The command center for derm practices
I'm Dermhilda. I keep the numbers you run the practice by and track the work that tends to slip. Connect your EHR and I'll read every location's reports overnight and flag what needs attention.
Coastline Dermatology Group · monthly scorecard
| What we steer by | This month | Target | Status |
|---|---|---|---|
| Net collection rate | 94.1% | 96% | Watch |
| A/R over 90 days | 18.4% | Under 15% | Off target |
| New patients | 412 | 400 | On target |
| Cost per new patient | $94 | Under $80 | Watch |
| Labor cost, share of collections | 29% | Under 30% | On target |
| Daily room checks signed off | 97% | 100% | Watch |
Sample practice and figures.
The problem
The numbers that run your practice live in half a dozen systems, and your EHR is only one of them. Marketing spend sits in one, payroll in another, the phones in a third, and nobody puts them side by side.
The recurring work, from room turnover to the autoclave log, happens only if somebody remembers. And at a group, nobody can say which location is slipping, or on what, until the month closes. If then.
So most owners steer by what they hear, what they happen to notice and whatever lands on their desk. Dermhilda gives you the picture instead.
What's in the command center
The command centerSee
At a single practice, one person sees everything. At a group, no one does.
With your EHR connected, Dermhilda reads every location's reports overnight and puts the whole practice on one screen: the headline numbers you choose, Practice Health, and a card for every location. One click opens any of them. You and your practice manager see everything; each location manager sees their own. It works from last night's close, not a live feed.
Steer
The scorecard puts the numbers that matter against the targets you set, week by week and month by month, for the practice and for every location. Each one is colored, so you see a number drifting while there's still time to steer it back.
It doesn't know what you spent on marketing, so it can't tell you what a new patient costs you. It doesn't know whether the autoclave at your third location was logged this week. It doesn't know the numbers your managers keep in a spreadsheet because there was nowhere else to put them. We do, because we collect them.
Your team types in fifteen numbers from outside the EHR, from the phones and ad platforms to payroll, the bank and supply invoices. From them the scorecard works out what no EHR can: cost per new patient, labor as a share of collections, margin by location, days of cash on hand, staff turnover and abandoned calls.
Every month the numbers arrive by email in the same layout, with a short letter from Dermhilda on top. The system works out every figure; she writes only the words. No EHR connection? The month's base numbers are entered for you from your EHR's reports.
Check
Room cleaning, room stocking, autoclave logs, biohazard changes, Accutane checklists. A QR code on the wall, a phone, and a record — logged as it happens, by whoever did it. Then rolled up so you can see which locations are running the way you think they are.
Your practice builds its own trackers, and managers see what's about to be missed while there's still time to do it. It's the one part of the command center that moves while you watch: a sign-off counts the moment it's made. It needs no EHR connection at all.
Act · With your EHR connected
Every night Dermhilda runs its checks across every location and lists what it finds, worst first: how many, the dollar amount where there is one, and a link to the detail. It also shows what was fixed since yesterday, so your managers' work shows up too.
Ask her anything · With your EHR connected
Most tools hand you a number and stop. Dermhilda keeps going: open any report and ask her about it in plain language. She can see the page you're looking at, and she answers from your practice's actual numbers — no query-building, no exports, no waiting on someone to run it.
You
Why are Dr. K's RVUs down again?
Dermhilda
They're not down — they're flat. He's just used to a different number from August. I'd pull the trailing six months before you walk in, otherwise it turns into a long conversation.
She answers with judgment, not just a figure, and she's honest about the edges of what she knows. And she advises — she doesn't reach into your EHR and change things on her own. She prioritizes, prepares, and explains; you decide and you act.
Know · In Notion
Your intranet, set up in Notion when you start: how things are done here, who does them, who to call, the vendors you work with and your insurance. It lives in your practice's own Notion account, outside Dermhilda, and it holds no patient data.
Your role, and Dermhilda's
I'm Sam Roberts, and I've spent years building reporting and analysis for dermatology practices. Dermhilda is how I do it now.
You're the one who answers for all of it: the numbers, the people and the work that has to happen every day. That doesn't change. What changes is what you work from. Instead of a stack of reports and whatever reaches your desk, you have your numbers against your targets, a warning before recurring work is missed, and, with your EHR connected, every location read overnight and what needs attention flagged by morning.
Dermhilda doesn't decide for you, and never changes anything in your EHR. You decide, and your team acts.
For PE platforms
Every practice a platform acquires arrives running differently — different habits, different numbers, different definitions of "doing fine." Dermhilda measures every one of them the same way, on one scorecard, from the day it joins. The practice drifting off pace shows up in the overnight flags and the weekly scorecard, not three months into the numbers, and the picture the corporate team works from is built the same way every day, not reassembled by hand each period.
Security & trust
Your data is protected at every stage — encrypted, access-controlled, and covered by the agreements healthcare requires. See how we keep it that way →
Get started
We'll show you the command center on a sample practice and talk about how yours will run. No checkout, no signup required.