Select balanced practice metrics that reveal trade-offs instead of over-optimizing production alone.
A healthy practice cannot be described by production alone. Four lenses Use financial, patient, internal process, and team capability lenses. Each lens protects the practice from a different blind spot. The trade-off question When one number improves, ask which other number could be getting worse. Faster starts might increase revenue while increasing records rework. More emergency capacity might improve goodwill while crowding planned adjustments. Keep it small A scorecard should focus attention, not become a second operating system. Choose a few metrics that change decisions in meetings.
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