Physician-led clinical quality for med spasCreated by Dr. Laura Purdy, MD, MBA Meet the founder →Partnership · Integrity · Clarity
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MedSpa Maintain / Managed Operating Support

If your medical director quit on Friday, would your clinic know what to do on Monday?

Maintain begins with MedSpa Fix. Final scope and pricing are tailored to the clinic.

What this means for your clinic+

Would the team know which services could continue? Would someone know which charts still needed review? Would your injectors know where to take a patient concern? Would the protocols, orders, and clinical workflows still be accessible? Or would every question come back to you? MedSpa Maintain is the ongoing operating relationship for founders who no longer want the medical side of the clinic held together by one physician, one manager, or their own memory.

From $1,000Per location, per month
Book a MedSpa Maintain discovery call

Maintain begins with MedSpa Fix. Pricing starts at $1,000 per location per month. Final scope and pricing are tailored to the clinic.

Training, standards, and patient safety · Dr. LauraDan Elia · Episode 3 · Play with sound
How we work on MaintainGrowthPartnershipStandards

The starting point

A medical director's name is not the same as a managed medical operation.

Your physician may be excellent. The problem may have nothing to do with the quality of the doctor.

The clinic may still have no dependable process for chart review, policy updates, new-service approval, incident follow-up, delegation, clinical escalation, or medical-director continuity.

Continue reading+

The owner assumes the physician is managing the medical side. The physician assumes the clinic already has the administrative process. The staff assumes somebody approved what they were told to do.

Then the clinic grows, the team changes, or an issue arises, and everyone discovers that the process depended on assumptions. Maintain gives those responsibilities a permanent place to live.

Why it matters

The founder should not be the medical operations switchboard.

At one location, you may be able to keep track of everything personally.

Continue reading+

You know which physician to call. You know where the protocols are. You remember which employee completed which training. You know how the Good Faith Exam company sends the result. You know what the lawyer said six months ago.

Then you add a provider. You add a service. A manager leaves. The medical director becomes less responsive. You open another location. Now the same question gets a different answer depending on who is working.

The clinic does not need more texts. It needs defined responsibility.

A clinic should be able to grow without losing track of how the medical side works. Maintain is built for that.

Inside MedSpa Maintain

What happens in MedSpa Maintain.

The scope

What Maintain may include

The exact scope depends on the clinic, the state, the services, the number of locations, and the responsibilities Aesthetic is being asked to carry. Depending on the approved structure and written agreement, Maintain may include:

Placement within an approved professional-corporation network and banking structure

See the full scope+

Medical-director management

Replacement support when a medical-director change is needed, permitted, and available

Ongoing physician executive and operational support

Policy and procedure maintenance

Team access through an ongoing communication channel

Chart-review and quality processes

Incident follow-up and clinical administration

Review before new providers, services, products, devices, locations, or acquisitions go live

Written operating lanes for the clinic, Aesthetic, medical leadership, and outside professionals

Maintain is not sold as an unlimited package with a vague promise to "handle everything."

The written scope says what we own, what your clinic owns, what belongs to the physician, and what stays with counsel or another professional.

The delivery

Maintain begins with MedSpa Fix

We do not take over an operating relationship without first seeing what is already there. MedSpa Fix gives us the baseline.

We review the current medical relationships, patient flow, Good Faith Exam process, clinical documents, policies, staff roles, medical-director involvement, charting, and quality work.

See how it works+

Then we decide what Aesthetic would need to manage on an ongoing basis.

That prevents us from quoting a polished monthly package before anyone understands the clinic. It also prevents you from paying for work you do not need.

The support

Why the monthly price is custom

Maintain starts at $1,000 per location per month. The final fee depends on the actual work.

A single-location clinic with a small service menu and an established medical director does not require the same support as a multi-location business with several states, physician turnover, complicated banking, an acquisition, or unresolved operating problems.

See the support included+

Before we finalize the scope, we review:

Locations and states

Current and planned services

Existing professional entities

Medical-director and Good Faith Exam relationships

Banking and funds flow

Clinical staff and roles

Current policies and workflows

Chart-review and quality needs

Expansion or acquisition plans

The responsibilities you want Aesthetic to assume

The final terms are placed into a tailored written agreement.

From Dr. Laura

I started Aesthetic because I was tired of watching founders pay for every piece of the medical operation and still be left alone to manage the whole thing.
Read Dr. Laura’s full perspective+

The owner should not have to chase chart reviews, remind the medical director which services the clinic offers, update every policy, answer every staff question, and rebuild the process each time someone leaves.

That is not a scalable system.

It is one person carrying an entire department in her head.

Maintain gives the medical side of the business a real operating home.

Is this right for you?

Maintain may be the right fit when:

You are the person everyone calls when the process breaks

The medical-director relationship feels informal or fragile

Your current physician provides limited operating involvement

See who this is for+

You are adding services or locations

You are acquiring an existing clinic

Your policies and workflows are not being maintained

You need ongoing physician executive and clinical administrative support

You need access to approved professional-corporation or banking infrastructure, where available and appropriate

You want a standing team rather than another one-time report

Your questions, answered

I only need a medical director.+

You may need one.

You may also need the structure that allows the physician to do the job.

A signature does not create a chart-review process. It does not tell the injector how to escalate a concern. It does not update the protocols when the clinic adds a device. It does not prepare the business for physician turnover.

If all you need is a name on an agreement, Maintain will feel like too much.

If you need the medical relationship to work inside the clinic, we should talk.

We already have a medical director.+

Maintain can support the operation around an existing relationship.

The physician does not have to be replaced simply because the clinic needs better administration, clearer workflows, policy maintenance, quality processes, or stronger communication.

The question is whether the current relationship can carry the clinic you are becoming.

Will Aesthetic take control of the business?+

No.

You retain the appropriate business authority.

Licensed clinicians retain independent clinical judgment.

The written agreement makes the operating lanes clearer so the founder is not forced to choose between giving away control and personally managing every clinical administrative detail.

The next step

Your medical operation should survive a resignation, a new service, and an unexpected patient issue without sending you back through old texts and folders.

You built the business to grow.

Continue reading+

You should not have to remain the one person holding every loose end for the clinic to function.

Begin with MedSpa Fix. Then we will define what an ongoing Maintain relationship needs to include.

Already treating patients? Begin with MedSpa Fix, then scope the operating relationship your clinic actually needs.

MedSpa Maintain

Keep policies, physician relationships, and team support current as the clinic changes.

From $1,000

Per location, per month

Book a discovery call

What You Can Hold Us To

Growth

The medical side keeps working when you add a provider, a service, or a location.

Integrity

The written scope says what we own, what your clinic owns, what belongs to the physician, and what stays with counsel. There is no vague promise to handle everything.

Partnership

A standing team rather than another one-time report, with the operating lanes written down.

Buy MedSpa Fix - $500

Professional boundary: MedSpa Maintain provides physician executive leadership, clinical administration, and operational support under a tailored written agreement. Scope, pricing, infrastructure, medical relationships, and availability vary by state, location, services, and approved structure. Clinical judgment remains with appropriately licensed clinicians. Legal questions and legal documents remain with qualified counsel.

Partnership. Integrity. Standards. Entrepreneurship. Growth. Clarity.Meet the principles behind Aesthetic ↗