Instituting thoughtful procedures, metrics and a sustainable culture can provide a scalable template for future growth. Creating this winning formula and implementing it, the procedures, both clinical and operational with a grounded, seamless growth strategy designed to consistently drive patient care and profits is the goal and object of the exercise. The resulting high patient and employee satisfaction is a by-product of these efforts as is, being recognized as “best in class”.

  1. Develop a multi-tiered communication plan to create a unified transition and anchor new cultural norms.
  2. Develop a detailed project plan to assure consistent patient treatment and experience. Create a clinical project plan to integrate operations including machines, staffing levels and facility management.
  3. Implement standardized performance metrics to track consistency of performance and operations.
  4. Assign leaders who are accountable and motivated to on-board new staff, oversee training and interface with physicians, employees and patients across both culture and process lines to assure compliance and understanding of the “new”paradigm.
  5. Develop and communicate an integrated plan for the transition, implementation and change to technical, software and related aspects post integration.


When a $3 billion acquisition more than doubled the size of an existing dialysis provider network, the challenge was to seamlessly integrate all aspects of the operation from policies and procedures to clinical operations and technology.

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