Roughly two thirds of physicians report using AI tools. Fewer than a quarter of organizations report having the paperwork that makes it lawful. The gap between those two numbers is sitting in your practice right now.
Three health systems were sued in 2026 over ambient AI that recorded patient conversations. The claims were not filed under HIPAA, which is exactly why they are dangerous.
Your lead volume lives in one system, your consults in another, your collected revenue in a third. Nothing connects them. We surveyed the category and found that the join simply does not exist.
The number printed on your signage is often registered to a vendor. Even when the number ports cleanly, three years of recordings and call history usually do not travel with it.