Transform Native American healthcare and community health centers through leadership, loyalty, and operational excellence




Even with the best technology, the best people and the best ideas, healthcare organizations cannot be successful without the governance structures and leadership alignment needed to make the organization’s vision a reality. Without them, organizations risk miscommunication, lack of accountability, ineffective allocation of resources and conflicting clinical priorities, all of which can have detrimental effects on the organization and on patient outcomes.

Our commitment is to work closely with you as true partners to improve health care services within tribal communities. Through executive-level guidance, our team will establish strategies and continuous success in health care operations. By investing our knowledge and passion into operations, the result is high-performing operations that will transform your organization into providers and employers of choice and achieve a patient experience that generates a lifetime loyalty and value for your patients.

Integrated Strategic Planning & Management

In partnership with VisionBound International, Strategic Planning for leaders, executives, and Board of Directors where participants will develop integrated strategic planning and performance management systems that communicate with clarity the organization's vision, mission, and strategy to employees and other stakeholders. The plan aligns day-to-day work to the vision and strategy and provides a framework for prioritizing programs, projects, services, and resources. The plan uses strategic performance measures and targets to measure progress, and holistically aligns an organization for high-performance.

Transitioning to Self-Governance

In partnership with Tribal Health Alliance, on-site consultation to ensure the successful transition from Federal to Tribal control of health care services by assisting with Feasibility Studies and determining whether to use a Title V Self-Governance agreement or a Title I contract.

AAAHC Accreditation

Preparation for accreditation, licensure, and certification. Whether you are seeking accreditation for the first time or renewing your accreditation our goal is to help you navigate the process successfully. Services include consultative visits, education regarding quality management and improvement activities, credentialing/privileging, peer-reviewing, benchmarking, infection prevention, medication management, and risk management. We will also provide guidance on writing effective policies and procedures that are compliant with accreditation standards, and when appropriate Life Safety Code (LSC) requirements and medical Home recognition.

Regulatory Compliance

Review of organization’s compliance plan and assisting in the development of the 7 elements of an effective corporate compliance plan and ongoing monitoring and auditing. 

Interim Leadership

In partnership with Tribal Health Alliance, we provide uninterrupted executive leadership. When a change in a key leadership position occurs, our executive leaders bring many years of operational management expertise, stability, guidance, the furthering of organizational goals and improved outcomes by bridging vacancy gaps in mission-critical, highly technical or specialized key positions during what is generally a lengthy permanent hire process.

Putting Money Back into Your PRC Budget

In partnership with Tribal Health Alliance, we can provide additional funds to pay new claims by recovering overpayments made on old claims, improve the accuracy of what to pay on a claim so that precious PRC funds go further and improve the model that BCBS of NM has by:

  • Streamlining the entire claim submission process
  • Guaranteeing that checks are ready to go out within 30 days
  • Providing better communication to the vendor/provider community
  • Providing better communication to the PRC staff
  • Providing better communication to the patient
  • Providing better financials and reporting to Management and/or Leadership
  • Do all this at about 25% lower cost



Instilling inspiring leadership is crucial to the current and future success of your healthcare team. Great leaders inspire trust, clarify purpose, align systems and unleash talent. They bring out the best in others and create a high trust culture where people want to give their best. And it all results in better patient care.

Getting Your Board on Board - Developing High Performing Boards

The highest-functioning boards that govern the best-performing organizations have a strong united culture. We provide tools for the CEO and board to work in the same direction with the best interest of stakeholders as a key driving factor. We review the role of the board chairman in setting the tone for the rest of the boardroom and in helping bridge any conflicts, as well as nurture the relationship with the CEO. The board of directors is fundamentally a team and as such it is important that the directors bring various types of relevant experience, expertise, diversity, and independence to the group. The result will be directors understanding and committed to working well together, asking tough questions, being actively involved in developing organizational strategy, and acting on behalf of their community.

Nurse Leadership Development

Nurses are serving in the highest of leadership roles in healthcare organizations, including in executive roles and governance roles on boards of directors across the healthcare industry. Nurse leaders bring immeasurable value, ideas, and energy to ensuring safe and quality person-and-family-centered care. During the multi-day workshop, we will help nurses in leadership positions address the challenges they face, so they feel equipped with the knowledge to advance their 'leader as coach' skills to be a better leader who can empower staff to be better nurses. Includes 3 on-site coaching or teleconference sessions. 

Graduate RN - Successful Transition to the Practice Setting

Nursing is still the greatest profession. In spite of all the changes and increased demands, it still offers rich and diverse opportunities. Where else can you be challenged every day and make an enormous impact on the lives of others? The transition for new nurses from the educational setting to the practice setting is difficult. With abbreviated orientation, staffing shortages, high patient acuity, short lengths stay and high expectations from staff, new nurses can feel completely overwhelmed. Let us be part of your orientation program with a two-day session providing strategies that will encourage critical thinking and prioritization, building self-confidence and giving them hope and encouragement. Follow-up includes either 3 in-house coaching or calls to assist in the transition.



In partnership with VisionBound International, we provide practical skills on how to deliver memorable, warm, relationship-building customer/patient experiences.

Winning Loyal Customers

In our highly successful Customers Only Want Two Things: Winning Loyalty in a Competitive World workshop we provide practical skills on how to deliver memorable, warm, relationship-building customer/patient experiences. Through this program, we will inspire a culture that empowers employees to enrich the patient experience and work in greater harmony with each other.


Building Winning Teams

True success comes from high performing people who also work in close harmony with others in a true team spirit. But effective teams do not just “happen”, they are built through continuing energy and effort. We offer half and full-day workshops for intact teams. In these fun and engaging workshops, we learn how to think and communicate effectively as a team, create a unifying team mission and vision and have fun getting to know each other on a personal basis. 

Serving Difficult Patients, Customers, and Other Personalities

We encounter them almost every day…the cranky, crusty and crabby.  The complainers, hostile aggressive and impossible-to-please folks.  In this workshop, you will learn how to relate to and work with these people.  Customers can be one of the three D’s: Distracted, Disappointed or Disruptive.  And, there are seven types of difficult personalities thrown in the mix, including among our co-workers.  We learn and practice tips and techniques for working with all these kinds of stress-causing people and thereby reducing your own stress. You can become a true Jedi Master when it comes to handling difficult people, not only at work but in your personal life as well.