Creating a physician office “operations” manual

Reed Tinsley
Reed Tinsley

Operations

Posted on Jul 3, 2026
Written by Reed Tinsley, CPA | May 2, 2018 Businesses of all sizes are constantly trying to streamline operations so they can spend less money while improving productivity. And while it may not always seem like it, your practice is indeed a business. This means you should always be on the lookout for ways to make your practice more efficient. One of the best ways to increase the efficiency of your entire practice is to create an operations manual. While you may think operations manuals are only for large corporations, even small medical practices benefit from the use of an operations manual. For one, operations manuals set standards for all practice employees to follow. This negates some of the excuses employees may have for not performing their duties properly. Manuals also help cut the costs of employee absenteeism. It’s been shown that unscheduled absenteeism costs employers ,600 per employee per year. Having an operations manual allows employees to fill in for one another in the event of an absence. Additionally, manuals are handy in the training process. Instead of having to guide new employees personally through each operation, they have a guide to consult. So how do you go about creating a medical office operations manual? Tips Take note of day-to-day operations. You may want to jump right into creating your operations manual, but that’s not recommended. Before you begin writing it, observe the daily operations of your practice for one to two weeks. This will give you a better idea of what your manual needs to cover. Pay special attention to the table of contents. Make sure it is detailed. Use heading and subheadings to make specific tasks easier to find. Create job descriptions. Although you may have kept your staff for years, turnover is inevitable. Having elaborate job descriptions in the manual helps ease the transition for new employees. Also, it helps resolve conflicts between employees butting heads over who does what. Use office experts to create certain sections. If any employee is especially adept at a particular task, have that person write down an explanation and steps for it in the manual. Not only will said task be explained thoroughly, but that person will champion the task, ensuring everyone else performs it properly. Be concise. Remember that an operations manual isn’t meant to be an exceptional piece of literature. It just needs to be useful and understandable. Operationalize common situations. Certain things aren’t part of your operations, yet they still occur at times. For instance, include a section in your manual for dealing with frustrated patients. Keep it open to revision. A key to an operations manual is that it needs to change with the times. Technologies and procedures change, so make sure to go back to the manual and update it at least once every six months. If you’re looking to improve your practice, creating an operations manual should be one of the steps in your plan – even if you think your practice is fine without one. Creating an operations manual is a low-cost way to improve your practice from within. About the AuthorReed Tinsley CPAThis article is written by Reed Tinsley, a Houston, TX-based CPA with over 30 years of experience advising physicians and medical practices across Texas and the United States. Reed holds certifications as a Certified Valuation Analyst (CVA), Certified Healthcare Business Consultant (CHBC), and Certified Financial Planner (CFP), specializing exclusively in the healthcare sector. He is a published author, nationally recognized speaker, and trusted advisor to physicians on accounting & tax, practice management, and financial planning. Schedule a Free Consultation. .author-info h3 { font-weight: 700; color: var(--dark-blue); margin: 0; } .author-info { display: flex; flex-direction: column; gap: var(--mp-s); margin: var(--mp-m) 0; border: 1px solid var(--dark-blue); padding: var(--mp-m); line-height: 1.8; background: #F1F2F2; } .author-info--title { display: flex; gap: var(--mp-s); } .author-info--photo { border-radius: 500px; width: 100px; } .author-info a { color: var(--dark-blue); } .author-info a:hover { color: var(--blue); } Have questions? I’m here to help. PhoneThis field is for validation purposes and should be left unchanged.Name(Required)Email(Required) PhoneMedical Specialty(Required)This field is hidden when viewing the formHow did you find us?(Required)How did you hear about Reed?(Required)How did you hear about Reed?*AI SearchGoogle SearchLinkedInReferralOtherWhich AI lead you to Reed?(Required)Which AI lead you to Reed?*ChatGPTClaudeOther AI ToolPlease share who referred youTell us the other way you heard about ReedWhich is greater, 2 or 5?(Required)What is 4 + 7?(Required)Message(Required) gform.initializeOnLoaded( function() {gformInitSpinner( 1, 'https://www.rtacpa.com/wp-content/plugins/gravityforms/images/spinner.svg', true );jQuery('#gform_ajax_frame_1').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_1');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_1').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){form_content.find('form').css('opacity', 0);jQuery('#gform_wrapper_1').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_1').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_1').removeClass('gform_validation_error');}setTimeout( function() { /* delay the scroll by 50 milliseconds to fix a bug in chrome */ }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_1').val();gformInitSpinner( 1, 'https://www.rtacpa.com/wp-content/plugins/gravityforms/images/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [1, current_page]);window['gf_submitting_1'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}jQuery('#gform_wrapper_1').replaceWith(confirmation_content);jQuery(document).trigger('gform_confirmation_loaded', [1]);window['gf_submitting_1'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_1').text());}else{jQuery('#gform_1').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger("gform_pre_post_render", [{ formId: "1", currentPage: "current_page", abort: function() { this.preventDefault(); } }]); if (event && event.defaultPrevented) { return; } const gformWrapperDiv = document.getElementById( "gform_wrapper_1" ); if ( gformWrapperDiv ) { const visibilitySpan = document.createElement( "span" ); visibilitySpan.id = "gform_visibility_test_1"; gformWrapperDiv.insertAdjacentElement( "afterend", visibilitySpan ); } const visibilityTestDiv = document.getElementById( "gform_visibility_test_1" ); let postRenderFired = false; function triggerPostRender() { if ( postRenderFired ) { return; } postRenderFired = true; gform.core.triggerPostRenderEvents( 1, current_page ); if ( visibilityTestDiv ) { visibilityTestDiv.parentNode.removeChild( visibilityTestDiv ); } } function debounce( func, wait, immediate ) { var timeout; return function() { var context = this, args = arguments; var later = function() { timeout = null; if ( !immediate ) func.apply( context, args ); }; var callNow = immediate && !timeout; clearTimeout( timeout ); timeout = setTimeout( later, wait ); if ( callNow ) func.apply( context, args ); }; } const debouncedTriggerPostRender = debounce( function() { triggerPostRender(); }, 200 ); if ( visibilityTestDiv && visibilityTestDiv.offsetParent === null ) { const observer = new MutationObserver( ( mutations ) => { mutations.forEach( ( mutation ) => { if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) { debouncedTriggerPostRender(); observer.disconnect(); } }); }); observer.observe( document.body, { attributes: true, childList: false, subtree: true, attributeFilter: [ 'style', 'class' ], }); } else { triggerPostRender(); } } );} );