Two practice areas.
One operating system.
We work at two altitudes: fixing what already exists (Operational) and designing what hasn’t been built yet (Strategic). Both run on the same five-layer operating system — physician-led, evidence-anchored, finite by design.
Two practice areas. One operating system.
We work at two altitudes: fixing what already exists (Operational) and designing what hasn’t been built yet (Strategic). Both run on the same five-layer operating system — physician-led, evidence-anchored, finite by design.
A deliberately selective practice. Four to six engagements per year.
Throughput, staffing discipline, and revenue protection for hospitals under margin pressure. A 4–6 week diagnostic followed by a 90-day implementation sprint — with your existing staff, inside your existing walls.
Patient Flow & Throughput
Journey mapping, constraint identification, discharge pathway standardisation, admission smoothing. FLOW™.
Staffing & Role Clarity
Legal role frameworks, mode-mixing delivery models, demand-aligned staffing patterns, retention systems. ANCHOR™.
Revenue Capture & CMI
Documentation coaching, coding alignment, CMI accuracy audits, the gap between what you did and what you were paid for. CAPTURE™.
MD / Coding Defence
MD rebuttal preparation, Widersprüch support, audit governance, payer challenge protocols. Protecting what you earned.
For operators and investors who have moved past incremental improvement. Multi-year programmes to build a Lighthouse Department, design a Centre of Excellence, screen an acquisition, or execute post-close operational transformation. The work that requires a named partner, not a project manager.
Lighthouse Department Design
One department, all five layers live, outcomes that travel. The reference site other hospitals send their people to study.
Centre of Excellence Build-Out
Specialty selection, clinical protocol architecture, referral ecosystem engineering, accreditation roadmap.
Service-Line Strategy
Market landscape, payer economics, patient journey redesign, brand audit, go-to-market sequencing.
Revenue Modelling & Capital
Five-year P&L per service line, milestone-gated capital deployment, scenario analysis, investor-ready cases.
Operational Due Diligence
Pre-acquisition five-layer screen. The questions a healthcare investor needs answered before signing — from someone who has operated the ward floor.
Post-Close Value Creation
100-day operational plan, quarterly board cadence, exit-readiness diagnostic. Built for private equity hold periods, not consulting retainers.
Ten consultation slots per quarter.
Phase A is a focused operational scoping engagement. It runs four weeks, produces a structural diagnosis across the five layers, and ends with a specific recommendation. Ten engagements per quarter — currently booking Q3 2026.