DoctorpastorbenConsultancy

Enterprise Offer · Apex King-Priest Convenor

Clinic Assessment & Upgrade — a 4–8 week program

A time-boxed, evidence-driven engagement that converts operational dysfunction into durable, scalable clinical capacity — without dependency on a single clinician.

Step 1 — Free overview (PDF)Step 2 — Book a discovery callBack to Enterprise Solutions

Executive summary

Inspect the walls, restore the gates, then multiply

Over 4–8 weeks we perform a Nehemiah-style rapid audit, install Daniel-grade diagnostic standards, remove Moses/Jethro bottlenecks, integrate Melchizedek-level trans-institutional bridges, and establish Abram/Joseph governance that protects value and enables predictable growth.

The outcome is a clinic or pilot site that can sustain high-quality NMSM care without dependency on a single clinician, with measurable KPIs and a clear 90-day execution roadmap.

Format
Remote + on-site capability (single-site onsite Saturday option; group/cluster remote plus targeted site visits)
Duration
Standard engagement = 6 weeks, scalable to 4 or 8 weeks per client type
Cadence
Weekly deliverables + end-of-engagement Rapid Audit Summary, 90-day Roadmap and Playbook v1
Pricing
Tiered by client type — single clinic, multi-site, or cluster

Who this is for

  • Single private clinics seeking clinical integrity and scale
  • Multi-site networks wanting consistent SOPs and onboarding pipelines
  • Hospital clusters and wellness platforms needing integration between high-tech modalities and structural NMSM pathways

Core principles applied

Seven governing frames behind every decision

  • Nehemiah

    Inspect first; defend the perimeter; remediate gate-by-gate.

  • Daniel

    Clinical standards that secular systems respect — PROMs and diagnostic rigor.

  • Moses / Jethro

    Delegation and multiplicative design; the 90/10 Aravind assembly model.

  • David (5P)

    Strategic positioning, possession of market gates, and priority sequencing.

  • Abram

    Clean covenant and honest scales in deals and pricing.

  • Joseph

    Treasury and continuity design — building for resilience.

  • Melchizedek

    Neutral convening, blessing, and covenant stewardship.

Phase structure

A 6-week core template, scaled to 4 or 8 weeks as needed

Each phase closes with named deliverables so progress is visible to the board, not only to the clinical team.

Phase 1 · Weeks 1–2

Nehemiah + Daniel — Rapid Audit & Diagnostic Baseline

Objective: Rapidly surface the clinic’s lowest two operational gates and set an unambiguous clinical benchmark.

Week 1 — Rapid leadership & ops audit (Nehemiah night-ride)

  • Stakeholder interviews: CEO/owner, ops, front desk, clinical lead (60–90 min each)
  • Data capture: last 3 months no-show %, complaints, revenue mix, backlog, packages, staffing, credentialing, PROM sampling status
  • On-floor observation (one clinical day onsite or recorded workflow review)

Deliverables

  • Rapid Audit Intake Summary (1-page)
  • Raw data pack & stakeholder log

Week 2 — Diagnostic rigor & lowest gates framing (Daniel)

  • Clinical audit: review representative charts, imaging access, triage accuracy, and PROMs readiness
  • Map the patient journey and score 6-Pillars + 10 Nehemiah Gates; identify the Lowest Two Gates

Deliverables

  • Lowest Two Gates Diagnosis (1-page) — explicit root causes and risk ranking
  • Executive Rapid Audit Summary (board-ready) + recommended immediate “Stop/Start/Do” quick wins

Phase 2 · Weeks 3–4

Moses/Jethro + David — Delegation, SOPs & Strategic Positioning

Objective: Remove founder bottlenecks, create repeatable SOPs, and establish market positioning and prioritisation.

