Launch with an accountable results queue
Alberta's virtual-care standard calls for arrangements to receive and respond to critical results outside normal hours or in the doctor's absence. A founder must budget for that responsibility before selling appointments that can generate investigations. Completion of the visit does not end the episode.
Agree who reviews each incoming result and how coverage changes at the end of a shift. Use fictional results to test a missing patient contact, an absent doctor and a duplicate message. Keep the original clinical context accessible to the authorised covering professional. Give support staff a clear escalation path without asking them to interpret the result.
Start with a volume the care team can follow through. Review the oldest unresolved work before you increase intake. If the premises or clinic arrangement changes, reassess the service boundary and patient instructions. The pilot succeeds when the team can identify unfinished care and act on it, not merely when every available appointment slot sells.