Firstly you need to change.
We all know the definition of madness 'doing the same thing tomorrow as you did yesterday and expecting a different result'
I repeat, 'You need to change'
David H Maister observes, 'The primary reason we do not work at areas in which we know we need to improve is that the rewards (and pleasures) are in the future, the disruption, discomfort and discipline needed to get there are immediate.'
You must abandon TSOH, The Strategy Of Hope, you must focus your attention on specifics.
Here are a few strategies that need to be deployed;
The above strategies should be embedded into the culture of the Practice, and the firm must live and breathe this culture.