AESTHETIC / CREATED BY DR. LAURA PURDY, MD, MBA

For MSOs & multi-site operators

Scale the clinic. Do not dilute the standard.

Aesthetic helps multi-site leaders decide what should remain consistent across the organization, what must vary by state or site, and how those differences will be governed.

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The risk

Every new site adds variation in judgment, records, staffing, escalation, and interpretation of what the organization means by quality.

Here’s the standard

Separate the universal standard from site-specific controls, then measure drift at both levels.

What breaks first

Multi-site growth exposes every implied rule.

Different documentation habits
Different escalation thresholds
Training quality that depends on the local team
Medical director capacity that does not match the footprint
Unclear universal versus site-specific controls
Leadership acting as the glue across every exception

The portable layer

Repeatability without bureaucracy.

Universal standard

System-wide clinical minimums, consent checkpoints, documentation, and escalation.

Local controls

State, site, service, staffing, and facility requirements managed as explicit variants.

Oversight capacity

Medical director and clinical leadership cadence designed for the actual footprint.

Audit architecture

Comparable measures, exception review, corrective action, and version control across sites.

What you need

A replication plan—not a stack of copied files.

System and site ownership map
Delegation across varied staffing models
Documentation minimums
Onboarding and refresh pattern
Quality dashboard and review rhythm
Change control when services or locations evolve

Built by a physician-operator

Built from experience on both sides of the business.

Every Aesthetic framework reflects Dr. Purdy's experience carrying clinical responsibility while building and leading healthcare operations.

The Aesthetic operating standard

The policy is only one part of the operating system.

The clinic also needs a decision owner, a working process, evidence that the process was followed, and a regular review date.

Name the risk

Every new site adds variation in judgment, records, staffing, escalation, and interpretation of what the organization means by quality.

Set the standard

Separate the universal standard from site-specific controls, then measure drift at both levels.

Assign the owner

Name who decides, who performs, who supervises, who reviews, and who receives the escalation.

Build the workflow

Place the standard inside intake, scheduling, documentation, consent, training, handoffs, and daily operations.

Keep the evidence

Retain the record that shows the decision, delegation, review, exception, and corrective action actually occurred.

Review the system

Set a re-audit date, track drift, update the standard, and close the loop with the team carrying the work.

The audit trail

The record should tell the story.

A reviewer should be able to see which standard applied, who made the decision, what happened next, and whether the issue was closed.

Decision rights

The system must answer:

Who has authority?
What is the minimum?
What stops the workflow?
Where does the question escalate?

Evidence

The record must show:

Which standard applied
Who completed and reviewed the work
How an exception was handled
When the system will be reviewed again

Created by Dr. Laura Purdy, MD, MBA

Clinical responsibility belongs inside the business model.

Dr. Purdy built Aesthetic so founders can address the clinical and operating work together, with qualified questions, defined roles, and support through implementation.

Meet the physician-operator behind Aesthetic ↗

Start here

Build a standard that replicates.

Tell us what is happening now, and we will help you identify the appropriate place to begin.

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