Use the review result rather than the calendar as the opening signal
The business-operation process is conditional on verification of information and conformity with municipal and other requirements. Track questions, requested corrections and the actual decision. If the proposed start date changes, reconcile the timetable across the landlord, contractor and clinical team rather than allowing each to use a different assumption.
The work guidance also explains that complexity and document quality affect review time and that work cannot begin before the required permission is obtained. Build room for those dependencies into commitments. Confirm any relevant inspections, completion or occupancy conditions for the actual project. Do not advertise physical access because the original 15-day interval has passed. The decision and completed operation need to support the promise made to patients.
Use a simple dependency list during weekly project reviews. An unresolved layout question belongs with the designer and municipal contact; an unresolved examination referral belongs with clinical leadership. Give each item a next action and decision date. This prevents a delay in one file from being hidden by progress in another, and helps the company communicate a realistic service scope to staff before patients book.