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

From gaps to governance: building scalable healthcare programs, together.From gaps to governance: building scalable healthcare programs, together.From gaps to governance: building scalable healthcare programs, together.
Healthcare team climbing mountain symbolizing partnership and excellence.

What We Do

Programs Supported

How We Get There

 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. 



Mountain path showing six-step process to a goal.

How We Get There

Programs Supported

How We Get There

  • Assessment and Gap Analysis 
  • Program Design and Optimization 
  • Implementation and Training
  • Evaluation and Sustainment
  • Survey Readiness Support 

Programs Supported

Programs Supported

Programs Supported

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



AMW Health System Consulting | Our Team

Amanda Walker, MHA, CPHQ

Domenic Mainelli, PT, DPT

Domenic Mainelli, PT, DPT

 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 Mainelli, PT, DPT

Domenic Mainelli, PT, DPT

Domenic Mainelli, PT, DPT

 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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