+ FOREVER PRACTICE
D14 Agency
The Hub For Growth-Driven Practices
A Disabled Veteran Owned Business
The Most Powerful Upgrade Your Practice Will Ever Experience.
Founder D14 Agency LLC, Forever Practice, & Multipotentialite
Faith-driven Servant Leader
Devoted Husband
Disabled U.S. Navy Veteran
5x Amazon #1 Best-Selling Author
The Authority Maker
Internet Marketing & Search Engine Optimization
Systems Thinking, A Blueprint For Success
Instant Credibility
Sleep Apnea Dream Killer
Certified Business Performance Coach
Certified OpenAI ChatGPT Expert
Here I Prove I Can Help You, By Actually Helping You
When you click the link below, you'll learn how I do business and decide if you would like to see if we are a match and you would like me to build a "Kick-Butt" plan to help you grow your practice into what you have dreamed of for so long.
Build Your Forever Practice System
Automate 40+ repetitive tasks, capture every lead, and get back 20% of your team's time -- while working directly with a Fractional Chief Marketing Officer to scale your internal marketing machine.
The 9-Step Forever Practice System
Whether you're starting fresh or rebuilding from burnout, this structured coaching system helps you install proven business foundations built to scale and sustain.
Your AI-Driven Growth Stack
Run your entire marketing system through one platform -- D14 SaaS Platform customized for private practices. We set up and integrate your systems.
[Tour The D14 Platform>>] - Coming Soon
Author the Book That Builds Your Brand
We help you create, publish, and leverage a practice-building book -- plus provide videos and podcast content that position you as a trusted authority in your field.
Bring David to Your Event or Podcast
Looking for a speaker with a mix of faith, marketing expertise, and veteran leadership? David brings powerful insights on growth, automation, and mission-driven business.
[Book David to Speak>>] - Coming Soon
Browse David's Store
Get inspired and equipped with David's practical guides on business building, automation, and agency-free growth.
[Visit the Bookstore>>] - Coming Soon
I believe that success means nothing if it isn't rooted in something eternal.
Everything I build -- whether it's AI Automation, coaching frameworks, software platforms, or author brands -- is filtered through the lens of honoring God, serving family, and stewarding freedom.
D14 Agency is more than a business. It's a mission.
That's why 20% of all revenue is donated to a Christian charity committed to spreading the Gospel of Jesus Christ to every nation, in every language. Their mission is simple and biblical: to ensure that everyone on earth hears the Good News in their own tongue.
"Therefore go and make disciples of all nations, baptizing them in the name of the Father and of the Son and of the Holy Spirit, and teaching them to obey everything I have commanded you."
-- Mathew 28:19-20 (NIV)
I don't just want to build systems that grow businesses.
I want to build a legacy that changes lives.
Dr. E. Gaylon McCollough, Plastic Surgeon, Entrepreneur
"It has been a pleasure working with David DeSchoolmeester on a couple of projects.
David has the technical skills and insight into how to best deliver one’s message to the masses."
Dr. Joy Smith-Jones, Chiropractor, Entrepreneur
"I am truly blessed to have the opportunity to work with someone as knowledgeable as Mr. David DeSchoolmeester. In our conversations over the last few weeks, I've learned how to develop an entrepreneurial and business mindset.
He has given me the step by step tools and homework to figure out who my ideal avatar is so that I can market them effectively. He has also helped me develop an elevator speech.
I feel that I can now communicate confidently and eloquently at networking events as well as with potential patients. Thank you so very much for this opportunity!!"
Michael Wingfield, 5 Talents Financial
"After speaking with David about his services I'm convinced he's the coach I want to help me grow my business. I look forward to my continued relationship with David and I would strongly encourage anyone who has a great desire to grow their business to visit with David. His well thought out and concise plan, specifically developed for me, is spot on."
Sean Casto, Entrepreneur
"Excellent work! Looking forward to working with David again."
It’s 7 pm. The clinic is dark, your staff have all gone home, and yet someone is still there, tapping away on documentation, updating charts, filling claims — someone who didn’t sign up for that. That someone? Your care team. And every minute they spend in that paper-chase is a minute they can’t spend healing, engaging with patients, or even breathing.
Burnout in medical settings isn’t tragic because the people are weak. It’s structural. One of the biggest structural stressors? Administrative overload. What if AI could pick up enough of that load to let your team breathe again?
In this article, I’ll dig into why admin burden is creeping up, how it drives burnout, and — most importantly — how smart use of AI (not hype) can pull your team out from under the paperwork pile.
Let’s break it down bluntly: medical practices were built to treat people. But over time, we shoehorned them into becoming factories of documentation, insurance rules, and compliance checkboxes.
Here are the typical offenders:
Claims, billing, coding, appeals
Prior authorizations, insurance verifications
Data entry into EHRs, charting, progress notes
Scheduling, appointment reminders, no-shows
Patient messages, portal replies
Credentialing, reporting, audits
What happens when you stack all that on your staff?
