Service 05 · Assessment

Business Integrity Evaluation

You know something needs to change, but where do you start? Ludara’s Business Integrity Evaluation is a practice operations audit: a focused review of workflows, technology, documentation, and everyday risks. You get a prioritized improvement roadmap that explains what needs attention, who should be involved, and what to do next.

A clear starting point

Find out what needs attention first.

The Business Integrity Evaluation is a paid review of the parts of your practice we agree to look at. It helps you understand the problems, choose your priorities, and decide whether you need help making changes.

Where we start

The problem you want help solving, the people involved, and the records we agree are needed. Share only what the work requires.

What you get

A clear picture of how things work now, a list of problems to address, and a prioritized improvement roadmap. It names the next steps, who is responsible, and what needs to happen first.

What we agree before starting

The proposal sets out what we’ll review, what you’ll receive, the price, and the timing. After the review, you decide whether to move forward with any changes.

Want help putting the next steps into practice? Explore fractional COO support and help with specific projects →

Practical help

What this can cover

  • A review of the day-to-day work we agree to look at
  • Technology, security practices, and who has access to your systems
  • Missing or outdated documents and questions for your qualified advisors
  • A list of operational risks and problems to address
  • Prioritized improvement roadmap

Two different starting points

Choose the depth of review you need.

Free · Self-guided

Practice Operations Health Check

Answer the questions yourself in roughly 10 minutes. You’ll get an immediate summary of the areas of your practice that may need a closer look.

Take the free health check

Paid · Agreed review

Business Integrity Evaluation

A review of how your practice works, with a prioritized improvement roadmap to help you decide what to do next. We review the records and workflows we agree on with you. This is a review by Ludara, rather than a questionnaire you complete yourself.

Discuss the evaluation

See what the evaluation covers and which questions need qualified advisors →

Does this sound familiar?

This may help if…

  • You can feel the strain, but you’re not sure what’s causing it.
  • Several systems need attention and you need help deciding what comes first.
  • Growth, a transition, or a possible sale has made missing records harder to ignore.
  • Different vendors have offered advice, and you’re unsure which changes matter most.

Make the work visible

See what comes first.

This sample roadmap shows how priorities could look in a fictional mental health group practice. It is an example, not a client result. We agree on the work for your practice before starting.

Illustrative sample 02

A prioritized improvement roadmap

For this fictional practice, first agree on who does what. Then build the steps and try them together.

  1. Priority 1

    Decide who takes the next step

    What we found
    Administrative requests keep returning to the practice owner because no one knows who handles them next.
    What to do
    Agree on who handles each step and who covers when they’re away.
    Who handles it
    Practice manager, with practice-owner approval
    What comes first
    Confirm which decisions the team can make and when they need to ask for help.
    How to check it’s done
    Try the steps with a fictional request. Each step has a responsible person and a way to ask for help.
  2. Priority 2

    Make onboarding repeatable

    What we found
    New team members receive different setup instructions depending on who helps them.
    What to do
    Build a shared checklist that names who handles each task and records when it’s done.
    Who handles it
    Practice manager and person responsible for account access
    What comes first
    Agree on roles and approved access before setting up accounts.
    How to check it’s done
    Try the checklist with a fictional team member and fill in any missing steps.
  3. Priority 3

    Keep track of unfinished work

    What we found
    Unfinished tasks are scattered, making it hard to see what still needs attention.
    What to do
    Keep one shared list of unfinished tasks, next steps, and responsible people.
    Who handles it
    Practice owner and practice manager
    What comes first
    Start with the unfinished tasks found when trying the request and onboarding steps.
    How to check it’s done
    Every unfinished task has a next step, a responsible person, and a time to review it.

See the sample operating map

One step at a time

How we work together

  1. Agree on what to review

    Choose the questions, systems, locations, and records we’ll look at together.

  2. Look at how things work now

    Review the agreed workflows, system access, documents, and problems that keep coming up.

  3. Identify who can help

    Separate practical operational changes from questions that need legal, financial, clinical, employment, privacy, or security expertise.

  4. Put the next steps in order

    Prioritize the work by its importance, effort, and what needs to happen first. Name the person responsible and when to review progress.

Clear responsibilities

What this service covers

This review covers practice operations. It does not provide a legal opinion, financial audit, security certification, clinical review, or compliance determination. Those questions need the appropriate qualified advisors.

Let’s find a starting point

You do not need to solve everything at once.

Tell us what needs your attention. We can talk through the service that fits, or you can start with the free health check if you’re still figuring it out.

Talk about this service