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Burned out after two decades in psychiatric hospitals, Dr. Daniela Rizzo faced a choice during COVID: keep going, or build something different. She chose to build. In this episode, Tracy Cherpeski talks with Daniela about leaving the hospital model to create a thriving private practice that runs on her terms—fewer patients, extended 60–90 minute intakes, and a clinical enviro...


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Everyone says "finish strong in Q4." Yes, we want that for you. But what if the practice owners actually crushing their fourth quarter are not the ones panicking into September? What if they are the ones who did something counterintuitive in August? 

In this episode, Tracy Cherpeski introduces the pre-purchase inspection framework: before you buy a house, you check the...


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Physicians work nearly 58 hours a week, but only 27 involve actual patient care. The rest? Administrative tasks that do not align with why they went into medicine. For practice owners, this burden is yours to own, often by accident. In this SNACK episode, Miranda Dorta and Tracy Cherpeski break down the admin burden, explore the difference between moral distress and moral inj...


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Your healthcare practice looks organized from the outside. But behind the scenes, samples get lost, clinicians spend time hunting for things, and departments operate like they're held together by duct tape. Sam Yeruva, founder of PYCUBE, Inc., reveals why this happens and how operational intelligence fixes it. 

Operational intelligence means connecting data across your...


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What if the biggest threat to your practice is not a lack of patients, but administrative burden? In this episode, Tracy Cherpeski sits down with Damien Adler, a psychologist and co-founder of Zanda Health, who solved this problem by building systems instead of hiring more staff. For 14 years, Damien ran his psychology practice while creating the infrastructure that would eve...


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