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* 1. Do you generate enough referrals to fill another clinician’s schedule?

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* 2. Are you clear on your "why" (goal or mission) that will sustain you through the hard work?

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* 3. Do you have enough space to support a growing practice?

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* 4. Do you have a strong online presence (website, directory listings, social media)?

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* 5. Have you developed a scalable infrastructure (phone system, electronic health record, email, website, accounting)?

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* 6. Have you begun outsourcing (hiring an administrative assistant, biller, bookkeeper, website designer)?

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* 7. Do you have the cash flow to support the extra expense and unexpected costs?

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* 8. Are you comfortable with the role of manager who will be hiring and firing employees?

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* 9. Can you be an effective boss who delegates tasks and addresses issues with authority and confidence?

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* 10. Do you have a recruiting, interviewing, hiring, and onboarding strategy?

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* 11. Do you have an idea of who your ideal clinician is?

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* 12. Have you determined if your group will specialize or be multidisciplinary?

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* 13. Have you determined if you will be hiring 1099 contractors or W-2 employees?

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* 14. Have you determined your compensation structure (flat rate, percentage, or salary)?

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* 15. Have you set up your business as a legal entity?

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* 16. Have you considered what would be included in your business plan (services offered, marketing plan, operational plan, financial plan)?

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* 17. Have you identified an accountant and an employment attorney?

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* 18. Have you developed scalable systems and processes (responding to client inquiries, intakes, scheduling, completing paperwork, billing)?

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* 19. Are you familiar with the state, local, and federal employment and business laws?

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* 20. Do you have an employee handbook, employment contract, and/or offer letter?

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* 21. Contact

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