Week 3 — Design the Aravind 90/10 assembly line (Moses/Jethro)

  • Define high-value specialist tasks (10%) vs delegateable workflows (90%) and map resource needs
  • Draft standardized visit templates, first-visit script, 5-minute adjustment protocol, and 5-domain progress tracker

Deliverables

  • SOP v0.1: NMSM triage + visit templates + delegation matrix
  • Role Pack (Clinical Lead, Associate, CA, Front Desk) — responsibilities & KPIs

Week 4 — David 5P: Positioning & perimeter protection

  • Define market position, gate strategy, and protective priorities (pricing integrity, consent, compliance)
  • Create a covenant draft for pilot governance (scope, KPI rhythm, data sharing, financial principles)

Deliverables

  • Position & 5P brief (1-page)
  • Pilot Covenant v0.1 + Implementation Checklist

Phase 3 · Weeks 5–6

Melchizedek Integration + 3T Pathway — Soul & System

Objective: Architect the bridge between high-tech therapies and structural NMSM, and integrate 3T into the pathway.

Week 5 — Melchizedek bridge design (trans-institutional integration)

  • Map how Cocoon/adjunct tech sits within the care pathway and referral flows to and from GPs and specialists
  • Define NEHR-friendly reporting templates and an inter-professional handoff format

Deliverables

  • Integration Playbook (how tech + NMSM + allied therapies work together)
  • Referral & NEHR report templates

Week 6 — 3T pathway & handover (pastoral routing)

  • Integrate 3T assessment checkpoints (Thoughts / Traumas / Toxins) with clear routing rules to mental health, nutrition and pastoral support
  • Finalize Playbook v1 and the 90-day implementation roadmap for the pilot

Deliverables

  • Playbook v1 (care pathway + 3T checkpoints + SOPs)
  • 90-Day Remediation Roadmap (owners, deadlines, KPI targets)
  • Handover pack + training agenda (half-day workshop outline)

Optional · Weeks 7–8

Scale / cluster readiness

  • Train-the-trainer sessions
  • Replication templates for a second site
  • Investor/board briefing pack (ROI scenarios, EBITDA impact, continuity cash flow models)

Consolidated deliverables

What you hold at the end of the engagement

  • Rapid Audit Summary (1-page)
  • Lowest Two Gates Diagnosis + root causes
  • SOP v0.1 (care pathway + delegation matrix + scripts)
  • Pilot Covenant v0.1 (governance + KPIs + rhythm)
  • Integration Playbook (tech + NMSM + allied routing)
  • 90-Day Remediation Roadmap (owners + dates + KPIs)
  • KPI Dashboard starter (PROMs, no-show %, complaint rate, staff stability, RPSF)
  • Training materials (team workshop + coaching module)
  • Handover pack & trainer notes
Dr. Ben assessing lower-limb movement during a clinical consultation

KPI suggestions

Measurable, weekly and monthly

Targets are engagement design goals agreed with the client at baseline — not guaranteed outcomes.

Suggested key performance indicators, cadence and targets
MetricCadenceTarget
PROM capture rateWeekly80% of eligible patients captured by week 4
No-show rateWeeklyReduce by 30% in 90 days
Complaint rateMonthlyReduce by 50% in 90 days
PROM improvement (e.g. ODI/NDI median change at 6–8 weeks)Per cycleClinically meaningful delta
Staff retention / sick-leave proxyMonthlyImproved sentiment and retention within 90 days
RPSF and contribution marginMonthlyBaseline and 10–20% uplift scenarios

Pricing guidance

Executive ranges, scoped to depth and site count

Commercial frameworks: fixed fee Audit + retainer for the 90-day Sprint; value-based uplift clause (10–20%) only after baseline and rigorous attribution rules are agreed.

Single private clinic

Rapid Audit + 4-week Upgrade

SGD 4,500 – 7,500

Multi-site group (5–15 sites)

Depends on site visits and depth

SGD 12,000 – 28,000

Hospital / cluster pilot

Scope, travel, data depth

SGD 30,000 – 85,000

Engagement assumptions & constraints

  • Client provides access to basic data (3 months), 2–3 stakeholder interviews, and decision owners for implementation.
  • Legal, compliance, and clinical scope changes require client counsel review.
  • Rapid Audit prioritises clarity over comprehensive research: deeper due diligence can be added as follow-on work.

“This engagement is not about replacing clinicians or extracting short-term gains. It is about building a righteous scaffold — clean governance, measurable clinical truth, and sustainable multiplication — so that clinics can serve more people with integrity and long-term impact. Where others see only systems to be scaled, we see walls to protect, gates to restore, and fields to glean so that all shall prosper.”

Bring us your lowest two gates. We will scope the audit, the timeline and the fee before any work begins.

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