Sample Client Projects

El Paso County ESA
Colorado Springs, CO

The Abaris Group began working with the El Paso County Emergency Services Agency (ESA) to help them develop an EMS system plan. Once that was completed, we were asked to assist in the development of a request for proposals (RFP) soliciting ambulance providers for Colorado Springs, Colorado. The work was unique in that the governmental entity requesting service was multi-jurisdictional (city and county governments). Before the RFP could be developed, an extensive review of public and private provider options and ratings system was required with a high priority towards maintaining a completely neutral perspective between the options for system configuration.

Working closely with the El Paso County ESA, we wrote a comprehensive RFP and assisted with the review of the submitted proposals. Due to the fairly litigious environment between the different prospective bidders it was imperative that the process proceed with no problems and no room for questioning the decision of the award panel.

Monterey County EMS Agency
Monterey, CA

The Monterey County EMS Agency requested a comprehensive analysis of the ambulance delivery system for the county, which has been fraught with controversy and lawsuits. After extensive research and meeting with key individuals, four regional councils and the Emergency Medical Care Committee, a final report on system design was prepared. The report called for a single ambulance franchise (there were four) in the core area to be based on a high-performance model. The recommendation included conducting an RFP process within the "fail-safe" model. The Abaris Group led the RFP process from the beginning (writing the RFP) to its conclusion (the final selection of an ambulance provider). This process included significant public entity coordination, the development of fire-agency sensitive bid specifications and significant review of fire-based proposals.

The final report included an important set of recommendations needed to establish a high quality, performance-based system. Separate studies on the EMS communication system, First Responder Master Plan and other key components have also been completed. An EMS plan has recently been drafted that establishes a framework for an integrated and cost-sensitive health-care delivery model.

Multnomah County EMS
Portland, OR

The Abaris Group worked with Multnomah County (Portland, OR) to develop and implement a countywide ambulance franchise for this urban community. We developed an RFP, obtained input, solicited bids, and selected a provider in less than 12 months. An extensive review of public and private provider options and ratings systems was conducted, which required a completely neutral perspective between the options of public or private agencies. The franchise was modeled after the "fail-safe" franchise model. The bidding and review process involved both private and public bidders.

ValleyCare Hospital Pleasanton, CA

The Abaris Group has conducted a number of ambulatory care studies for ValleyCare Hospital over the past ten years. Our most recent project involved the development of a Comprehensive Occupational Medicine Business Plan for a freestanding clinic joint ventured with the hospital's medical staff. Several other outpatient and emergency projects requiring strategic planning and development have also been conducted for this hospital.

Health Dimensions San Jose, CA

Mike Williams conducted a strategic planning process and developed a comprehensive business plan for a series of 10 ambulatory clinics being developed by the corporation's hospital (San Jose Medical Center) and a large medical group practice. The process included facilitation of discussion on complex and sometimes seemingly conflicting needs between the hospital and medical group, significant development of site analysis and location design, and the development of financing to support this $10 million joint venture.

San Diego County Healthcare Safety Net Study

After a competitive process, The Abaris Group was selected to conduct a health care Safety Net study for San Diego County, the largest ever conducted in the country. The Abaris Group completed a long-range needs assessment of the healthcare safety net serving San Diego county residents including hospital inpatient, hospital outpatient, emergency, trauma, primary and specialty care and physician needs as well as an assessment of funding needs for those services for the San Diego region over the next 20 years. Findings were presented regarding the long-range needs assessment of the County. The focus for this assessment was on estimating the service and funding needs (demand) and on identifying strengths, weaknesses, opportunities and challenges to meet those needs.

The analysis and recommendation work required for this project was conducted in two phases. Phase One will began with a detailed meeting with the County and the project workgroup to fine tune the work plan, identify the key stakeholders and data sources and recommended sites for interviews and site visits. Extensive background research was also completed early in this phase. The phase continued with onsite interviews, focus groups, site visits to healthcare facilities, and completing data analysis.

