Skyline Healthcare Solutions

Skyline Healthcare Solutions is a leading advisory firm dedicated to transforming Ambulatory Surgery Centers (ASCs) and clinic practices. We focus on enhancing operations and performance, offering services designed to improve efficiency, maintain high quality, and support growth in the healthcare field. We recognize the challenges ASCs and clinic practices face, from regulatory issues to changing patient expectations. Using our industry knowledge and proven strategies, we help healthcare providers address these challenges effectively, improving their operational efficiency.

• Assess and streamline operational workflows to improve efficiency.
• Implement strategies to reduce costs and maximize resource utilization.
• Enhance scheduling processes, including schedule/block utilization optimization.
• Evaluate staffing levels and make recommendations on proper staff roles and utilization.
• Analyze financial performance and provide benchmarking against industry standards.
• Identify opportunities for cost savings and revenue growth.
• Assess and recommend updates to electronic medical records (EMR/EHR) systems.

• Conduct mock surveys and readiness assessments for AAAHC, Joint Commission, or CMS inspections.
• Update policies and procedures to meet current regulatory standards.
• Provide ongoing compliance monitoring and staff training.

• Evaluate billing, coding, and collections processes to improve financial performance.
• Provide training on best practices for revenue cycle management.
• Identify and resolve reimbursement issues or claim denials.

• Develop or enhance QAPI programs to track and improve patient outcomes.
• Implement tools and techniques for continuous quality improvement.
• Provide training and support for staff to ensure active participation in QAPI initiatives.

• Conduct leadership training for administrators and managers.
• Provide in-service training for clinical and non-clinical staff.
• Support ongoing education on infection control, HIPAA, and other compliance topics.

• Review vendor contracts to ensure cost-effectiveness.
• Assist in evaluating and selecting new vendors or service providers.

• Evaluate feasibility for adding new specialties or service lines.
• Provide guidance on facility expansion or renovations.
• Assist in obtaining necessary licensure and accreditation for new services.

• Facilitate board meetings and provide governance training.
• Offer interim management or administrative support during transitions.
• Strategic Planning with physician leadership to develop long-term plans.

• Implement strategies to improve patient satisfaction and engagement.
• Enhance physician recruitment, retention, and collaboration efforts.

• Feasibility Study, Business Planning and Strategy Development Create detailed business plans, including financial projections and timelines.
• Develop strategies for physician recruitment and community engagement.
• Develop Pro Forma for project to evaluate financial feasibility and project profitability.

• Provide input on facility design to ensure compliance and efficiency.
• Assist in selection of architects, engineers, interior designers and other construction related trades
• Coordinate with architects and contractors during construction.
• Oversee adherence to building codes and healthcare regulations.
• Provide early, as well as ongoing, reviews of architectural plans and space design with client, architect, and contractor.
• Work closely with contractor to ensure timelines, quality standards and budgets are achieved.
• Develop capital equipment list and budget for review and approval of Client.
• Develop equipment purchase plan for review and approval of Client and implement equipment installation in accordance with approved plan.
• Facilitate final facility walk-through and punch list.

• Develop criteria for selecting the Center Leader and provide support during the selection process.
• Offer comprehensive training for the Center Leader on ASC operations and management.
• Consult with ASC Leader in hiring and training of professional staff.
• Consult with ASC Leader in setting up employee files.
• Develop recommended staffing plans for review and approval of Client.
• Develop recommended policies and procedures, with input from physicians, Nurse Manager and staff, for review and approval of Client.
• Develop recommended credentialing procedures for review and approval of Client and implement approved procedures.
• Identify potential Group Purchasing Organization (GPO) arrangements for review and approval of Client.
• Procure equipment described in Client’s equipment plan and coordinate installation with approved schedule.
• Assist ASC Leader in establishing vendor relations with competitive price points.
• Develop and implement inventory system (par level, protocols, etc.) with review and approval of Client.
• Assist ASC Leader with ordering linens, scrubs, supplies, drugs, etc.
• Arrange outsourced service contracts on behalf of Client and with Client’s prior review and approval.
• Draft and implement clinical, business office, and human resources forms.
• Develop and implement physician block schedule.
• Coordinate staff in-services on mechanical systems (emergency generator, nurse call system, fire system, security system, etc.).
• Assist in coordinating moving into and “setting up” the Center.

• Make recommendations for hardware systems.
• Select and implement EMR/EHR systems and other operational technologies.
• Train staff on technology use and integration.

• Establish billing, coding, and collections processes.
• Provide guidance on revenue cycle management and financial reporting.

• Guide through the state inspections, licensure and Medicare certification process.
• Ensure compliance with CMS, AAAHC, and other regulatory standards.
• Develop readiness plans for accreditation surveys.
• Conduct mock surveys to identify and address potential deficiencies.

• Organize and facilitate ASC Governing Board meetings.
• Provide training for ASC leadership on compliance and operational excellence.
• Provide consultation and assistance in the development (with input and review of Client’s legal counsel) of governance structure, governance documents (bylaws or operating agreement), Medical Staff Bylaws, and Medical Staff Rules and Regulations as applicable.
• Assist with the establishment of a governing board and implementation of system protocols.
• Advise governing board in selection of Medical Director, Medical Advisory Committee, and QA Committee.

• Develop emergency response plans and conduct staff training.
• Implement risk management strategies to ensure patient and staff safety.

• Establish QAPI programs to monitor and improve care quality.
• Develop tools for tracking and reporting performance metrics.
• Ensure all state and federal regulatory requirements are followed.

• Comprehensive overview of federal and state regulations applicable to ambulatory surgery centers (ASCs).
• Step-by-step guidance on preparing for AAAHC, Joint Commission, or CMS accreditation surveys.
• Training on maintaining compliance with OSHA, HIPAA, and infection control standards.

• Best practices for scheduling, staffing, and workflow optimization.
• Financial management training, including budgeting, revenue cycle management, and cost control strategies.
• Introduction to vendor management and supply chain optimization.
• Provide checklists for Administrators

• Techniques for effective communication and conflict resolution within the healthcare team.
• Strategies for fostering a positive organizational culture and improving employee engagement.
• Training on performance evaluation and professional development for staff.
• Training and guidance on Governance/Governing Board protocols.

• Implementation of quality improvement programs (QAPI) and tracking key performance indicators (KPIs).
• Patient safety protocols, including root cause analysis and incident reporting.
• Training on data collection and reporting for quality benchmarking.

• Orientation to electronic health records (EHR) and practice management software.
• Cybersecurity awareness and best practices for protecting patient information.
• Introduction to analytics tools for operational and clinical performance monitoring.