Fatigue sets in — mentally, emotionally
Resentment of non–clinical work
Errors creep in (because tired humans make mistakes)
Attrition: people quit, you scramble to replace
Loss of mission: staff forget why they entered health care
Burnout is real. According to a review in PMC in 2024, AI has “immense potential to reduce administrative and cognitive burdens that contribute to burnout.” PMC
And it's not theoretical: documentation pressure is one of the top complaints in practice after long hours.
AI is not a fantasy — it's already relieving load
The AMA highlighted that 75% of physicians now believe AI can help with work efficiency, and 54% think it could ease stress and burnout (rising from 44% in 2023). American Medical Association
In 2024, more than half of physicians (57%) identified reducing administrative burden via automation as the biggest opportunity for AI in their practice. American Medical Association
The Permanente Medical Group rolled out ambient AI scribes in 2023 and, over a million+ encounters, saved an estimated 15,791 hours of documentation time in one year — that’s nearly 1,800 eight-hour days. American Medical Association+1
A JAMA-adjacent commentary cautions, though: “AI Alone Will Not Reduce the Administrative Burden of Health Care.” The authors argue that the complexity of billing, data fragmentation, and misuse risk make blind adoption dangerous. Stanford Health Policy
What kinds of AI are already working?
Ambient (or “listen-and-write”) scribes / digital scribes: capture clinician-patient conversation and auto-generate draft notes
Prior authorization and claims automation: bots that pre-fill forms, check rules, route denials
Conversational assistants: AI voicemail/phone bots that verify insurance, schedule, triage certain calls blog.google+1
Patient message drafting: one study had oncologists respond to portal messages with AI help; efficiency rose 77% of the time. But 7.7% of unedited replies could have caused harm, so guardrails are essential. arXiv
Note generation from audio + AI frameworks: e.g. MediNotes (a generative AI system combining speech recognition + structured data + LLM) shows promise in automating SOAP note generation. arXiv
In sum: we already have evidence that AI can chip away at the administrative pile. But it’s not magic — it must be wielded smartly.
Here’s where we get tactical. You’re not hiring a robot to replace people — you’re deploying smart tools to shift grunt work off backs of your team.
A. Start with a “burden audit”
List all the admin tasks your staff do each day/week. Rank by:
Time consumed
Emotionally draining (i.e. tasks people dread)
Repetitiveness / patternable
Those are your high-leverage targets — you don’t start with complex clinical decisions, you start with filling forms or drafting notes.
B. Select use cases where AI is already proven
Don’t bet on tomorrow’s AI. Use what’s already working. For example:
Ambient recording / scribe tech for documentation
Automating prior authorizations / claims routing
Missed Call Text Back service
Conversation AI (online Chatbot) to answer online visitor questions in seconds
Drafting standard patient messages / responses
Those are relatively safe and high-impact.
C. Insist on human-in-the-loop oversight
AI should assist, not decide. Let staff review and tweak output. This addresses risks of hallucinations, compliance errors, or payer challenges (a key concern in the JAMA critique). Stanford Health Policy
D. Phase rollout, measure impact
Don’t switch everything overnight. Test in one department or with one provider. Track metrics:
Hours saved
After-hours time reduction
Staff satisfaction / burnout scores
Error or rework rates
Then scale where wins occur.
E. Provide proper training and buy-in
Fear and distrust kill adoption. Show the team sample outputs, let them experiment, gather feedback. Emphasize: this is augmentation, not replacement.
F. Plan data governance and compliance
Because you’re dealing with protected health information (PHI) and sensitive data, ensure your AI vendor is HIPAA-secure, auditable, and with clear logs. Don’t let convenience lead you into risk.
G. Don’t expect AI to “fix” broken processes
Sometimes the worst admin burden comes from outdated systems, double entry, poor interfaces. If you overlay AI on a deeply inefficient process, you may speed up chaos. So optimize workflow first — then automate.
Your staff didn’t get into medicine to drown in forms. They got in to help people. But the paperwork tide is real, and without intervention, it keeps pushing them toward burnout.
AI isn’t a magic wand. But when you pick manageable, high-impact admin tasks, apply oversight, measure results, and keep the human element front and center — it can be a pressure release valve. Think of it as reclaiming oxygen for your team.
One day, you’ll look back and wonder how you ever ran a practice without an AI assistant helping to lift the paperwork pile.
David “D14” DeSchoolmeester is a U.S. Navy Disabled Veteran, Author, and the Founder of D14 Agency LLC and Forever Practice. With decades of leadership experience, David helps private medical practices grow sustainably by leveraging AI-powered automation, Fractional CMO strategy, and patient engagement systems that reduce staff burnout while increasing revenue.
Through his work with physicians and practice owners, David has developed the 9-Step Forever Practice Coaching framework — a model designed to help practices thrive long-term without overreliance on outside agencies.
👉 To learn more about how D14 Agency and Forever Practice help practice owners take back control of their time and build lasting growth, visit https://d14agency.com or https://foreverpractice.com.
EMAIL: [email protected]
ADDRESS: 5 Sumner CV
HOURS:
MON - FRI: 10 am - 6 pm
SAT: 10 am - 1 pm
SUN: Closed
D14 AGENCY GENERAL QUESTIONS
Hi there! At D14 Agency, we help doctors and service business owners grow their practice using AI Automation and Expert Guidance. We offer tools that can automatically follow up with potential patients, help manage your marketing, and even write content to build your reputation. We also help you set up your own in-house marketing systems so you don’t have to rely on outside agencies anymore.
