The Rukman Protocol

Growth executed like a clinical protocol.

Four phases, sequenced. Fixed-scope diagnostic before any retainer. HIS-reconciled attribution before any claim. Founder-signed at every gate.

PHASE 01

Diagnostic

Weeks 1–2 · Fixed fee

Nothing is promised until we have looked at your data. We audit 24 months of admissions, catchment demographics, referral flow, call-center recordings, HIS attribution gaps and current media spend. The output is a written Findings Memo — not a pitch deck.

Deliverables

  • 24-month IP admissions & specialty revenue audit
  • Call-center recording review (min. 60 calls)
  • Catchment & competitor mapping
  • Attribution gap report (HIS ↔ CRM ↔ media)
  • Written Findings Memo, signed by founding partner

Every diagnostic is executed on-site. We do not accept engagements we cannot personally staff.

PHASE 02

Blueprint

Weeks 3–4 · Fixed fee

A board-presentable Surgical Pipeline Blueprint: procedure-level admission targets, month-by-month CAC ceilings, media mix, call-center SOPs, physician-referral protocols, and a compliance boundary map against NMC advertising guidelines.

Deliverables

  • Procedure-level 12-month admission targets
  • CAC ceilings per specialty & per channel
  • Call-center script library & triage protocols
  • NMC-compliance boundary map for every asset class
  • Board-review deck for MD & Chief of Surgery sign-off

You may end the engagement here. The Blueprint is yours to keep and execute in-house.

PHASE 03

Integration

Months 2–4 · Retainer

The dangerous phase for most agencies — and the one we own. We embed with your marketing, call-center and HIS teams to wire attribution end to end. Every enquiry is tagged, every consult is source-attributed, every admission reconciles back to a campaign in your Hospital Information System.

Deliverables

  • CRM ↔ HIS admission-source tagging (live)
  • Call-center SLA dashboards (lead → consult → admit)
  • Weekly clinical-marketing standups with your leads
  • Referral-physician activation program
  • Compliance-reviewed asset library, in-market

Attribution is reconciled against HIS billing — not self-reported by us.

PHASE 04

Compounding

Month 5 onward · Retainer

Growth becomes a monthly clinical review. We add one specialty per quarter, defend your catchment against new entrants, and hand back playbooks so your in-house team owns the machine within 18–24 months. This is a consulting practice, not an agency lock-in.

Deliverables

  • Monthly board-format IP pipeline review
  • Quarterly specialty expansion (new OT lines)
  • Annual physician-KOL & CME program
  • In-house team upskilling & playbook handover
  • 18–24 month graduation, if desired

We publicly commit to graduating hospitals off retainer. Category exclusivity outlasts the engagement.

Next step

Book your Diagnostic. Keep the Blueprint either way.

The Diagnostic and Blueprint are fixed-scope. No retainer is signed until you have the written findings in hand.