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The true measure of success is continuous improvement.
We collaborate closely with your teams, from executives to frontline staff, to ensure that change is not only implemented but sustained over time.
Achieve results as we help you bring your strategy to life
Large urban community medical center and children’s hospital was turnaround through turnaround through growth, expense management, and improved quality and safety.
S&P Bond Rating improvement secondary to clinical integration, engaged and expanded physician enterprise, and improvements in quality and safety.
Community acknowledgements, inclusive of the AHA NOVA Community Health Service Award.
Top tier Clinical Quality and Safety are possible only with Operational Excellence
Eighteen months earlier, the medical center was losing $1.5M per month and fighting to stay open. Executives—pairing physician and nursing leadership with frontline teams—mounted a disciplined recovery: expand strategic service lines while managing every dollar through a Cost-per-Unit-of-Service (CUOS) expense management model.
The result was a full-scale renewal. Within 18 months, the organization posted a 3% annual operating margin, earned multiple quality awards, and was recognized among the Top 50 cardiovascular centers by U.S. News & World Report. The community took notice too, honoring the hospital with distinctions including the AHA NOVA Award. What began as a crisis became a durable operating system for performance.
At a Glance
- Financial Sustainability: From –$1.5M/month to +3% margin through CUOS expense discipline and revenue optimization.
- Clinical Excellence: Significant gains in core outcomes and safety; nationally recognized cardiovascular care.
- Patient Experience & Access: Improved satisfaction scores and expanded access in primary and specialty care.
- Growth & Market Position: Strategic expansion in primary care, cardiovascular services, surgery, and oncology.
- People & Culture: Physician—nursing—administrative triads empowering frontline teams drove the sustainable improvements.
What We Did
- Cost Discipline: Standardized unit definitions, transparent cost drivers, weekly variance huddles, and service-line accountability.
- Smart Growth and Increased Access: Expanded primary care clinics, optimized referrals, surgical block use, and clinical pathways to capture right-site, right-acuity volume. Physician friendly environment.
- Revenue Integrity: Aligned documentation and denials programs with clinical operations; improved throughput and reduced avoidable LOS.
- Quality and Safety Strategy: Embedded safety bundles and outcome dashboards into daily management to drive both margin and care.
- Leadership Model: Physician–nursing-admin triads, frontline problem solving, and monthly strategy-to-execution reviews kept teams aligned.
- Improved Retention: Strengthened frontline ownership and leadership visibility, leading to improved staff retention and culture stability.
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Additional outcomes we have helped teams achieve
Improved Clinical Outcomes
Focused safety and care initiatives led to a measurable drop in serious safety events and hospital mortality rates—driving safer, more reliable patient care.
Decreased Length of Stay
Redesigned workflows and better care coordination led to shorter stays and smoother patient transitions across the system.
Increased National Recognition
Clinically integrated network was nationally ranked for shared savings, quality, and safety—proving strong alignment and execution at scale.
Improved Bond Rating
Moody’s cited ACO and clinical integration efforts as key contributors to the organization’s AA bond rating—linking strategy and execution to financial strength.
We help your team shine when it comes to the work that matters
Outcomes do not solely come from advice. They are achieved when advice is coupled with action. Not simply the what, but also the how.
We are doers who embed with your teams—from the C-suite to the floor—to troubleshoot barriers, build internal momentum, and coach your people through sustained change. We don’t report on progress. We drive it.
Get outcomes that last
We know what it takes to create lasting change. We are ready to listen and roll up our sleeves.
