Services

Six problems. One goal: patients in the right bed, faster.

Clinician-led work across the command center, transfer center, and patient flow, built on the people, process, and tools you already have.

01

Command Centers

Stand up a new hospital or system command center, or fix one that isn't delivering.

  • Operating model: roles, staffing, and hours of coverage
  • Workflows and escalation pathways
  • Daily operating rhythm and leadership huddles
  • Governance and performance reporting on your existing tools
  • Assessment and redesign of an existing command center
02

Transfer Centers & Patient Access

Answer every call, accept the right patients, and stop losing transfers to slow intake.

  • Transfer intake and acceptance workflows
  • Physician acceptance pathways and escalation
  • Direct admissions and bed placement
  • Patient movement coordination
  • Transfer center stand-up, redesign, or outsourced operation
03

Patient Flow & Capacity

Move patients through the hospital without the daily scramble.

  • Reduce ED dwell and boarding times
  • Improve discharge timeliness
  • Daily bed huddles and capacity routines
  • Bed management and patient placement
  • Throughput reporting leaders actually use
04

Regional & Statewide Coordination

Coordinate transfers and capacity across health systems, for states and regions.

  • Statewide or regional transfer coordination centers
  • Load-balancing across hospitals during surge
  • Rural, tribal, and critical access hospital transfer support
  • Stakeholder and multi-system governance
  • Program operation on behalf of states and universities
05

Operational Assessments

A clinician-led look at how patients actually move through your system, and what to fix first.

  • On-site observation and stakeholder interviews
  • Workflow and data review
  • Prioritized findings and a practical roadmap
  • Often the first step before Build or Optimize

06

Culture, Change & Buy-In

We can only operate at the speed of trust. We build alignment from front-line nurses, transfer staff and house supervisors to physicians, department leaders and enterprise executives. That means shared purpose, clear decision rights, and change management that brings people along instead of working around them.

What leaders say about working with our team

In their own words, from hospital leaders who worked alongside our consultants in prior operational leadership roles.

“I’ve had the opportunity to work with and learn from many incredibly bright and talented people throughout my career. Some of these experiences have been especially rewarding in that you not only accomplished ambitious goals, but there was a way some people made you feel while doing it. Certain folks inspire you not just because they’re brilliant and passionate, but also in the way they engage and work. There’s humility, an eagerness to listen, share, and collaborate, and a tone they set by example. One that includes disciplined focus, attention to detail, and a relentless drive to improve outcomes all while exuding a genuine and positive energy. This is what Charley and Erin represent. As a Project Management Office Director, my group had the opportunity to work with them on a major undertaking they proposed to our C-suite and for which they ultimately gained C-suite support. It became one of the highest priorities of the organization. Seeing how they prepared, the way they assessed operations and identified opportunities, the way they executed, and their extreme level of commitment was impressive. Working with them had a profound impact on me personally, as well as my team.”

Jesse Cho

Project Management Office Director

“Working together with Charley was a true pleasure. Charley has an ingenious way of leading from the bottom up, encouraging autonomy, self-determination, accountability, and team building. Charley leans heavily on data to prove the story and expose opportunities for improvement. Engaging other leaders within the organization was natural for Charley. He provided mentorship and promoted open dialogue, enabling all voices to be heard and considered. Charley was laser-focused on project outcomes and guided the team to peak performance through delivering difficult conversations with empathy, reinforcing dignity and self-worth.”

Kathleen Werner, PhD, RN-BC

Director, Professional Practice

“Charley is a committed, accountable leader who has led numerous process improvement and working teams within our facility. Charley consistently demonstrates a can-do approach when working to solve process issues and operational concerns. Under his guidance, our facility’s discharge timeliness significantly improved by nearly 100% within six months. Charley and his team created reports, refined processes to match industry-best standards, and worked with leaders to not only meet, but exceed, the project deliverables. This project has meant substantial positive change for our patients in the emergency department.”

S.L. Perry, RN

Quality Improvement Specialist

“Charley is able to ignite inspiration in others, enabling them to perform to their fullest potential. His candor, honesty, and organizational vision propels the department and system forward. In addition, he meticulously oversaw a project that had a multimillion-dollar budget with great success.”

Luke Smith, DNP, RN, NE-BC

Facility Operations Senior Leader

“Leading the Throughput Process Improvement team, Charley faced a large hurdle in getting all the key stakeholders together to improve our campus throughput. He demonstrated true collaboration by bringing in all needed stakeholders and subject matter experts and moving people through the change model. As a result of his leadership on this team, we have implemented new processes through the campus to improve not only the throughput times, but also each patient’s overall experience.”

RN House Supervisor

Clinical Throughput Leadership Team

“Charley is personable, has a contagious personality, and an engaging sense of humor. He inspires others to make a difference, think differently, and find imaginative ways to problem solve. Charley revitalizes his team with his caring actions and not only leads by example but is an example to follow. His reflective nature can evaluate difficult situations, while still maintaining situational awareness.”

RN House Supervisor

Clinical Throughput Leadership Team

“Under Charley’s leadership, employees feel their voices are heard, employee ideas are implemented, participation in team building activities has increased, individuals are recognized, and accomplishments are celebrated. Charley is also data driven. If there is data to support or substantiate an idea or process improvement, he has it. While at our campuses, he has led many successful team and process improvement projects.”

Teri Majkowski

Facility Transport Supervisor

Start with a conversation, not a proposal.

Tell us where patients are getting stuck. We'll tell you honestly whether we can help.

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