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The Systems Your Private Practice Needs to Run Smoothly | Lisa Permar | TPOT 445
Description
A private practice can look successful on the outside and still feel exhausting behind the scenes. Clients are showing up, revenue is coming in, and everything appears to be working, but the owner may still be answering every question, fixing every exception, following up on loose ends, and carrying far too much of the practice in their own head.
In this episode, Gordon talks with Lisa Permar about the small, repeated friction points that quietly drain a practice owner's time, attention, and energy. They explore how everyday tasks around intake, scheduling, billing, documentation, and team communication can become much bigger problems when there are no clear systems behind them. Lisa also shares her framework of moving from firefighter to builder to operator and explains why hiring more help does not necessarily solve the problem if the processes themselves are unclear.
Gordon and Lisa also discuss delegation, creating simple and useful SOPs, and what it takes to build a practice that can continue functioning when the owner needs to step away. Whether you are running a group practice or working solo, the goal is not to automate every interaction or remove the human side of your work. It is to create enough structure around the predictable and repeatable parts of your practice that you can protect your attention for the things that truly require your judgment and care.
Resources Mentioned In This Episode
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Meet Lisa Permar
Lisa Permar is an operations architect and the founder of Zero Friction Practice, where she helps private practice owners build the systems their businesses need to run smoothly without relying on memory, constant oversight, or late nights. Drawing on years of experience building the operational backends of businesses across multiple industries, Lisa specializes in helping clinical practices improve intake, scheduling, billing, cash flow, delegation, and documentation. Through the Zero Friction Method, she works alongside practice owners to install practical infrastructure, create clear playbooks, and remove the owner as the bottleneck so the practice can operate with greater clarity, consistency, and freedom.
Free Practice Friction Quiz + Friction Tax Calculator The assessment identifies their Practice Friction Type (Firefighter, Builder, or Operator), estimates the financial impact of operational friction inside their practice, and provides a clearer next step based on their results.
Podcast listeners will also receive 55% off The Friction Tax Blueprint, a step-by-step diagnostic that helps practice owners uncover where their practice is quietly draining time, money, and mental bandwidth. Through five guided assessments and calculations, they'll identify their biggest operational leaks, estimate the true cost of those inefficiencies, and walk away with a prioritized 30-day action plan so they know exactly what to fix first. Discount code: THERAPY50
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