Insight Articles

Practice Management Software Migration Checklist

Switching practice management software feels risky, but staying stuck on a clunky 6/10 system costs more in the long run. This article breaks down when to make the leap, the 7-step migration checklist, and a real-world clinic story of stabilising within 60 minutes. You’ll learn how to train staff effectively, manage the chaos as a leader, and avoid the hidden traps of PMS upgrades—all while setting your clinic up for smoother operations and stronger reporting.

How to Successfully Transition Your Practice Management Software

Shane Gunaratnam in a Blue Country Road Jumper, City Background, Looking Confident
Shane Gunaratnam
Founder, Physio Business Coach
Culture of One
AI tools and strategies
The People Community

Lead With Clarity, Build With People

Join 100+ founders inside our private community for live masterclasses, SOPs, and peer conversations that take you from firefighting to flow.

Most clinics tolerate a six-out-of-ten PMS because the pain of change feels bigger than the daily friction. But that friction compounds—weak reporting, clunky workflows, and wasted admin time keep you flying blind. This guide shows you how to switch with minimal disruption and come out stronger.

Why Clinics Struggle With Practice Management Software

  • Limited reporting: unclear revenue/utilisation/cancellations makes decision-making guesswork.
  • Permanent workarounds: duct-tape processes at the front desk turn into “how we do things.”
  • Integration friction: PMS that won’t play nicely with billing, comms, or analytics stalls growth.

When to Change Your PMS (and When Not To)

Switch if reports are poor, rework is mounting, or integrations block growth. Don’t switch if you’re changing tools monthly (that’s churn), or you can’t create a post–go-live buffer to stabilise.

Practice Management Software Migration Checklist

  1. Define “done.” Document reporting requirements, must-have workflows, and success metrics.
  2. Choose the window. Target a lighter roster + plan a 24–48h buffer after cutover.
  3. Map the critical paths. Bookings, payments, Medicare/private billing, comms, clinician notes.
  4. Create micro-SOPs. Short Looms + one-pagers per task (front desk and clinician).
  5. Run a dry-run. Migrate test data and simulate a clinic day end-to-end.
  6. Cutover script. Reception signage, patient messaging, escalation routes for issues.
  7. Stabilise & optimise. Triage bugs, tighten reports, then lock the new SOPs.

The 60-Minute Transition: A Real Clinic Story

We scheduled a PMS upgrade in an imperfect window (mid-day cutover, end-of-year timing). The Sunday night before go-live, our key admin lead went into hospital. We went ahead anyway—there’s never a perfect time. A junior admin who was still learning the old system adapted quickly. Within about an hour the clinic was back under control; by the next day, operations felt normal. Billing edge cases (like Medicare) took longer, but over the following weeks reporting improved, training solidified via Looms, and front-desk flow was smoother overall.

Training Your Team on a New PMS

  • Newer staff adapt fastest. Give them micro-SOPs and supervised reps.
  • Long-tenured staff need context. Explain the “why,” pair coaching with clear checklists and videos.
  • Codify everything. If it isn’t captured in a short video and one-pager, it won’t scale.

Leadership Lessons From a Software Switch

  1. Don’t accept 6/10 tools. Your clinic can’t outperform its systems.
  2. There’s no perfect time. Pick the window, create margin, over-communicate.
  3. Design for chaos. Plans are essential; real-time leadership is non-negotiable.
  4. Train to scale. Turn new workflows into videos + checklists so improvements stick.

FAQ: PMS Transition Questions Answered

How long does a changeover usually take?

Most clinics stabilise within 60–120 minutes, with full adoption in the following weeks as training and billing edge cases are refined.

When’s the best time to switch?

Choose a quieter roster window—end of year or school holidays—so you have breathing room to resolve issues.

How do I train staff quickly?

Use Loom videos, micro-SOPs, and shadowing. Newer staff pick it up fastest; long-tenured staff benefit from extra coaching.

Which PMS is “best” for allied health?

It depends on size, reporting needs, workflows, and integrations. Evaluate total cost of ownership, not just licence fees.

Ready to future-proof your clinic and your leadership?

Jump into the People Community and get immediate access to our live calls, resource vault, and a network of business owners building for scale.

Share this post