Healthcare Quality Improvement Consulting

The possibilities for dramatically improving healthcare are limited only by our imagination, experience, and effort.


Healthcare Landscape

The passage of the Patient Protection and Affordable Care Act marks a new era of healthcare in the US.  Yet, in many ways, this era began more than a year earlier, wth the passage of the American Recovery and Reinvestment Act (AARA) of 2009 and its Healthcare Information Technology for Economic and Clinical Health (HITECH) provisions.  Although HITECH may be viewed narrowly as legislation to stimulate the adoption of health information technology, it is better understood as an essential foundation for broader efforts to restructure healthcare to prompt a greater level of efficiency.  In the final analysis, these legislative actions will do more than digitize paper-based medical records.  The healthcare system envisioned to result from these legislative actions requires that healthcare IT infrastructures facilitate improvements in quality and patient-centeredness by allowing us to store, analyze, and act on patient- and population-level healthcare information, which, broadly speaking, is synonymous with the term "meaningful use".



Twine Clinical in Brief


The primary focus of Twine Clinical is to implement healthcare quality improvement initiatives, in collaboration with individual healthcare systems & offices, through comprehensive targeting of therapeutic areas where patient outcomes and cost-efficiencies are sub-standard.  Twine Clinical combines business, clinical, and process engineering consultation services, along with proven methodologies and technologies, deployed in context with the internal environment & parameters of each individual client healthcare organization, to promote meaningful and durable performance change.


Crucial ingredients to Twine Clinical's methodology include design, implementation, and management of:
  • EMR-integral decision support systems
  • EMR-derived performance feedback infrastructure
  • Performance-prompted, contextual, and individualized education delivery systems
  • Patient-focused preventative care campaigning and monitoring

Mission Statement

We supply gap-bridging consultative services and technological resources as a means to implementing the capacity to store, analyze, and act on patient- and population-centric healthcare information.  In fulfillment of this objective, we support meaningful use of information technology in medical practice and the achievement of improved healthcare outcomes and cost-efficiencies.