Consulting · Podiatrist-Led · On-Site
If you own a podiatry practice, you’re probably seeing a full schedule and running the business at the same time. That doesn’t leave much room to stand in the hallway and watch how a clinic day actually goes. That’s the part I take on. I spend three to five days in your office following the visit the way your patients experience it, and then I give you a written report on what’s slowing things down and how I’d fix each problem.
Built for podiatry practices · open to all outpatient clinic types
Built for Physician-Owners
Most podiatry practices are owned by a podiatrist who is also the busiest provider in the building. Stepping away from patients to work on the business costs you income, so it usually doesn’t happen.
An afternoon spent watching the front desk is an afternoon you aren’t seeing patients. I do the watching while you keep your schedule.
The front desk, the phones, and the hallway are where the day usually falls behind, and you’re in an exam room for most of it. Staff also tend to work a little differently when the owner is standing nearby.
When I’m done, you get a written report that lists what’s slowing things down and what to fix first. Most of it can go straight to your practice manager.
01The Assessment
I sort what I see into three areas. Every problem I write up comes with a recommendation for fixing it.
Where the visit feels confusing, slow, or impersonal from the patient’s side of the front desk.
The handoffs where patients and staff end up waiting or doubling back. I note where the waits happen and map them out.
Anything else I notice while I’m there, like wasted steps, duplicate work, or workarounds your staff have gotten used to.
02What I Observe
I follow patients through each step, and I also watch what your staff have to do to make each step happen.
Call handling, hold times, template design, new-patient access, reminder workflow.
Parking-to-desk experience, intake forms, insurance verification, copay collection.
Wait times, communication about delays, comfort, accessibility for mobility-limited patients.
Vitals, history, med reconciliation, shoe and sock removal, room readiness.
Provider wait-in-room time, documentation burden, scribe or MA support, patient education.
X-ray, injections, debridement, wound care, casting, DME and orthotic fitting.
Next-visit scheduling, written instructions, referrals, surgery scheduling handoffs.
Staffing and roles, room and supply layout, prior auths, faxes, and tasks that pile up.
03Podiatry Focus
Podiatry clinics see a lot of patients in short visits and do many procedures in the office. I’ve worked in that setting, so I can usually tell why a room keeps waiting on a nail kit or why the X-ray line builds up mid-morning.
How I See Clinics
These examples come from jobs where I worked in or alongside clinics. They weren’t consulting projects, but they’re the kinds of problems I look for when I visit an office.
Podiatry residency clinic & hospital podiatry department
Partner clinics: imaging, blood draws, orthotics & more
Community outreach coordinator, Medicaid health plan
04How It Works
I stay out of the way as much as I can, because the point is to see a normal clinic day.
Week 0 · 30 minutes
We talk through your practice, your goals, and what’s been frustrating you or your patients. I recommend a package and we pick dates.
1–2 weeks before
A short questionnaire plus de-identified data you already have, such as schedule templates, staffing, no-show rates, and average visit times. That way I arrive knowing where to look. I’ll also sign your BAA and confidentiality agreement.
3–5 clinic days
I follow patients through the visit across different sessions and providers, note where things slow down, and talk briefly with your front desk, MAs, providers, and manager. Short patient surveys are optional.
Within 10 business days
Findings grouped by patient experience, patient flow, and efficiency. Each one has a recommendation and a priority.
Report delivery
The recommendations sorted by timing (quick wins, 30–60 days, and longer term) so you can see what to tackle first.
After the report
Included with the Full Clinic Assessment. We meet with you and your manager to go over questions and see how the changes are going. You can add more follow-ups to any package.
05The Report
Every finding comes from something I saw in your clinic. Each one explains why it matters and what I’d do about it.
| Finding | Impact | Recommendation | Priority |
|---|---|---|---|
| FlowSingle X-ray room shared by three providers; patients often waited 10–15 minutes in the hall for imaging during peak hours. | Cascading delays after 10 a.m.; provider idle time while waiting on films. | Order imaging at check-in for defined visit types (new injury, post-op) using a standing protocol; stagger provider templates so new patients don’t cluster. | Quick win |
| ExperienceNo one told waiting patients when the clinic was running behind; several asked the front desk repeatedly. | Frustration, interrupted check-ins, and lower satisfaction scores. | Front desk gives patients a quiet heads-up at check-in when the provider is behind and offers to text them when their room is ready. | Quick win |
| EfficiencyIntake forms completed on paper, then re-keyed into the EHR by front desk staff. | Duplicate entry, transcription errors, and longer check-in lines. | Move to pre-visit digital intake sent with appointment reminders; keep a tablet option for patients who prefer it in the office. | Long-term |
A one-page overview for owners and administrators: top issues, top opportunities, and where to start.
A visual map of your patient journey with the main waits and bottlenecks marked.
Every recommendation sorted into quick wins, 30–60 day changes, and longer-term investments, with suggested owners.
