Practice Management

Structural Wellness Part 4: Asymmetric Reporting

Not all information in a system flows equally. And what gets reported is not always what happened. What Do We Mean by “Reporting”? In clinical environments, “reporting” is often assumed to mean documentation. Charts. Notes. Records. But in practice, reporting is something else. It is the continuous, informal flow of information within a system: This […]

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When Wellness Becomes a Structural Response

Why support systems in healthcare may stabilize pressure rather than reduce it Over the past several years, “wellness” has become a central focus in healthcare. Resilience training, mindfulness programs, coaching, and institutional support initiatives have all expanded in response to rising concerns about burnout, fatigue, and clinician dissatisfaction. At face value, this makes sense. The

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AI Scribes in Dentistry: Who Controls the Gain?

AI doesn’t reduce work. It redistributes control. Most dentists are still documenting the same way they did a decade ago. Typing. Clicking. Finishing notes after hours. AI scribes are starting to change that. But the real story isn’t about documentation. It’s about what happens to the time that gets freed up. AI Doesn’t Reduce Work

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Why Our Practice Does Not Delegate CSRS (PDMP) Queries

Recent changes to North Carolina’s Controlled Substances Reporting System (CSRS) now permit licensed delegates, including registered dental hygienists, to run PDMP queries on behalf of a supervising prescriber. While this option may be appropriate in certain institutional or high-volume environments, our practice has made a deliberate decision not to delegate CSRS access. This decision reflects

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Why Selling to Private Equity May Not Be the Best Choice—Instead, Build Your Own C-Suite for Long-Term Success

Guest Author David Darab DDS MBA CEPA, Darab Business Advisors In today’s fast-paced healthcare world, doctors and dentists often feel overwhelmed by the day-to-day demands of running a practice. Between managing patient care, finances, and administration, it can seem impossible to balance it all. Enter private equity (PE)—offering an attractive solution: a sizable payout and

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Sweating the Small Stuff is Big Business

Guest Author David Darab DDS MBA CEPA, Darab Business Advisors The Little Details Win Customer Trust and Loyalty Challenging the Status Quo While many business coaches advocate focusing on the “major, not the minor” aspects and “not sweating the small stuff,” I beg to differ. This might seem feasible and even practical from a business owner’s perspective.

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The Executive’s Eats: Choosing Your Signature Leadership Deli Dish

Guest Author David Darab DDS MBA CEPA, Darab Business Advisors Without effective Leadership, an organization is incapable of achieving results. Peter Drucker said, “Only three things happen naturally in organizations: friction, confusion and underperformance. Everything else requires leadership.” Leadership is the linchpin that connects individuals’ efforts and directs them toward shared achievements. It remains one

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Flip the Script: Treatment Presentation Should Be More Listening Than Pitching

Guest Author David Darab DDS MBA CEPA, Darab Business Advisors In the realm of dental care—and indeed, in any sector where commerce and personal interactions intersect—there’s a relentless emphasis on “case presentation skills.” This topic saturates discussions among coaches and consultants, workshops, and countless online resources, with a staggering 40,000,000 Google search results and 288,000

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