From gaps to governance: building scalable healthcare programs, together.



We partner with health system leaders to convert gaps into governance—building scalable, standards‑aligned programs that protect margins, reduce risk, and advance community strategy.
Our consultants are subject matter experts in distinct program areas, delivering individualized, pragmatic guidance that drives sustainable results.


Geriatric Surgery Verification
(GSV - ACS)
Geriatric Emergency Department Accreditation (GEDA - ACEP)
Age-Friendly Health Systems Recognition
(IHI)
Orthopedic Center of Excellence
(COE - ACS)
ACE/MACE Model Development

Amanda brings 20 years of healthcare experience, progressing from ancillary clinical roles to operational leadership. For the past decade she has led performance and quality improvement efforts that place quality and safety at the center of care.
Amanda specializes in designing and sustaining accreditation‑aligned programs—mapping practi
Amanda brings 20 years of healthcare experience, progressing from ancillary clinical roles to operational leadership. For the past decade she has led performance and quality improvement efforts that place quality and safety at the center of care.
Amanda specializes in designing and sustaining accreditation‑aligned programs—mapping practice and translating standards into pragmatic workflows, training, and governance that produce measurable clinical and financial outcomes.
Expertise: Age-Friendly Health Systems

Domenic combines 14+ years of hands‑on clinical practice in physical therapy with proven healthcare leadership to build and scale Total Joint Centers. He blends clinical expertise & operational rigor to design care pathways, streamline workflows, and measure outcomes.
Domenic has direct experience leading the development and continuous o
Domenic combines 14+ years of hands‑on clinical practice in physical therapy with proven healthcare leadership to build and scale Total Joint Centers. He blends clinical expertise & operational rigor to design care pathways, streamline workflows, and measure outcomes.
Domenic has direct experience leading the development and continuous optimization of high‑performing hip and knee replacement programs, partnering with multidisciplinary teams to deliver safer, more efficient, and patient‑centered care.
Expertise: Orthopedics
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