Our approach
A structured framework, customized to your practice.
PRIME is our foundation. Your 10 Levers set the priorities. The Dale Ray Method puts them to work.
Our operational framework
Three connected parts, one purpose.
- PRIME
- Our five performance pillars.
- 10 Levers
- Your practice’s customized operational priorities.
- The Dale Ray Method
- How we help create and sustain improvements.
A PRIME Practice Assessment covers Assess and Align. A PRIME Performance Partnership continues through Activate and Advance.
- The foundationPRIME Performance SystemOur five pillars of practice performancePerformanceRevenueImprovementManagementExecution
- Your prioritiesYour 10 Levers of Operational SuccessTen customized priorities designed specifically for your practice
- ImplementationThe Dale Ray MethodAssessAlignActivateAdvanceHow we help create and sustain improvements
From Operational Challenges to PRIME Performance.
Five pillars, each with its own measures, systems, and owners.
Performance
Measure and improve the operational KPIs that drive practice success.
- A scorecard built around your goals
- Production, collections, and overhead
- Provider and hygiene productivity
Revenue
Strengthen case acceptance, scheduling, patient conversion, revenue growth, and profitability.
- Case acceptance
- Schedule design and new patient conversion
- Recare, reactivation, and retention
Improvement
Identify operational opportunities, eliminate inefficiencies, and improve practice systems.
- Workflow and patient flow
- Less duplicated effort
- Documented, repeatable systems
Management
Develop strong leaders, empower team members, and establish consistent accountability.
- Coaching for managers and team leads
- Clear roles and expectations
- Meetings that hold
Execution
Turn strategies and recommendations into meaningful, measurable action.
- Hands-on implementation
- Action plans with owners and dates
- Progress measured against the scorecard

PRIME in practice: Performance
Decisions grounded in the measures that move a practice.
A focused scorecard, reviewed on a steady rhythm, with an owner for every measure.
- Production per provider hour
- Collection ratio
- Labor as a share of collections
- Case acceptance
- Schedule utilization
- New patient flow
- Hygiene reappointment
- Cancellations and no-shows
Every scorecard is built around your practice’s own goals and data.
10 Levers of Operational Success
One Framework. Ten Customized Levers. Measurable Results.
Every practice receives its own 10 operational priorities, identified from its challenges, opportunities, and goals.
- Identified for your practiceThe ten areas with the greatest impact on your practice.
- Not a fixed checklistNo two practices receive the same ten levers.
- Your operational roadmapA prioritized plan with clear owners and measurable goals.
How we work
The Dale Ray Method
A practical operating framework for stronger teams, healthier practices, and sustainable growth.
Stage 1 of 4
Assess
Understand the practice, people, processes, and performance.
We review the numbers, observe the day, and listen to your team to identify your 10 Levers.
- Practice data and KPI review
- Observation of patient flow and scheduling
- Conversations with owners, managers, and team
PRIME focusPRIME pillars: Performance · Improvement
What you’ll haveA plain-language assessment and your 10 Levers of Operational Success.
Schedule a consultation
Let’s talk about what your practice needs next.
Start with a complimentary 30-minute consultation about your practice and its goals. No obligation.