TL;DR
At renewal, separate useful completed work from more traffic and unresolved referral friction. Ask whether the agency has corrected the public instruction, receiving path or message it was responsible for, and whether the practice has supplied its own dependencies. Choose a defined repair scope, supported expansion, narrower continuation or orderly exit using the actual agreement. A lead total alone should not decide the next commitment.
Open the contract beside the unresolved referral issue
Begin with the work the agency agreed to do and the practice inputs it required. If a referral page still directs offices to a retired form, identify whether maintenance was in scope and whether the agency had the approved replacement. If a received packet awaits clinical clarification, do not call that an agency publishing defect. Assign the correct responsibility before judging continuation.
Google's hiring guidance recommends asking about measurement, communication and proposed changes. Google's SEO hiring questions. Those questions remain useful at renewal, while your agreement determines the actual obligations. The framework here is an original purchasing tool, not a statement that a provider must offer particular pause or cancellation terms.
GetPatients has a commercial interest in healthcare visibility services. Apply the same renewal test to its work and its proposals. No lead, placement or patient outcome is guaranteed by this framework.
Prepare a repair-versus-expand continuation brief
Use evidence approved for the management discussion, keeping individual referral records and clinical narratives inside the practice's authorized systems. The brief should identify the precise pain-practice pathway at issue rather than describing the whole engagement as unsuccessful.
| Continuation field | Evidence to put beside it | Decision it informs |
|---|---|---|
| Verified consultation offer | Current scope, location, request process and public message | Whether there is a truthful offer to distribute |
| Completed agency work | Actual pages, instructions, routing changes and accepted outputs | What useful work exists today |
| Referral friction still open | Supported category such as retired materials, disconnected corrections or unclear request purpose | Which repair is actually needed |
| Practice dependency | Approved facts, system access, receiving coverage or qualified decision not yet supplied | Whether the agency can complete the proposed next task |
| Acquisition evidence | Defined origin, receipt group, actual events and unknown outcomes | Whether expansion addresses a demonstrated demand question |
| Next scope and cost | Written repair or expansion deliverable, actual fee and excluded work | What the practice would purchase now |
| Continuity terms | Actual notice, access, asset handoff and open-task responsibilities | Whether a narrower scope or exit is workable |
Attach issue ___; source evidence ___; responsible role ___; dependency ___; acceptance condition ___; next decision ___. Carry the same issue forward so an old unresolved referral instruction does not return as a newly discovered opportunity each reporting period.
Separate the reasons for continuing
A repair scope is appropriate to evaluate when the evidence identifies a bounded defect the provider can address. Request the approved replacement instruction, implemented destination and test result. Do not accept another awareness campaign as closure of a receiving-path problem.
Expansion is appropriate to evaluate when the current offer, public route and practice response are usable and the next acquisition question is defined. Ask which audience or service the new purchase tests and what evidence would change the decision. An increase in clicks does not by itself establish that more relevant consultation demand is needed or can be handled.
A narrower continuation can preserve useful maintenance while other dependencies are resolved, if the actual agreement allows it. State the remaining work and cost explicitly. Do not use an indefinite repair label to carry forward a retainer without deliverables.
An exit can be considered when the proposed work no longer fits, responsibilities remain unacceptable or the commercial terms do not justify continuation. Check the contract and handoff plan before assuming a cancellation date or ownership right. This article does not settle a disputed agreement.
Compare the next purchase with the current constraint
If the practice has not supplied its verified medication-related scope, the immediate dependency is factual review, not additional copy production. If retired referral instructions are still distributed, the useful deliverable may be replacement and confirmation. If the referral queue is reconciled but consultation access is unavailable, operations must decide what can truthfully be promoted.
Use the scope budgeting guide to describe the proposed commitment. The review decision guide helps separate a verified repair from an uncertain performance conclusion. This brief adds the renewal choice: which future work the pain practice can actually use and under which agreed continuation terms.
Use actual financial inputs. Do not justify renewal by assuming that every consultation becomes a procedure or by assigning an unverified long-term value to the people in an unresolved referral queue. Keep collected amounts, service costs and acquisition evidence under their correct definitions.
Close the meeting with an accountable next scope
Record decision ___; accepted evidence ___; purchased deliverable ___; actual cost ___; practice contribution ___; notice or change process ___; acceptance check ___. Choose a review point tied to the deliverable and real capacity rather than a fabricated outcome deadline.
If the decision is exit, name the receiving owner for domains, public pages, referral downloads, active campaign destinations, account access and unresolved tasks under the actual rights and agreement. Test continuity before routine access removal. A referral page should not become ownerless while both suppliers assume the other is maintaining it.
Frequently asked questions
Does a larger lead total justify renewal?
Inspect what the total counts and whether those requests fit the actual offer. Consider completed work, unresolved friction, capacity and the next usable scope before committing.
Is every open intake problem the agency's responsibility?
No. Separate its agreed deliverables from practice facts, clinical decisions, staffing and external dependencies. Assign the repair to the party that can perform it.
Can we pause while intake is repaired?
Check the agreement and obtain a written scope decision. Confirm which work and charges continue, who maintains public information and what evidence would support restarting distribution.