Fractional operating advisory
Integrated ownership briefs, executive working sessions, risk and opportunity tracking, and focused diagnostic sprints.
Healthcare operations & executive advisory
When every report says something different, leadership needs one operating view.
MDF Healthcare Advisory brings clinical, scientific, operational, and business capabilities together around complex healthcare decisions.
Led by Malcolm D. Freeman, Principal
Health systems•Physician groups•Post-acute
A complete operating view
Complex healthcare questions rarely stay in one lane.
Staffing, financial performance, clinical realities, scientific evidence, documentation, transition barriers, and ownership priorities interact. Reviewing them separately can hide the operating pattern leadership needs to see.
MDF Healthcare Advisory helps leaders connect those signals, define the decision that matters, and translate the combined view into practical priorities, ownership, and disciplined execution.
Selected services
Specific work. Named deliverables. Practical operating systems.
Operational diagnostics & performance systems
Baseline diagnostics, workflow mapping, root-cause review, focused measures, standard work, and rolling improvement plans. Includes Five-Star rating drivers, staffing-data (PBJ) integrity, and measurement systems built from reports the buildings already produce.
Complex transitions & throughput
Transition-barrier diagnostics, escalation systems, Medicaid-pending workflows, functional-risk review, and handoff redesign.
Survey, quality & compliance infrastructure
Survey-readiness systems, QAPI and Facility Assessment support, incident workflows, and documentation-defensibility review. Includes records and documentation systems built for retrieval, staff training programs documented for reuse, and facilitated emergency-preparedness tabletop exercises.
Workforce stability & turnaround
Workforce diagnostics, retention systems, role clarity, 90-day turnaround workstreams, and sustainment cadence. Includes agency-spend exit planning, leadership onboarding for new administrators and directors of nursing, and resident, family, and staff satisfaction and culture surveys fielded and analyzed in-house.
Practice & research readiness
Physician-practice workflows, referral tracking, research-readiness assessments, and trial or grant operating infrastructure. Includes evidence reads that test a clinical product’s or program’s claims before you buy or renew.
Census & Revenue Systems
The referral-to-admission workflow, systematized: response time, conversion tracking, referral-source communication, and the follow-up rhythm that fills beds. Medicaid-pending mapped from admission to conversion, so pending files stop aging on a report. Admissions and intake processes designed so the paperwork that prevents problems actually gets collected on day one.
Transactions & New Buildings
Operational due diligence before a deal closes. Ninety-day systems standups when ownership changes hands. Opening readiness for new buildings — licensure-to-admissions sequencing, staffing ramp, and the day-one pipeline.
Who we serve
Healthcare settings with different pressures—and a shared need for operating clarity.
01
Hospitals & Health Systems
Complex transitions, cross-functional ownership, documentation readiness, and performance systems.
↗02Physician Groups
Operating infrastructure, workforce stability, growth, referral visibility, and research readiness.
↗03Skilled Nursing & Post-Acute
Admissions, census, payer workflows, QAPI, staffing systems, and turnaround implementation.
↗How we work
Start with the decision. Build the work around it.
Each engagement has a defined business question, responsible scope, named deliverables, and a practical path from diagnosis to sustained follow-through.
Explore our approach- 01
Frame
Clarify what leadership needs to understand, decide, or improve.
- 02
Integrate
Connect the clinical, scientific, operational, workforce, and business signals that matter.
- 03
Design
Translate the combined view into priorities, workflows, ownership, and measures.
- 04
Implement & sustain
Support disciplined execution and establish a repeatable review cadence.
Start with the operating question
Bring the recurring pattern—not protected or patient information.
A focused conversation can determine whether a systems-level advisory engagement fits and what a responsible scope would include.
Discuss an advisory engagement