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Insights on Business Intelligence


Staffing Is Not a Headcount Problem
Most outpatient clinics don’t sit down and design a staffing strategy. They react. A schedule backs up. Someone resigns. Managers feel stretched. A hire gets approved because something has to give. Months later, labor costs are higher, supervision is heavier, and the same staffing conversations resurface. This isn’t because leaders are careless. It’s because staffing decisions are usually made without a governing model . Staffing without a model creates cost without revenue T
Cale Queen
2 days ago3 min read


The Functionally Uninsured
A Growing Blind Spot for Clinics—and Why Defining It Correctly Matters Most clinics don’t think of themselves as serving the uninsured. On paper, they’re usually right. Roughly 92% of Americans now have some form of health insurance, leaving only about 8% truly uninsured. Yet that number badly understates what clinics are actually dealing with day to day. A large and growing share of patients have coverage that does not function as access. That group is what we mean when we t
Cale Queen
Jan 263 min read


January Focus: Insurance Collection Trends From 2025
Why Many Clinics Are Losing Control—and How TriStar BI Uses Business Intelligence to Fix It By January 2025, expect to insurance denials. What surprised them was how difficult those denials are to successfully recover. Revenue that once could be recovered through follow-up, appeals, or additional documentation increasingly could not. Cash delays stretched. Rework multiplied. Teams stayed busy while financial performance eroded. This was not caused by a single policy change. I
Cale Queen
Jan 193 min read


Reclaiming the Original Intent of Business Intelligence
Business intelligence was never meant to be a collection of dashboards. Its original purpose was simpler—and far more valuable: to reduce uncertainty, surface risk early, and enable disciplined action before conditions force reaction. Yet many clinic leaders recognize a familiar pattern: staffing gaps that “suddenly” appear, access problems that arrive faster than expected, or revenue shortfalls that feel unavoidable—despite months of data suggesting pressure was building. Th
Cale Queen
Jan 124 min read


What Comes After Dashboards: Closing the Gap Between Insight and Execution
Over the past several weeks, we have focused on a single problem that shows up in nearly every clinic we work with. It is not a lack of data. It is not a lack of effort. It is not even a lack of dashboards. It is the gap between what clinics can see, their decision making cycle, and execute consistently. This final post closes the series by answering one question: What actually changes when Business Intelligence is done correctly? Business Intelligence Helps You Make
Cale Queen
Jan 53 min read


From Dashboards to Decisions: How Clinics Use Business Intelligence to Perform Better
What Your Dashboards Aren't Providing You. They track access, utilization, revenue, denials, staffing, and quality. What's missing is a consistent way to view them together, reconcile conflicts, or understand what they collectively mean. They don't give you clarity. Each dashboard reflects the data from its own system That data is frequently incomplete, inconsistent, or irrelevant. We call this noise. Multiple independent dashboards do not paint a comprehensive understand
Cale Queen
Dec 29, 20254 min read


Metrics Don’t Drive Performance — Decision Points Do
Most clinics are not short on data. They are short on decision points. Leadership teams routinely review dashboards showing access, utilization, revenue, denials, staffing, and margin trends. The numbers are visible. The trends are discussed. Concerns are voiced. Questions are raised. Then the meeting ends. What follows is familiar: no clear action, no shared commitment, and no agreement on what the data actually requires the organization to do. The problem is not the metrics
Cale Queen
Dec 22, 20253 min read


Stop Fixing Symptoms — How Business Intelligence Reveals Root Causes in Your Clinic
Where Lean Thinking Meets Business Intelligence Most clinics do not fail because leaders ignore problems. They fail because they fix the wrong ones. Across the practices we work with, the pattern is consistent. Leadership teams are busy, engaged, and responsive. When schedules back up, they add hours. When revenue dips, they push volume. When staff turnover rises, they hire faster. When denials increase, they chase appeals harder. Activity is not the issue. Effort is not the
Cale Queen
Dec 15, 20254 min read


The 7 Patterns Every Clinic Should Monitor Monthly
Metrics measure the past. Strategic signals reveal the future. In Week 1 , we saw how fast 2025 shifted beneath clinic owners. In Week 2 , we introduced the Assumption Gap — the space between what we thought the year would look like and what we actually lived through. In Week 3 , we built daily clarity with the By-Exception Briefing. This week, we move to the monthly level. Daily clarity keeps operations aligned. Monthly pattern recognition keeps your strategy aligned. Most d
Cale Queen
Dec 8, 20254 min read
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