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Notes on running a better clinic

Practical, no-fluff guides on the things that quietly make or break a clinic — fewer no-shows, less paper, cleaner billing, and patients who come back.

A health worker standing outside an Ethiopian health centreOperations
6 min read

Nine Years of Change in One Report: Reading the 2024–25 EDHS

Ethiopia's first full national health survey since 2016 shows one of the fastest climbs in skilled birth attendance ever recorded — alongside a childhood vaccination rate that went backwards. The pattern says something specific about follow-through.

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Front page of the Federal Negarit Gazette carrying Proclamation No. 1321/2024Compliance
6 min read

Proclamation 1321/2024: Patient Data Is Now a Legal Duty

Ethiopia's first comprehensive data protection law puts health information in its most protected category — with a 72-hour breach clock, a registration duty, and real sanctions. Here's what it asks of a clinic.

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Two people seated on chairs in a clinic waiting areaPatient Experience
5 min read

The Ninety-Minute Wait

At one Ethiopian referral hospital, the average outpatient waited 90 minutes to be seen — and only 14% were seen inside the 50-minute mark. The measured causes are not clinical. They are clerical.

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A clinician reviewing a daily appointment scheduleNo-Shows
2 min read

Seven Ways to Reduce No-Shows in Your Clinic

Empty appointment slots quietly drain revenue and disrupt your schedule. Here are seven practical, low-cost tactics that consistently bring patients back through the door.

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Stacks of paper patient files on a deskGoing Paperless
2 min read

Going Paperless Without the Chaos

Moving from paper charts to digital records feels daunting, but it doesn't have to be. A staged approach lets your clinic transition without losing a single patient file.

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A calculator and receipts representing operating costsOperations
2 min read

The Hidden Cost of Paper in a Modern Clinic

The price of paper isn't the paper. It's the minutes spent filing, the visits delayed by lost charts, and the decisions made without the full picture. Here's how to see the real number.

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Blog · Bloom Medicine