Upon conclusion, a comprehensive report was prepared and forwarded to the County and key stakeholders. Phase II began a process of completing Town Hall meetings and a consensus process with key safety net stakeholders. This phase was concluded with the preparation of a report detailing the stakeholders input and the final proposed plan of action. Over 260 interviews and 45 town hall meetings were conducted during the six month term of this project.

California Hospital Medical Center
Los Angeles, CA

Mike Williams conducted an extensive review of needs and demand data for this downtown medical center in the area of emergency care, ambulatory services and occupational medicine. This review involved a facilitation of dialogue and direction of a multi-disciplinary task force assembled for the project including outside experts such as space planners and architects. He also had lengthy involvement in the space planning and design of the planned new facility.

Piedmont Hospital
Atlanta, GA

This project involved the assessment and evaluation of the emergency center at Piedmont Hospital for program product line development, operational issues and facility relocations and redesign. Many of the project's needs and expected outcomes are similar to the Presbyterian Healthcare Services project. In particular, this project involved conducting significant medical staff focus groups and the development of space needs, configuration and the complete redesign of the emergency center. This project was initiated after the hospital approved an outside consulting firm, having struggled with the issues internally for several years.

University of Kentucky Medical Center

The Abaris Group has completed a comprehensive study of this 350 bed, 40,000 visit ED on organizational, process and policy issues that affect inpatient and ED operations and flow. The department was close to recruiting an ED department chair and ED manager and the timing of our recommendations were anticipated to impact the leadership direction and expectations.

This study targeted process, flow and operational issues with extensive interviews of ED staff, ED faculty members, institution-wide faculty members and the EMS community as well. Extensive data was collected on historical and predicted ED demand and various department metrics that affect flow and processes.

Specific and targeted staffing recommendations especially tied to demand were part of the recommendations for this study. The hospital asked The Abaris Group to also evaluate pediatric ED services and the potential for specialization, an area of expertise of The Abaris Group. The hospital was developing a new ED and has asked The Abaris Group to assist on ED space planning and design. 

The Abaris Group was next retained to assist the hospital with the implementation of the recommendations made in the report using The Abaris Group's unique accelerated implementation (HIT Teams) and rapid cycle testing (RCT) methodology.

Merced County EMS Agency
Merced, CA

The Abaris Group has had an ongoing consulting relationship with Merced County EMS Agency. One of the projects we completed was an EMS system plan for the county. Merced County is situated in a primarily rural, agriculturally based area of the California central valley. Due to the rural nature of the area, access to routine health care is a problem. The EMS system is often used as a safety net for these needs.

Our firm worked closely with Merced County EMS Agency to write the EMS system plan and gain its approval. Writing the Merced County EMS System Plan involved an analysis of the EMS delivery system. The ultimate plan development included interviewing a multitude of system participants and stakeholders. Representatives from first responder organizations, receiving hospitals, base hospitals, fire departments, ambulance services, physician groups, the EMS Agency, and other government staff were interviewed to develop appropriate goals and objectives for the Merced County EMS System Plan. Their input was invaluable towards establishing a comprehensive plan that would meet the diverse needs and challenging environment encompassed by Merced County.

City of Corona/County of Riverside, California

The Abaris Group conducted an independent and objective analysis of a fire department ALS first response and transport proposal to the County of Riverside. The study emphasized neutrality and objectivity. Detailed financial and operational analyses were required. Substantial and sensitive dialogues took place between all constituency groups, including two parties with perceived mutually competitive goals for the project (the County of Riverside and City of Corona). Upon completion of our analysis (which was received enthusiastically by all parties), we assisted the County and the City in working with the ambulance provider for the region (AMR) to develop a creative and innovative ALS first response and ambulance delivery model in partnership. The model has been successfully implemented.

Methodist Medical Center - Peoria, IL

The Abaris Group completed a comprehensive market research project for this mid size hospital in Illinois. The market is dominate by two systems including Methodist and this hospital wanted to better understand what features were most important to their community in terms of their ED.

The hospital had made many throughput changes and were achieving dominance based on volume and customer service scores but there had been some slippage in their marketshare and in their scores. The Abaris Group identified a sample of patients that had used the ED during the past year (including some of those that had gone on to use a different ED during the same year) and also through random calls identified a sample of non users. Data from approximately 100 survey respondents for each category (users and non users) were tabulated and the results summarized in our report to the hospital. >br>

The Abaris Group then developed a specific marketing plan to targeted markets and with specific branding ideas that was responsive to the hospitals goals and their customers expectations.

