Healthcare change moves fast. Operating models don't.

Strategic advisory for business model shifts—aligning finance, operations, and workforce execution so performance holds.

When how you make money changes, your operations must evolve.

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THE BUSINESS MODEL SHIFTS.
THE OPERATING MODEL MUST EVOLVE.
That gap is where integration and new models break down.

Deals close. Strategies look great.
Accountability stays fuzzy. Workflows don’t match the work.
Teams compensate. Value leaks. Performance slips.

ALIGN THE OPERATING MODEL—PROTECT THE VALUE.
Focused assessment → early risks + pressure points → practical next steps.

We align the operating model when the business model shifts.

Primary clients

  • Mid-sized healthcare organizations (physician practices, multi-site clinics, small-to-mid hospitals/health systems) when the business model shifts—new partners/services, new leadership direction, reimbursement changes, or structural change through M&A/divestiture.

  • Healthcare-adjacent organizations (health tech, pharma, services) when complexity rises and the operating model must evolve—to scale, integrate, or stabilize execution.

Partner ecosystem

  • Investors and operators who want operating-model insight to make confident pre-close decisions and reduce post-close surprises.

  • Consulting firms delivering integration or operating-model work who bring in a proven SME to reduce execution risk without adding headcount

 

    Identify value leakage risks early

    Misaligned roles, workflows, systems, and governance.

    Design practical operating-model moves

    Clear accountability, decision authority, workflows, and enablement.

    Make it executable

    So performance holds through the transition—not just after the slide deck.

    We focus on the fundamentals: clear decision ownership, fit-for-purpose roles, workable workflows, and the systems that let teams execute.

    Real Results. Not Surface Fixes.

    Challenge: CFOs across 25+ hospitals weren’t using the organization’s productivity report — it took 25+ hours to prepare, and the metrics weren’t actionable.

    Approach: I partnered with CFOs to identify hidden reporting pain points, redesigned metrics to reflect real operational needs, and automated the process.

    Impact:

    96% time savings (25+ hours → 1 hour).

    100% adoption of redesigned reports by CFOs.

    Estimated 98% cost savings (from $74,144 to $1,040 annually).

    “Transformation works when finance and operations speak the same language.”

    Real Results. Not Surface Fixes.

    Challenge: A critical IT system rollout was projected to take two years using a long-standing methodology. Leadership accepted this as standard.

    Approach: I identified inefficiencies in the data acquisition process, created a streamlined template, and initiated infrastructure build while data was still being gathered.

    Impact:

    Timeline cut in half (2 years → 1 year).

    Long-standing 20-year methodology modernized.

    Transformation benefits realized 12 months sooner.

    “Efficiency isn’t about cutting corners — it’s about removing bottlenecks.”

    Real Results. Not Surface Fixes.

    Challenge: Nursing units relied on outdated metrics that ignored real-time patient activity, creating frustration on the front lines and mistrust in boardroom staffing decisions.

    Approach: I redesigned the staffing tool to capture live admissions, discharges, transfers, and acuity changes, automated processes, and framed it as a voice for nursing in executive discussions.

    Impact:

    Adopted by 15 of 16 nursing units.

    Rebuilt workforce trust in productivity data.

    Gave executives more accurate visibility into staffing needs.

    “When frontline voices are heard, executive decisions improve.”

    Real Results. Not Surface Fixes.

    Challenge: The NICU relied on a feeding method that wasn’t best for infants. Staff resisted change, and leadership asked me to stop pursuing it due to complaints.

    Approach: I built trust with staff, identified root resistance, and brought in evidence-based presentations from physicians and feeding specialists to reframe the issue.

    Impact:

    Practice successfully changed despite initial resistance.

    Staff later embraced the new method fully — and wouldn’t return to the old.

    Improved patient outcomes and standardized care.


    “Lasting change happens when evidence meets trust.”

    Note from the Founder

    When the business model shifts, the operating model has to evolve—or value will leak.

    We’re a partnership built for that moment. We combine organizational design expertise with real-world operating experience across healthcare—so leaders can see where alignment will break before it breaks.

    We help executives, investors, and consulting teams navigate consolidation, integration, divestiture, and reimbursement change by running focused operating model assessments that surface:

    • misaligned roles and decision rights

    • workflow and handoff breakdowns

    • system/process friction that slows execution

    • workforce strain that quietly destabilizes performance

    Then we translate what we see into practical operating-model moves that protect outcomes—during change, not months after.

    Warm regards,
    Brigid
    Founder, JBE Consultants

    Connect with

    JBE Consultants

     JBE Consultants, LLC

    3700 Quebec street #100-232 Denver, co 80207
    720-432-6840
    info@jbeconsultants.com