Field Notes
Healthcare Insights
Perspectives on clinical infrastructure, physician workflows, and the technology reshaping primary care clinics in Canada.
How to Choose an AI Receptionist and Intake System for Your Clinic
Every clinic evaluating AI phone answering is being sold roughly the same pitch: fewer missed calls, less paperwork, happier staff. What actually separates a system that delivers on those promises from one that adds a new interface to an already crowded day.
How JOUD Health Integrates With TELUS CHR
If your clinic runs TELUS Collaborative Health Record, the question worth asking about any new software is not what it does — it is where the information it collects actually ends up. How calls, bookings, and intake are built to write back to the chart your staff already use.
What Alberta's AI Guidance Means for Clinics Choosing an AI Receptionist and Intake System
Alberta's September 2025 AI scribe guidance has received most of the attention, but the framework Alberta clinics most need to know about is nearly two years older and covers far more than scribes — including the AI receptionists and intake tools clinics are evaluating now.
The Point Solution Trap: Why Canadian Primary Care Needs a System, Not Just Tools
A February 2026 Fraser Institute study argues that AI only delivers real healthcare productivity gains when it changes how care is organised, not when it is dropped into a single step of an existing workflow. Most AI tools sold to Canadian clinics today do the latter.
How to Reduce No-Shows at Your Medical Clinic: What the Evidence Says
There is a particular quality to the silence of an empty appointment slot. No-shows are among the most financially damaging and consistently underestimated problems in Canadian primary care. They are also, with the right systems in place, largely preventable.
The Leaky Bucket: Calculating the Real ROI of Automating Clinic Forms and Bookings
There is a line item missing from almost every independent clinic's monthly financial review. The manual clinic is not a free clinic. It is an expensive one. The cost is simply distributed across enough small frictions that it never lands on a single line that demands attention.
The Anatomy of a Safe Handoff: How AI Recognizes Its Limits in Primary Care
The question physicians ask most often about patient-facing AI is not about data security. It is simpler and more visceral: what happens when the system gets something wrong? A wrong answer delivered with confidence is more dangerous than no answer at all.
Privacy, Security, and Accountability: The Architecture of Trust
Technology in healthcare is only as trustworthy as the systems behind it. For clinics, privacy, compliance, and accountability are not optional features; they are foundational requirements.
The Rise of the Postmodern Stack: Why the Best EMR Strategy Is a Modular One
The electronic medical record is not failing. It is being asked to do something it was never designed to do. The frustration clinics feel with the gap is real; the source of it is a structural misunderstanding about what these systems were built to be.
Beyond the Charting Crisis: The Real Cost of Administrative Burnout in Canadian Primary Care
The resignation letter rarely mentions the phones. Underneath almost every departure from a Canadian primary care clinic is a quieter truth: the administrative weight of the job became too heavy, and nobody found a way to lift it in time.
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