Skip to main content

Trusted Ambulatory
Healthcare Experts

Our broadly experienced healthcare leaders have the knowledge and expertise to help your organization thrive in the ambulatory environment.

Unlike some firms, our team of advisors are professional operators, executives, and clinicians each with a passion for creating and implementing programs and services as unique and diverse as our communities.

  • Practice Development
  • Change Management
  • Non-Physician Provider (PA/NP) Integration
  • Value Based Care and Clinically Integrated Network Strategy
  • Facility Governance
  • Hospital and ASC Governance Bootcamp

Prior Experience:

Location: West Coast

Type: Regional Health System (Non-Profit)

Project: Development of Enterprise Level ASC governance and board education program

Description: Established portfolio-wide ASC Governance Taskforce to aid in the formation of an executive ASC governance model, structure, and functions. Facilitated multiple executive leadership work sessions, leading to the formation of an Enterprise ASC Governance Council, as well as ASC Governance Boot-Camp educational program for hospital-based leaders in governing board roles.

Value: Increased understanding of the ASC regulatory environment, improved understand of board member roles and responsibilities, greater understanding of health system strategy for growth and physician alignment, reduction in compliance risk for ASC and health system.

  • Optimization and Growth Strategy
  • Physician Syndication and Re-syndication Support
  • Regulatory Survey Preparation
  • Payor Contract Strategy
  • Case Selection and Migration Planning
  • Revenue Cycle Management Analysis
  • Hospital / Health System Partnership Optimization

Prior Experience:

Location: Oregon

Type: Regional Health System (Non-Profit)

Project: Majority position hospital acquisition of 2 Operating Room Physician Joint Venture ASC

Description: Facilitated acquisition of an independent specialty ASC including budget development, 3rd party valuation coordination and negotiations with and outside ASC management company. Led all aspects of legal, financial, and operational due diligence including internal capital analysis, and creation of multiyear facility proforma.

Value: Achieved alignment of high value surgeon group with the health system, expansion of network into a new market, reduction of cost to health system, and overall ASC case volume growth.

  • Lean Process Design
  • Clinical Process and Throughput Optimization
  • Block Time Utilization and Management
  • Quality, Safety, Root Cause Analysis Planning
  • Clinical / Operational Tracking Tool Development
  • Performance Optimization

Prior Experience:

Location: West Coast

Type: Health System / Large Integrated Delivery Network (Non-Profit)

Project: Development / implementation of HOPD Same Day Discharge Program for Total Joint Replacement

Description: Facilitated creation and distribution of same day discharge program for hospital outpatient Total Joint program. Created and implemented Rapid Discharge Banner in electronic medical record, Rapid Discharge Tool Kit, established best practice forum to guide implementation.

Value: Increased staff engagement, improved overall process, reduced variation across locations, allowed for implementation across multiple organizations with significantly reduced length of stay.

  • Ambulatory Growth Strategic Planning
  • Payor and Supply Chain Contract Strategy
  • Case Migration and Backfill Analysis
  • Market Analysis and Demand Planning
  • Employed Physician Alignment
  • Joint Venture Development and Optimization
  • Investor / Management Partner Selection and Integration

Prior Experience:

Location: West Coast

Type: Health System/ Large Integrated Delivery Network (Non-Profit)

Project: Total Joint Arthroplasty (Hip/Knee) supply chain contract

Description: Initiated scaled effort to align orthopedic supply chain purchasing decisions across multiple facilities. Established supply chain purchase committee comprised of surgeons, regional executives, and health system supply chain team to evaluate current spend, vendor selection, and utilization data, and developed multiple recommendations for overall supply chain contracts. Developed and implemented multi-year supply chain contract negotiation strategy.

Value: Full implementation resulted in more than 10% cost reduction overall and significant savings in EBITDA through reduced inventory, scaled discounts, streamlined selection, while maintaining physician engagement and satisfaction.

  • Pre-Construction Review Services
  • Value Engineering
  • Clinical Process Design
  • Transition Planning
  • Clinical Equipment Selection Support
  • Licensing / Regulatory Sequencing

Prior Experience:

Location: Mid-Atlantic

Bus Type: Single Hospital System (Non-Profit)

Project: Facility Design & Process Review

Description: Full facility design review for a replacement hospital. Review included hospital-wide process mapping, identification of bottlenecks and inter-departmental conflicts, patient placement plan development, facilitation of staff collaboration and education series and facility transition and activation planning.

Value: Project provided early identification of design-process conflicts resulting in reduced cost of change orders and reduction of construction timeline. Advanced planning and staff collaboration supported an efficient, safe, patient-focused transition to the new hospital.

  • Short Term Executive and Operational Management
  • Governing Board representation
  • Recruitment Assistance and Candidate Selection Support
  • Leadership Training and Mentorship

Prior Experience:

Location: Washington State

Type: Independently Owned and Operated multi-physician ASC JV LLC

Project: Bridge Management

Description: Interim CEO for 4 OR Ambulatory Surgery Center, providing onsite and remote leadership, board meeting support, full AP, AR direction, and payor contracting negotiations.

Value: Provided independent assessment of operations, developed hospital / ASC JV optimization strategy, improved cashflow though creation of new AR processes, facilitated interview and selection of replacement candidate.

  • Negotiation Support
  • Project Management
  • Strategic Facilitation
  • Trusted Advisory Services

Service Line Expertise:

  • Orthopedics, Spine and Pain Management
  • Ophthalmology and Otolaryngology
  • Cardiology
  • Gastroenterology
  • General and Cosmetic Surgery
  • Gynecologic and Urologic Surgery
  • Behavioral Health and Wellness