Children's Hospital Dallas
Dallas, TX

The Abaris Group conducted a comprehensive and multidisciplinary review of the emergency center for this specialized pediatric emergency and ambulatory center in downtown Dallas. The review included substantial review of data on throughput and outcome, significant interviews of key stakeholders and customers and extensive observation sessions during peak- and slow-load periods of the day and weekends. The project also involved review of current product lines (e.g. observation unit, trauma program) and the planning, design and implementation of a fast track program. The Abaris Group and its architectural partner were also responsible for the needs analysis, design and plans for a new state-of-the-art Emergency Center now being built for Children's Hospital Dallas.

Santa Rosa Memorial Hospital
Santa Rosa, CA

The Abaris Group consulted with Santa Rosa Memorial Hospital over a five year period concluding in its successful Level II trauma center designation. This was a competitive process hotly contested by another bidding hospital. The designation procedure followed a strict set of guidelines prepared by the Sonoma County EMS Agency. Mike Williams and his staff conducted all the initial analysis and workplace design to assure the hospitals efforts would achieve the development of a high quality trauma program and their ultimate designation as a trauma center. The Abaris Group also prepared the hospitals trauma proposal that was rated by one independent surveyor as "one of the best he has ever read". Prior to the proposal submission, the hospital under went an American College of Surgeons Level II verification and was successful.


Summa Health System
Akron, OH

The Abaris Group conducted a comprehensive review of the trauma program's charge, billing and collection system evaluating these programs for opportunities for improving the programs net revenue. It involved the analysis of current charges, billing and collection procedures used by the hospital for trauma center patients. The analysis was then compared to national and regional benchmarks for trauma centers and payer impact. The Abaris Group conducted this study via interviews of key charge, billing and collection staff and a walk-through survey following a hypothetical trauma case through the hospital's financial system. In addition, a review and analysis of a sample number of trauma patient financial accounts were also completed.

The second phase of the project involved a similar review of physician billing for the trauma specialists working with the hospital. The third phase of the project involved work sessions focusing on the skills necessary for optimal billing and collection practices in contemporary trauma centers.

Arizona State Trauma Advisory Board
Phoenix, AZ

The Abaris Group developed a comprehensive trauma system plan for the State of Arizona. The project was interesting in that there were two large, very well developed urban areas in Arizona (Phoenix and Tucson) and the rest of the state is rural. The Arizona Trauma System Plan defines and integrates the analysis of trauma system needs for service delivery, funding, design and access at both urban and rural levels. Initially, The Abaris Group conducted an overall needs assessment of the current trauma system in Arizona. This included the following:

  • analyzing current data on trauma patient demand and its impact
  • evaluating current trauma system delivery methods via regional stakeholder meetings, provider interviews (pre-hospital and hospital), and on-site visits to all 60 resource hospitals in the state
  • conducting a comprehensive demographic, epidemiological and financial analysis for Arizona using the Hospital Trauma Data Set
  • designing a collaborative decision-making model
  • promoting and training resource hospitals on the use of the statewide Trauma Registry

Once the needs assessment was completed, The Abaris Group wrote the first draft of the Arizona Trauma System Plan. It is made up of several components including:

  • comprehensive statewide trauma system plan
  • trauma center designation standards
  • accreditation manual
  • detailed quality assurance procedures
  • strategies to implement the plan

The Abaris Group focused on receiving input from all interested stakeholders and melding those views into a cohesive, consensus-based plan for Arizona. In addition to the above work , we also worked with the State Trauma Advisory Board to develop a governance structure to oversee the trauma system.

St. Vincent Hospital
Santa Fe, NM

The Abaris Group worked with St. Vincent Medical Center for four years developing program and financial resources for the trauma program there. Our recommendations are expected to achieve a net new revenue source of in excess of $1.5 million. We have also assisted the hospital in key program issues and market place studies.