For almost twenty years, I have been managing medical offices. I started–begrudgingly–with my wife’s family practice office. I earned a Masters in Business Administration in Health Care Management. I oversaw the growth of her practice to seven providers and the transition to join a multi-state, corporate practice. I consulted to my wife’s new group and other practices. I served as the Director of Risk Management for a medical malpractice risk retention group. I was the Chief Operating Officer for a venture capital backed medical management company.

I have recruited providers and negotiated contracts. I have arranged leases, equipment acquisitions, malpractice policies and practice mergers. I have purchased a building and built-out a medical office. I have staffed and performed billing for multiple physician offices. I have managed my wife’s transition to an independent integrative and functional medicine physician. 

A New Approach

Through all of these experiences, I think I have accumulated some knowledge about medical practice management, and, in particular, implementing integrative and functional medicine (I&FM). From my experience, though, the providers I have the most to offer can’t afford an independent consultant. And yet, without an independent consultant–or some help–many providers will fail. 

So I am trying a new approach by providing complimentary resources and adding a service for Premium Clients to access additional resources (available HERE). I routinely update the e3BFM Article Gallery with main-stream articles related to I&FM practice management. I also maintain the e3FM Article Gallery with main-stream articles about I&FM health topics for patients, (available HERE). 

I hope that e3Business can connect I&FM providers with a risk purchasing group for medical malpractice tailored for I&FM. I hope to be a conduit for I&FM providers to find valuable practice management information they need. I hope to help I&FM move overcome the hurdles to being a successful practice. e3BFM is e3Business’ website dedicated to I&FM practice management. 


As a chief operating officer, I spent almost five years working with Lt. Col (Ret.) James “Jim” W. Carmack, MS, who was the Chief Executive Officer of the medical management company. Jim and I developed a friendship that resulted in writing a book together, “The e3Business Guide: An Easy, Effective and Efficient Approach to Management.” Jim and I were both proponents of “three things” and finding approaches that were easy, effective and efficient–which explains the “e3s.” I often use a coffee cup as a symbol of Jim’s collaborative nature, as he had a policy that anyone could initiate a conversation by just leaving their coffee cup on his desk. He would take the coffee cup back to the employee and start the dialogue they needed. 

Those who worked with Jim know how much joy and energy he brought into a room. We laughed as much as we worked and spent hours talking when we weren’t working. I hope that e3Business is able to advance his ideas about business and promote his passion for life. 

Brett W. Sparks
President, e3Business