NEXUS
PRACTICE MANAGEMENT
SCALE · Module 4 Tool
Building the Leadership Team

Accountability Chart Builder

Name the seats your practice needs, who sits in each — and where that’s still you. The seats only you fill are your next hires.

0%of seats held by others

Your seats

Every practice runs on these functions. Name who owns each — and tick the ones that are still you.
Visionary / OwnerDirection, vision, key relationships
Operations / IntegratorRuns the day-to-day, holds the plan together
Clinical LeadClinical quality, governance, practitioner support
FinanceNumbers, cashflow, reporting, compliance
Marketing & GrowthDemand, brand, the pipeline
Admin / Front DeskBookings, reception, client experience
People / HRHiring, onboarding, culture, performance

Your read

Seats filled by others
Seats still you
Owner-held
Delegate next
The seats still marked ‘me’ are your next hires or delegations — in priority order.
Name your seats to see how owner-dependent the business is.
This is Module 4 of SCALE

Build the team the business needs

SCALE shows you how to design the accountability chart, hire into the seats, and lead a team that runs the practice without you in every room.

Explore SCALE →