Lead story
For eighteen months new clinics met a fourteen-step setup checklist. It was thorough, defensible, and the single largest reason deals stalled after signature. Last month we deleted it and replaced it with one import: point Brightloom at the practice management system, and it infers providers, rooms, and appointment types on its own.
Median go-live is now four days. Two clinics went live the same afternoon they signed. Nobody has asked for the checklist back.
Source: onboarding cohort analysis, Jun–Jul 2026
We rebuilt setup around a single import step instead of a checklist. New clinics now go live in a median of four days, down from nine in March. The remaining friction is entirely on the provider-mapping screen, which is next.
Internal — onboarding cohort data, Jul 24
What started as two clinics in Charlotte is now the whole group. Their ops director asked for the rollout after seeing a 6-point jump in fill rate in the pilot sites.
Merridew Health expansion call, Jul 22
The spec is done and requirements are frozen at nine items. Offers expire in twenty minutes and pass down the ranked list — the interesting design work was in what we chose not to automate.
PRD v0.4, Jul 29
Reminders were double-sending for clinics in the Mountain and Central time zones. A retry loop was firing on a false negative from the carrier. Fixed Jul 18, and we wrote to every affected clinic ourselves.
Incident INC-2038 follow-up
The clinic staffing benchmark was our best-performing piece ever. Fourteen trials, four of them multi-location groups, zero paid distribution.
Marketing weekly, Jul 27
Number of the week
12,400appointments booked through Brightloom in July — 2,180 of them slots that had already been cancelled once.