This document discusses practice management in 21st century healthcare and some of the issues that practice managers may face. It provides an overview of different healthcare models and systems around the world. The document then discusses what practice management actually involves, including human resources, financial management, risk and compliance, marketing, logistics, and planning. It notes that most practices lack formal budgets, plans, or succession plans. The document concludes by highlighting findings from a study showing that practices with strong people management and learning cultures have higher revenue and profits than those that are low performing.