See a Full Sample Report →Executive summary, patient flow map, eight findings, and a 30–60–90 day plan for a fictional podiatry clinic.
Recommendations
Elise had responsibility for identifying and building key relationships with community partners to assist in growing plan membership and fulfilling our mission. She was a success as we indeed saw growth in the time Elise was a part of our team. … Elise jumped in to assist with all aspects of our community engagement program from strategic planning to attending and managing events to maintaining a strict budget. Elise is proficient in project management which was helpful to keep us organized and on track.
[She] is highly competent and the tenacity of her execution is amazing. She was someone I could always count on due to her consistent work ethic and attention to detail. She is not only passionate about doing what’s needed but also doing what’s best!
Elise has really been a star player for our startup. She often takes the initiative without anything having to be said to get things done… Her professionalism and business acumen sets the pace for our company culture.
If she sets her mind to something she gets it done! It has been my experience that she is trustworthy and worthy of respect.
06Packages
Each package has one flat price that covers my time on site, travel, the analysis, and your written report. You won’t get hourly bills or expense receipts.
Founding Client Offer · 3 of 3 Spots Open
I’m offering reduced rates to my first three clients. In return, I ask for a short testimonial, permission to share de-identified results, and a quick check-in about 90 days later so we can both see what changed.
Ask About a Founding SpotSee a Sample ReportTravel is still included. Standard rates apply once all three spots are filled.
3 clinic days · 1 site
A shorter visit for one location. Good for smaller practices or for a specific problem you already know about.
$10,500
Travel included
5 clinic days · 1 site
Five days lets me see every session type and every role. Includes a follow-up session after the report.
$18,000
Travel included
Multiple locations
Book additional locations as one extended visit. Each added site gets its own observation days and its own findings.
Want more follow-up sessions, staff training, or something else? I quote those separately, so just ask.
Run Your Own Numbers
Enter rough figures for your practice. Nothing you type leaves this page.
An estimate, not a guarantee. Extra visits only add revenue if you have the demand to fill them, and results depend on putting the recommendations in place. It doesn’t count harder-to-price wins like lower staff turnover, better reviews, and getting home on time.
Talk Through Your Numbers07About
I’ve worked on hospital floors, in podiatry clinics and the OR, at a Medicaid health plan, and in my own businesses. Each of those jobs showed me a different part of how a patient visit works.
I’m a podiatrist with master’s degrees in healthcare administration and medical education. I also co-founded Rootwise, a health company started by a physician and a Navy veteran. When I watch a visit run long, I can usually tell whether the cause is clinical or operational, and my teaching background helps me explain the fix to your staff in a way that sticks.
I lead clinical direction for the Rootwise App, which helps patients prepare for appointments, keep track of what their doctor said, and follow the plan afterward. Building it meant thinking through every step of a visit from the patient’s side, and I bring that same view into your office.
Podiatric residency at Rochester Regional Health, with surgical and non-surgical care across specialties. I know what a good visit looks like from the provider’s side.
A master’s in healthcare administration, MGMA membership, and years of managing teams, projects, and my own companies.
A master’s in medical education. I write recommendations so your staff can learn them and keep doing them after I leave.
08FAQ
Not much. There’s a 30-minute discovery call before the visit and a short check-in on the first day. While I’m there you keep seeing patients, and I work mostly with your practice manager and staff. At the end, set aside some time to read the report and decide what to act on.
No. I stay out of the way and talk with staff during slower moments. I want to see a normal day in your clinic.
I sign a Business Associate Agreement and confidentiality agreement before the visit, follow your privacy policies on site, and observe with patient awareness. Reports never include patient names or identifying details.
Podiatry is my specialty, and it’s where my clinical background helps most. The same approach works in other outpatient clinics too, including orthopedics, wound care, primary care, dermatology, and multi-specialty groups.
Any single day can be unusual. Watching several days, including your busiest ones and different providers’ schedules, lets me separate the everyday problems from a one-off bad day.
A short questionnaire and whatever de-identified data you already have: schedule templates, staffing, average daily volume, no-show rates, and any patient satisfaction results. If you don’t track some of these, that’s fine. I’ll note it in the report.
Yes. I travel anywhere in the continental U.S., and travel is included in every package price, so you won’t get a separate bill for flights or hotels.
Book your first site at the full package price, then add more locations as one extended visit: $7,500 for each additional 3-day site or $13,500 for each additional 5-day site. Each site gets its own findings, plus a comparison across locations.
Most assessments can be scheduled within 3–6 weeks of the discovery call. Reach out with your preferred timeframe and I’ll share current availability.
A 50% deposit reserves your on-site dates, with the balance due on delivery of the written report. Multi-site engagements can be split into milestone payments.
09Get Started
Tell me a little about your practice and what you’d like to improve. I’ll follow up within two business days to schedule a free 30-minute discovery call.
Prefer email? elise@rootwisehealth.org