Field Notes

Things nobody tells a practice owner

Ownership, measurement, and the legal exposure that arrives with a vendor login. Written for the person who signs the checks.

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A physician at his desk looking at a laptop with a worried expression
Ownership

Five Keys Your Practice Should Never Hand Over

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.

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HIPAA

Four Vendors Touch Your Patient Data and You Have Signed With One

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.

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AI and HIPAA

Your Front Desk Is Already Using AI and Nobody Signed Anything

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.

A physician alone in an empty consultation room, tense
AI and HIPAA

The AI Listening to Your Consults Is Now a Class Action Risk

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.

A physician at a monitor late at night, exasperated
Measurement

Nobody Can Tell You Which Ad Produced a Collected Dollar

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.

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Ownership

Your Phone Number Is Rented, and So Is Your Call History

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.