Home › Guides and resources › The state of your practice

TenmaHealth · Resources

The state of your practice, in two minutes

Seven figures you already have, from your costs and your schedule. We give you back six numbers, what each one measures and the questions it raises. No averages to compare yourself with: in Spain they are not published.

The calculations are done in your browser. Nothing you type leaves this page.

Your month
Rent, fees, salaries, insurance, software. In euros.
The ones you have available, whether they fill up or not.
Time with a patient in front of you, not a count of appointments.
Your schedule
All the ones in the schedule, whether the patient came or not.
No-shows without notice and last-minute cancellations you could not refill.
Count each patient only once, even if they came five times.
From today until the first unbooked hour.
Your most common session
In euros.
Include the time it takes you to write it up.

These are example figures. Replace them with yours.

01 · Cost per open hour

What each hour your practice is open costs you, whether it is booked or not. Fixed costs for the month divided by the hours you are open.

—€/h

fixed costs
÷ open hours

If this number caught your attention

Questions only you can answer

  • Which time slots do you open that hardly ever fill up?
  • Is there a room or a piece of equipment you pay for every day but only use on a few?
  • How many hours were you really open this month, counting the ones you never got to use?

What we see from the software side

Most programs record appointments, not open hours. Without that second figure, nobody calculates this number for you, which is why it is hardly ever looked at.

02 · No-shows

The percentage of sessions nobody showed up for. Multiplied by the cost per hour, it is money you have already paid.

—%

nobody came
÷ total sessions

If this number caught your attention

Questions only you can answer

  • When does your reminder go out, and through which channel?
  • Do you ask for confirmation, or just send a reminder?
  • How far in advance was the missed appointment booked?
  • What happens to the slot when someone cancels the day before?

What we see from the software side

Reminding and confirming are two different things, technically too: a reminder with no reply leaves you no data at all. And refilling the slot from a waiting list is one of the easiest things to automate, even though hardly anyone has it set up.

03 · Real occupancy

Occupied hours over open hours. It is measured in hours, not appointments: twenty ten-minute appointments do not fill the same time as eight one-hour ones.

—%

occupied hours
÷ open hours

If this number caught your attention

Questions only you can answer

  • How many loose gaps of ten or fifteen minutes do you have on a normal day?
  • Do all your appointments last the same in the schedule? And in reality?
  • Are you opening more hours than you can fill right now?

What we see from the software side

If the schedule uses a single duration for everything, the occupancy it calculates is not the real one. That is configuration, not a lack of patients, and it shows as soon as each type of appointment has its true duration.

04 · Sessions per patient

How many times each person comes back on average. Compared with what a treatment usually needs, it tells you where people drop off.

—

sessions
÷ patients

If this number caught your attention

Questions only you can answer

  • At which session do people usually drop off?
  • Do they leave the practice with their next appointment already booked?
  • Could you say today who left a treatment halfway through?

What we see from the software side

Booking the next appointment on the way out is up to you, not the program. What a system can do is alert you to who dropped off halfway, a piece of data nobody is usually asked for and nobody misses until they see it.

05 · Margin of your usual session

The price minus the time it takes, valued at your cost per hour. Total revenue hides the services that lose money.

—€

price − (time
× cost per hour)

If this number caught your attention

Questions only you can answer

  • How long does that session really take you, including writing it up?
  • Which types of session drag reports, authorizations or calls along after them?
  • When did you set that price?

What we see from the software side

Documentation time is hardly ever measured anywhere, so it does not go into any margin calculation. It is also the most automatable part of everything here.

06 · Days until your next free slot

How long it would take you today to offer an appointment. It only says something when compared with itself, month by month.

—days

today → first
free hour

If this number caught your attention

Questions only you can answer

  • What was this number a month ago? And three months ago?
  • If it has gone up a lot, which of the people who call cannot wait that long?

What we see from the software side

What is useful here is not a dashboard you have to remember to open: it is an alert when the number changes suddenly. A dashboard nobody looks at is no use at all.

Next step

Now you tell us: where does it get stuck?

We are not management consultants. We make software: we have spent years building it for laboratories and blood banks, and it already runs in clinics and health centers.

Tell us where your day gets stuck and we will tell you three things.

  • Which part of it can be automated today.
  • Which part can be, but we have not built yet.
  • And which part no program can solve.

Fifteen minutes by video call, with the people who build the product.

Book fifteen minutes

Message us on WhatsApp or Telegram and we'll agree on the day and time with you.

WhatsApp Spain · +34 611 707 225WhatsApp Latin America · +51 983 578 549Telegram SpainTelegram Latin America

No commitment. Don't include patient data in your message.

Enma, the TenmaHealth assistant
EnmaThis is Enma. Inside TenmaHealth, she is the one who alerts you to what needs attention today, without you having to go looking for it.

Operational intelligence · Complete clinical management · Telemedicine

Definitions

Frequently asked questions

The exact definitions of each indicator, in case you need them outside this page.

What is the cost per open hour of a practice?

It is what each hour the practice is open costs, whether it is booked or not. It is calculated by dividing the month's fixed costs by the hours the practice is open each month. It works as a floor: below that figure, a session costs money even when it is charged for.

How is the no-show rate calculated?

Divide the sessions nobody showed up for by the total sessions in the month. Multiplying the lost sessions by their duration and by the cost per open hour gives you what they cost.

What is the real occupancy of a clinical schedule?

It is the hours actually occupied divided by the open hours. It is measured in hours, not in number of appointments: twenty ten-minute appointments do not fill the same time as eight one-hour ones, so counting appointments gives a false occupancy.

How is the margin of a session calculated?

Subtract from the session price the time it takes multiplied by the cost per open hour. That time should include how long it takes to document it, which is usually left out of the calculations.

Is there a Spanish average for occupancy or no-shows in private practices?

There is no public measurement by specialty in Spain, so there is no official average to compare yourself with. What helps is comparing each number with itself month by month.

Is the data I type into the calculator sent anywhere?

No. All calculations run in the browser with JavaScript. Nothing is sent to any server, nothing is stored and you do not need to sign up.

Why there are no comparisons or recommendations. In Spain there is no public measurement of occupancy or no-shows by specialty, so nobody can tell you whether your 65 % is good or bad. What helps is looking at the same number next month.

TenmaHealth Blog

Ideas for running and growing your clinic

Practical criteria and examples to improve profitability, patient experience and team organization. Industry trends and technology decisions explained through their impact on your center.