Healthcare operations

We rescue the healthcare projects that quietly fail.

Stalled EHR migrations, leaking revenue cycles, new locations that never got standardized. The ones that show yellow on the status report and red in everyone's gut.

30+
years leading operations
150+
project rescues
8
dimensions of failure we diagnose
Weekly status reportWk 38
EHR migration, Phase 2Yellow
Denials rework, Q3Yellow
Henderson location onboardingGreen
Provider credentialing backlogYellow
What the owner feels on Sunday nightRed

Sound familiar?

What we usually get called in to fix

If two or more of these are true this quarter, the Scorecard will tell you how much trouble you're in.

  • An EHR or billing migration is behind schedule and over budget.
  • Claim denials keep rising, and nobody can say where revenue is leaking.
  • A new location was added, and its workflows and reporting were never standardized.
  • The front desk misses calls, and missed calls turn into lost appointments.
  • Credentialing delays keep new providers from seeing patients for months.
  • Leadership meets every week, and decisions rarely turn into finished work.

Two paths in

Which one sounds like you?

Operating leaders

I lead a clinic group or a key project that might be in trouble.

Answer the 5-minute Project Rescue Scorecard. You get a custom 12-page diagnostic, personally reviewed by Brian, showing where your project stands across 8 dimensions.

Take the Scorecard

Private equity

I invest in or operate a healthcare portfolio.

Get a confidential written brief naming the 2 or 3 portfolio companies most likely sitting on a project that becomes a $1M+ write-down in the next 12 months.

Request a Portfolio Risk Brief

What we do

One partner for leadership, systems, and process

Brian leads every engagement personally. The MTI Global Group team handles implementation.

Leadership

Fractional COO

Brian joins your leadership team, sets priorities with the owners, installs the operating rhythm, and holds the organization to it.

Systems

Systems implementation

EHR, practice management, scheduling, and phone rollouts. We manage your vendors and stay past go-live until staff are using the new system.

Process

Process improvement

We map how work moves through intake, scheduling, billing, and referrals, find the real constraint, and redesign around it.

Recovery

Project rescue

Stalled initiatives get diagnosed and recovered with the Rescue My Project™ methodology, built on five-whys and theory of constraints.

Tools we use

AI where it removes manual work

Once the process is fixed, we add AI to carry the repetitive load. Deployed on HIPAA-ready platforms under a signed BAA.

Voice agent that answers every callAppointment booking and remindersNo-show follow-upClaims denial handlingCredentialing trackingReview requestsDaily operations dashboard

How an engagement works

Diagnose first. Then fix, hand off, and govern.

About 12 months in 4 phases, followed by ongoing governance. Timing shifts when real obstacles show up.

1

Phase 1

Diagnose and architect

1 to 2 months

Validate the problems with interviews, data, and time on site. Map patient flow, pipeline, and revenue cycle.

2

Phase 2

Stabilize and execute

2 to 6 months

Dashboards, weekly targets, and a leadership rhythm. Automation goes in where it removes manual work.

3

Phase 3

Transfer and own

3 to 6 months

Your team takes over KPI tracking. The owner stops firefighting and gets back to strategy.

4

Phase 4

Govern and scale

Ongoing

Weekly KPI governance, margin monitoring, and readiness for new locations and service lines.

The way in

The Operational Diagnostic

2 to 4 weeks. Brian and the team dig into your operation and tell you what's actually broken, in writing, with a plan. You decide what happens next.

Ask about a diagnostic
  • Executive Findings report
  • 90-day stabilization roadmap
  • Baseline KPIs for access, revenue cycle, and staffing
  • Where leaders are spending their time, and where they should be

Who we work with

Built for growing multi-site operators

Revenue
$1M to $100M
Size
Up to 250 staff, often 2+ locations
Ownership
Physician-owned, founder-led, PE or VC-backed
Reporting
Brian reports to the CEO, owner, or board

Multi-site clinic groups, specialty practices, home care and senior care agencies, behavioral health providers, and PE-backed healthcare platforms.

Brian Munroe

Who you'll work with

Brian Munroe

Brian has spent more than 30 years leading operations and has completed over 150 project rescues across healthcare, finance, technology, and government. He created the Rescue My Project™ methodology and leads every RHP engagement himself.

He's the author of My AI Makes Me More Human.

PMPCSMCSPOSix Sigma Green Belt, PurdueCornell, Executive LeadershipJohn Maxwell certified

Start a conversation

Find out if your project is in trouble before it shows up on the P&L.