And practically, how do you make the transition, without a practice management system that makes this easy, a suite of reports that prove profitability and value, and a supporting
partnership that is
happy to reduce budgets and invest heavily in retooling a pilot team (which
means building a fixed fee practice inside a traditional practice management system), or the entire organisation (ruinous cluster f *** every single time), knowing that their tenure at the top table may not be long enough to realise any ROI.