You do not rise to the level of your goals. You fall to the level of your systems.
(That's a quote by James Clear from a great book Atomic Habits.)
When I talk to clinics they usually belong to one of these 3 groups:
They have vague goals. Just doing day to day work, hoping things will get better in the future.
2. Goal oriented
This is much better, these types of clinics do have exact goals based on facts, but they are struggling to achieve them.
3. Systems oriented
This is the way. These are the clinics that not only have goals but also put systems in place that are executed every day to bring them closer to their target and track their progress.
By having systems that are followed, your clinic goals are not wishful thinking anymore but a reality that just needs to catch up with the present.
What systems do you have in place to support your goals as a clinic?