Stop Being the Bottleneck. Here's How to Build a Practice Without You

What happens when a family emergency pulls you out of your practice for almost four straight weeks — and the business actually grows without you?

Dr. Andrew Oteo experienced exactly that, and it completely changed how he thought about systems, leadership, and scaling. After spending his first six years making mistakes in practice, he built Stonebridge Health into a multidisciplinary operation combining chiropractic, physical therapy, and medical care under one roof.

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Dr. Andrew Oteo runs Stonebridge Health in The Colony, Texas, holds both a DC and an MBA, and serves as President of the Texas Chiropractic Association. In this episode, Andrew explains why his first practice inside a medical doctor's office failed within a year, how years of getting systems wrong eventually shaped the operation he runs today, and why being forced away from the practice for nearly a month proved his team could succeed without him.

He breaks down the EOS principles he uses from Traction, weekly multidisciplinary grand rounds, quarterly alignment meetings, and the custom Power BI dashboard he built after realizing traditional EHR dashboards couldn't give him the numbers he actually needed. Andrew also explains how he tracks gross vs. net conversion and retention, uses Claude as an operating system for his team, approaches marketing through an “air, land, and sea” strategy, and why identifying bottlenecks is one of the most valuable things an owner can do.

If you're a chiropractor who feels like everything still depends on you, struggles to understand the numbers behind the practice, or wants to build systems that create predictable growth without constant owner involvement, this episode gives you a practical look at how to transition from being the bottleneck to becoming the leader of the business.

TIMESTAMPS:

00:00 Intro

01:11 Stop Being The Bottleneck

02:21 Hospital Wake-Up Call

03:26 Bottlenecks Inside And Outside

06:18 Ego And People Problems

11:33 Six Years Of Hard Lessons

18:16 Systems That Built Stonebridge

23:48 EOS Scorecards And Dashboards

27:01 Conversion Retention Metrics

31:11 What The Numbers Revealed

33:58 AI Enters The Practice

34:20 Deep Dive Your Tools

35:13 AI For Team Goals

36:21 HIPAA And The AI Race

39:40 AI Agents In Everything

44:11 Claude As Business OS

47:44 Master Your Tech Stack

52:02 Referral Engine Basics

55:37 Modern Marketing Mix

59:04 Why Associations Matter

01:01:00 Protecting Chiro In Texas

01:05:07 Member Value And Advocacy

01:08:34 Where To Find Dr Teo

CONNECT WITH DR. ANDREW OTEO:

Website: https://www.stonebridgept.com/

LinkedIn: https://www.linkedin.com/in/andrew-oteo-10b81717/

PRO TIP:

Don't just track the numbers your EHR happens to give you. Decide which metrics actually tell you whether your practice is improving, then build a scorecard around them. Andrew separates gross conversion from net conversion — specifically tracking whether patients who actually have to reach into their own wallet still say yes — to get a clearer picture of how well the practice is communicating value.

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