Introducing the Practice Success℠ Assessment
Get a clear read on your practice’s health in 5 minutes.
The Practice Success Assessment gives you a clear read on your practice and shows you where to focus next. It’s built on what more than 1,000 therapists and leading professional associations told us a healthy practice looks like.
You’re delivering care while running the business behind it
Most clinicians were trained to deliver great care, not to diagnose the health of their business. But when outcomes, finances, operations, clinician well-being, and client experience all compete for attention, it can be hard to know what actually needs fixing first or what change will make the biggest difference.
Fewer than 1 in 5 clinicians say their practice is thriving
If you’re unsure where your practice stands, you are not alone.
95% say practice success depends on succeeding in all five domains.
The domains draw on the same clients, clinicians, and hours in the day, so strain in one tends to show up in the others.
60% say not knowing how healthy their practice is creates stress
The work is already demanding. Not knowing what needs attention can make it harder to decide where to focus.
Source: Ensora Health Practice Success Survey, May 2026 · n = 1,000+ therapists across mental, behavioral, and rehabilitative health.
Get specific next steps for your practice
Answer ten questions about how your practice runs day to day. In about five minutes, you’ll see where you’re solid and where there’s room to grow, plus a few specific places to start.
How well clients are progressing toward their goals. You see it in the change on standard check-ins like the GAD-7, PHQ-9, PROMs, or ADLs, and in what clients tell you about their own progress. This is your “why”, and it’s your clients’ “why”, too.
How well the practice manages the money it earns, whether it takes insurance or not. From clean coding and denial management for practices that bill insurance, to efficient and timely client collections and how long it takes to get paid, no practice lasts without managing its finances.
How smoothly day-to-day operations run. Your practice is more efficient when clinicians’ schedules are optimized and clients show up consistently and ready for their sessions. Thriving practices work smarter, not harder.
How well clinicians manage their workload, maintain balance, and avoid burnout. Therapists feel better when they are doing the work they were meant to do, and avoiding long hours driven by endless notes, non-clinical tasks, and IT frustrations.
How satisfied and engaged clients are with their care, beyond the clinical work itself. This can be a key differentiator for practices seeking success. A client’s opinion on what it’s like to schedule a session, pay a bill, and use a portal has outsize impact on their willingness to stay with and recommend your practice.
Get specific next steps for your practice
Choose your practice’s specialty and answer ten questions about how your practice runs day to day. In about five minutes, you’ll see where you’re solid and where there’s room to grow, plus a few specific places to start.
I have a clear, honest read on whether my clients are actually making progress.
I can quickly see my key financial numbers, collections, denials, revenue, without digging for them.
I have a clear read on how efficiently my schedule runs: no-shows, clinician utilization, and how well appointments are spread across the week.
My workload is sustainable: most days end without unpaid after-hours work like catching up on notes.
I have a clear read on what it's actually like for clients to interact with our practice: reminders, the client portal, and the payment process.
I review outcome data during care and use it to adjust the plan when a client's progress stalls.
I regularly review aging claims and follow up on unpaid balances before they become write-offs.
I regularly track schedule utilization and take action to reduce open, billable time.
I use an efficient documentation approach that reduces the time and effort required to complete notes.
I regularly ask clients for feedback and use recurring concerns to improve their experience with the practice.
Your profile
Overall result
Awaiting quiz results
Average across all domains
Top opportunities
Get my personalized action plan
Your plan open right here on this page.
Step 3: Work through your plan by domain
What good looks like
Progress is visible and measurable over time (trends, changes, patterns), not just session-by-session impressions.
Action 1
Adopt one brief, repeatable progress measure and give it at intake and every few sessions. Even a short self-report scale turns "I think they're improving" into something you can show.
Action 2
Review outcome data during care, not only at discharge. It tells you when to adjust the plan for a client who's stalled, and it's just as useful for showing a client real proof of progress they might not feel on a session by session basis.
What good looks like
Denials and unpaid claims are the exception, not a constant tax and you can see your core numbers without digging for them.
Action 1
Denials and unpaid claims are the exception, not a constant tax and you can see your core numbers without digging for them.
Action 2
Pull/check/review your aging claims report next. Anything sitting past 60 days is revenue you've already earned and haven't collected, worth chasing down before it becomes a write-off.
What good looks like
No-shows and unfilled slots stay low enough that the schedule supports care instead of fighting it.
Action 1
Send an appointment reminder one or two days before each visit so clients can reschedule before the late-cancellation window. If needed, add a second reminder a few hours before the appointment. Timing matters more than volume: late reminders create disputes instead of preventing gaps.
Action 2
Track how much of your schedule is filled versus open each month. After changing reminder timing, compare the two weeks before and after to measure any reduction in no-shows and unfilled slots. Unfilled billable time is a quiet revenue leak for practices of any size.
What good looks like
Documentation and workload fit inside the workday, after-hours catch-up is rare, not routine.
Action 1
Track how often notes get finished after hours over one week, two weeks or longer. If it's most days, that's a documentation system problem, not a time-management one, and it's fixable.
Action 2
Pilot one documentation approach, templated notes, voice-to-text, or AI-assisted drafting, for two weeks and compare time spent before and after. If you're part of a group, test it with one clinician before rolling it out practice-wide.
What good looks like
Clients stay engaged through their course of care, and you have a regular read on how they feel.
Action 1
Walk through your own intake and reminder sequence as a new client would experience it. If a step is confusing, slow, or missing, that's the first thing worth fixing since it's what every new client sees before they decide whether to stay.
Action 2
Ask three current clients this week what's been confusing or frustrating about scheduling, reminders, or paying. You don't need a survey. Patterns show up fast even at that scale.
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Shaped by the clinicians who’ll use it
The Practice Success Assessment is built on survey data from more than 1,000 therapists and shaped with professional associations and clinical partners. It reflects how the field defines a healthy practice across outcomes, finances, operations, well-being, and client experience.
What the research found
The Practice Success framework is based on input from therapists across the country about what makes a practice healthy, where they feel confident and where they feel the most pressure.
The 2026 Practice Success Report: The five domains of a thriving therapy practice shares the findings and practical takeaways for practice leaders.
- The five domains that define practice health
- What therapists say separates a healthy practice from a struggling one
- Where clinicians feel most and least confident
- Practical starting points for each area
Keep building a healthier practice
Each month, we’ll share practical, research-backed ways to strengthen each part of your practice.
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