We mainly work with private practitioners — plastic surgeons, interventional radiologists, and chiropractors — to name a few. Medical professionals who are busy running their clinics and need help growing without adding more to their plate. If you own your business and want it to run more smoothly and grow faster, we might be a great fit.
Unlike most marketing agencies that want to keep you as a client forever, we do the opposite. Yes we do the marketing, but we go miles ahead and teach your team how to do the work, set up everything with you, and once you're confident and running things smoothly on your own — we step back. You stay in control, and we stay available in case you ever need a hand again.
While we have a great affinity with doctors and healthcare professionals, we do work with other service-based businesses too. If you’re the owner and want to grow your business the smart way, we’re happy to chat and see if we can help.
It’s easy! Just click the “Strategy Call” button on the website. You’ll be taken through our process of getting started.
FRACTIONAL CMO SERVICES
A Fractional CMO is like borrowing a Chief Marketing Officer — someone who handles all the marketing strategy and planning but only works with you part-time. We help figure out what’s working, what’s not, and build a plan to grow your practice. Then we train your staff so they can keep it going after we step out.
Most of the time, we’re with a client for about 8 to 12 months. That’s usually enough time to put systems in place, train your team, and make sure everything is working before we hand it off to you.
You’ll have a trained team, working systems, and the confidence to run your own marketing. We don’t disappear — we’re still around for quarterly check-ins, and you’ll continue using our software. But the goal is for you to be in full control in less than 12 months.
We’re all about training your current team. We believe in empowering people, not replacing them. If they’re willing to learn, we’ll show them how to run things like a pro using the tools we set up.
COST & GETTING STARTED
We have something for every stage.
It really depends on what your needs are. With most of our programs there is a one-time setup fee that pays for us setting up the systems and programs you requested. This one-time setup fee varies based on the service you need and how detailed a setup you require.
Each service will also come with a monthly subscription investment for the base software platform used and varies based on additional services you request. Additional services may include HIPAA Compliance, Unlimited AI services, Business Coaching, Fractional Chief Marketing Officer (FCMO) services, etc.
Monthly subscription services are identified, in full, at the time of your 1-on-1 Strategy Call and range from $1,500 to $10,000.
No hidden fees. No pressure. You only pay for what helps you grow.
AI EMPLOYEE & D14 SAAS
Think of our AI Employee like a super assistant that works 24/7, never takes a break, or gets sick and never forgets a task. It automatically replies to missed calls, helps manage online reviews, talks to people on your website, and follows up with leads so your staff doesn’t have to. It helps you save time and never miss out on a potential patient again.
Let’s say someone calls your office and nobody answers — maybe you're with a patient or it’s after hours - or maybe they just hang up. Instead of missing that opportunity, our system immediately sends a friendly text message to that person, thanking them for calling and asking how you can help. It turns missed calls into conversations.
There’s a lot! You get:
A system that automatically texts people who call and don’t get through
A live chat for your website that feels like texting
A way to ask happy patients to leave reviews online
A tool to keep track of leads and appointments
Automatic email and text campaigns
A built-in calendar to book and confirm appointments
And you don’t need to be a techie to use it—we help set everything up and show you how it works.
In many cases, yes! We can check to see if your current systems can "talk" to ours. If not, we can often find a workaround. And don’t worry — we help handle the tech setup.
Nope! If you can text and open your email, you’re good. We handle the hard stuff and give you simple tools that are easy to use. Plus, we train your staff and are always here if you need support.
BOOK PUBLISHING & AUTHORITY MARKETING
It’s actually pretty easy! Businessweek performed a survey a few years ago and found that ~80% of people want to write a book or feel they have one inside them. They just don't know how to get it out of their head and onto paper to publish it. That's where we come in! We help to create a book that is 100% your thoughts and ideas, without you actually writing it yourself. More importantly, this book will be the most powerful marketing tool you'll ever have. And we'll show you how to use it.
Usually, between 90 and 120 days depending on how fast we're able to move through the steps. We work around your schedule to keep it stress-free. While you don't actually write the book yourself, we still require about 20 total hours of your time throughout the process, broken down into small pieces.
Yes! We create videos for each chapter, help you post clips on social media, and even help you turn the book into a podcast. Your book becomes your #1 marketing tool to build trust and authority. This is all part of and included in the total investment for the book.
SPEAKING & COACHING
Absolutely! I am available for hire to speak at clinics, business groups, and associations on topics like how to grow your practice without burnout, how AI can save time, and how to take back control from marketing agencies. If you want me to speak at your event, let’s talk! Go to my Contact Us page and send me a message.
It’s a program I designed to help doctors build a long-term, stable, and multi-location practice. We walk through 9 key areas like goal setting, finding your ideal patient, creating content, automating tasks, and even preparing to franchise or sell and retire one day. It’s practical, step-by-step, and designed for real results.
Facebook
Instagram
X
LinkedIn
Youtube