The Tomaino Group approach to our engagements follows our process of data analysis, innovation, and transformation.  Our focus is to not just address the challenges faced by the organization.  Our goal is to educate the organization’s team in our process, so as new challenges are faced the organization will be more self-sufficient. These steps are described below:

  • Step 1 involves collecting clinical and financial and applying it to a model developed to reflect the new environment realities. Scenario analysis shows risks and opportunities with different options applied.
  • Step 2 involves developing innovative care delivery or payment models and business processes to perform successfully in the new reimbursement environment This may include the elimination of workflows, programs, or businesses that don’t contribute to success of the enterprise, and the adoption of workflows, programs, or businesses which do.
  • Step 3 involves transforming the organization in order to ensure continued success.  This is accomplished by identifying current organization incentives that don’t match desired goals, and replacing them with incentives that focus on value based care in order to maintain the improvements made. We also educate the client to self-sustain the innovation process as new issues are identified.
  • Step 4 involves establishing measures of success to continue to be monitored by the organization, and feeding back into Step 1 as areas of underperformance are identified, and the cycle can move to innovation and transformation again, with staff using skills they learned through our engagement.

Every organization is unique and has challenges specific many different factors.  For this reason, we customize our engagement for each client after an opportunity discussion and preparation of a proposed scope of work.


Approach to business process transformation

Approach to improving care transitions

Approach to organizational performance improvement

Approach to nursing home performance improvement

Approach to Revenue Integrity and Compliance

Approach to patient care ombudsman