The Impact Forecaster
The tool Model Ortho uses in client work to show a practice what growth actually changes.
One-line
The Impact Forecaster is the tool Model Ortho uses in client conversations to answer one question: "If we grow 10%, what actually changes?"
The question it answers
Most practices want to grow but cannot see past the word "more." More patients, more chairs, more staff, more production. The Impact Forecaster turns "more" into a specific, verifiable number, then shows what the practice has to do to reach it.
It does not pitch growth. It shows the practice its own numbers, lets the leadership move a single growth dial, and reveals what that growth costs in time, chairs, staff, and patient flow.
What you see
The tool is a single screen built around a few controls a practice can move in real time:
- Growth target: a single dial from 0% to 30% annual production growth.
- Modality mix: the share of Traditional, Aligner, and Custom cases, which changes the average case fee.
- Virtual Monitoring: an efficiency lever that frees chair and doctor capacity without adding visits.
- Case fees: the four fees (Traditional, Aligner, Custom, Phase I), each editable per practice, plus a rate-increase lever.
- Clinical days and weeks: how many days the practice actually operates.
Everything else recalculates the moment a dial moves.
What it calculates
The tool runs real production math, not a generic percentage guess:
- Production = (Phase I starts × Phase I fee) + (Comprehensive starts × blended case fee).
- The baseline example: (45 Phase I starts × $2,600) + (250 comprehensive starts × $6,025) = $1,623,250 per year.
Growth is then split into two honest channels:
- Working Smarter: growth that comes from efficiency alone (Virtual Monitoring freeing capacity, shifting toward shorter-visit modalities). This is growth that costs no new patients.
- Working Harder: the residual gap that genuinely requires more new patients, shown as the number of extra exams the team must convert each month.
That split matters because it stops a practice from confusing efficiency with growth. A team cannot "work smarter" its way to a growth target if the math says the remaining gap still needs more starts. The tool shows exactly which part is which.
What the screen grab shows
The before/after pair uses the demo practice (DEMO Orthodontics), a realistic 4-clinical-day, $600/hour, 39-week schedule:
- Before (0% growth): $1,623,250 per year.
- After (15% growth target): $1,870,400 per year: an increase of $247,150.
The after state is not a different practice. It is the same practice with one dial moved, and the tool shows precisely what new patient flow and capacity that +15% requires.
Why this matters
The Impact Forecaster is the concrete form of what Model Ortho does: look at reality, forecast what is possible, and find the systems that get a practice there. It is not a report handed over and forgotten. It is the shared surface a practice's leadership and Anita work through together, so the decision to grow or not to grow is made with the numbers in front of everyone, not guessed at.
It reads across the four things every practice actually cares about:
- Doctor: pace and gaps across the clinical day.
- Team: workload and idle time per role, in minutes per week.
- Patient: access and how the appointment mix changes.
- Practice health: pipeline and production, the revenue side.
The tool is deliberately built to be moved during a conversation, not presented as a static slide. That is the difference between a consultant telling a practice what to do and one showing them what is true.
The screen grab
The practice today, at its current production (0% growth):

$1,623,250 per year.
One dial moved to a 15% growth target:

$1,870,400 per year, an increase of $247,150.