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Our health care business advisory team has the experience and capabilities to successfully complete targeted operational reviews or audits which are often developed through the enterprise risk assessment model. We have experienced professionals whose entire career has been focused on business operational reviews and a variety of other types of projects and audits.

As your partner, our expertise allows us to consult with you on ways to improve the effectiveness and efficiency of your processes and financial performance. Our value-oriented capabilities and expertise include:

  • Operational process improvement
  • Service utilization
  • Staffing ratios
  • Strategic and operational issues
  • Contract costs
  • Strategic planning
  • Marketing function review
  • Managed care utilization
  • Market analysis
  • Reimbursement rates and processes
  • Quality indicators and measures
  • Revenue cycle processes and work flows
  • Service provider delivery processes and procedures
  • Financial statement review

Our review of your processes and procedures enables a better understanding of your current operating, financial and strategic performance. Upon completion, we’ll provide you with a summary of a prioritized strategy that includes the observations made and the scope of performance improvement we recommend. Our goal is to help you perform at greater financial and strategic levels while still achieving your mission-driven goals.




  • The team from Brown Smith Wallace conducted a management audit for the Madison County Health Department. Their ability to bring the right blended expertise of Governmental and Health Care services to support our needs was fantastic. They helped us identify our processes, looked at our quality and operating metrics and then worked with us to create a practical implementation plan to enhance them. They focused on all areas of our operations including the intake process, financial systems and controls, staff and service assessments, governance, competitor analyses, grant development, service delivery and information systems. They worked as a true partner and did not make us feel like “just a client”. They truly cared about the outcome of our project. I would work with Brown Smith Wallace again in the future and highly recommend their services.

    Madison County Health Department
    Toni Corona, Public Health Administrator

  • Our organization has seen tremendous growth over the last three years and decided we needed to review the entire practice to ensure we were prepared for the future in all aspects. We decided to bring in the team at Brown Smith Wallace. The collaboration with Brown Smith Wallace has been vital in our reengineering process. Several strategic initiatives were developed as part of our Practice Review they successfully completed. The Review really looked at all aspects of our practice including our culture, operations, governance, finance, operational leadership and all the components of our revenue cycle. They worked with our physicians and staff in developing strategies and an implementation schedule of prioritized objectives. They used a Lean Six Sigma approach throughout the entire project and have been able to identify tremendous opportunity to improve our quality, cost efficiencies, cash collections and the patient experience. Further they have helped me identify leadership roles and appropriate structures. I highly recommend Brown Smith Wallace as they not only have helped transform our practice, but have done so with a clear understanding of our culture and opportunities.

    Greg Thompson, President/CEO

Thought Leadership



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