Surgery centers · Physician groups · Practices · Med spas
A risk program that holds up on survey day, and every day after.
Senior‑level risk, compliance and operations support for outpatient organizations, from a nurse executive who has run surgery centers and multi‑facility risk programs.
Who we work with
Built for outpatient care, where one event can cost a license, a lawsuit or a reputation.
Ambulatory Surgery Centers
Florida licensure, CMS certification and Joint Commission or AAAHC accreditation readiness for single and multi‑site centers.
Physician Groups & Medical Practices
Office surgery standards, risk programs, patient safety and operational efficiency for growing groups.
Med Spas & Aesthetic Practices
Delegation and supervision, informed consent, adverse‑event protocols and documentation for high‑growth aesthetics.
Services
What we do, and what you get.
Risk Management Program
- Risk management plan and policies aligned with Florida Statute §395.0197
- Incident reporting system, severity classification and trending
- Adverse‑incident and state reporting workflows
- RCA² facilitation and corrective action tracking
- Monthly and quarterly Board risk reports
Outcome: a defensible program and on‑time state reporting.
Accreditation & Survey Readiness
- Mock surveys against CMS Conditions for Coverage, TJC and AAAHC standards
- Documentation and environment‑of‑care gap analysis
- Plan‑of‑correction writing and follow‑up
- Credentialing, privileging and medical staff file review
- Survey‑day coaching for leaders and staff
Outcome: fewer deficiencies and a clean plan of correction.
Patient Safety & Quality
- QAPI program design and quality indicator selection
- Infection prevention and medication management alignment
- Peer review structure and event trending
- Patient rights, grievance and complaint processes
Outcome: measurable reduction in preventable events.
Operations & Revenue Optimization
- Case‑flow, scheduling and turnover efficiency
- Documentation practices that protect reimbursement
- Standard operating procedures and KPI dashboards
- Staffing models and role clarity
Outcome: more cases, less waste, fewer denials.
Leadership & Workforce Training
- Risk management education for administrators and clinical directors
- Annual staff risk and patient safety training
- Interim leadership support when a key role is open
Outcome: leaders who own risk, not just report it.
Responsible AI Adoption
- Practical AI use cases for documentation, reporting and admin work
- Privacy‑aware tool selection and staff guidelines
- Governance so AI saves time without adding risk
Outcome: hours back each week, without new risk.
Assess. Build. Sustain.
Step 1 · Weeks 1–2
Risk Readiness Assessment
On‑site or virtual review of your program, documentation and recent events. You get a scored gap report and a prioritized 90‑day plan.
Step 2 · Days 15–90
Build & Remediate
We close the gaps: policies, workflows, training and corrective actions, with RiskManager Pro configured for your organization.
Step 3 · Ongoing
Sustain & Report
Monthly program oversight, Board reporting and survey support, so you stay ready every day, not just survey week.
Ways to work with us
Start small. Scale to a fractional risk manager.
Risk Readiness Assessment
Scored gap report across risk, compliance and patient safety, plus a prioritized 90‑day plan.
Book the AssessmentMock Survey & Remediation
Full mock survey against your accrediting body's standards, with corrective action plan and follow‑up visit.
Schedule a Mock SurveyFractional Risk Manager
A CPHRM who runs your risk program with RiskManager Pro: monthly reviews, Board reports and survey support.
Talk to UsKnow where you stand before the surveyor does.
Book a free 30‑minute Risk Readiness call and leave with your top three exposures.
Book a Free Consultation