Service Offerings

Hospitals / Health Systems

We work with hospitals and health systems across the country to grow their business, improve quality, increase access and improve physician relations. Many of our client engagements result in a comprehensive strategic plan. Alternatively we have also developed focused, unique processes in the development of strategy and tactics in a very expedited timeframe. We have also worked with many nationally recognized hospitals and health systems to facilitate the latest in successful physician-hospital partnering arrangements enhanced by our knowledge of business and medicine. We have special expertise in the planning, management and development of Heart Centers, Heart Institutes and Cardiovascular Programs. Please click on one of the following hospital/health systems services for more information:


Plan for your organization’s future success. We can help you grow and analyze your business and assess new areas of opportunity. We will undertake a customized thorough analysis of your market as well as internal organizational dynamics and work closely with members of your team to build strategy from a clinical and business perspective. We have special expertise in the planning, management and development of Heart Centers, Heart Institutes and Cardiovascular Practices/Programs, but work across all specialties.

Areas of focus include:

  • Strategy development
  • Mission/vision/values creation
  • Action plans and tactical approaches to implementation of your strategies
  • Physician/hospital alignment strategies
  • Governance and management structures, especially for hospital acquired medical practices
  • Discussion and knowledge of market drivers and healthcare trends
  • Market and feasibility studies
  • Development of financial proformas to support your strategic options
  • Payor strategies

Hospitals are constantly looking for new ways to partner with their physicians from jointly managed to fully integrated programs. The Riner Group can assist you in developing partnership opportunities that meet the needs of both the hospital and the physicians. We will assist you in deciding which collaborative opportunity is most beneficial for all parties which may include:

  • Integration and related governance and management structures
  • Co-management
  • Compensation plan development
  • Alternative payment structures
  • Interim management of group practices or hospital programs
  • Outreach and regional development assistance
  • Management Services Organization (MSO)
  • Recruitment assistance

The complexity of the current environment calls for business models and structures that meet the needs of multiple stakeholders and can provide value and positive outcomes to those served by these structures. Serviceline and Institute models continue to evolve. With the knowledge of clinical medicine as well as various applicable business motifs we can assist you in developing, or transforming your care delivery structures.

  • Environmental assessments
  • Structure design and implementation
  • Management and governance structures
  • Medical staff alignment
  • Resource identification and allocation
  • Alignment of hospital and physician missions and strategies
  • Process review
  • Staff review
  • Quality program development
  • Dashboards
  • Roles and responsibilities
  • Care transitions

Care delivery programs are evolving and need to be structured to provide value and consistency to the numerous individuals involved in providing services as well as to those served by those programs. We work across all facets of healthcare delivery but have special knowledge and credibility in cardiovascular services. We are heavily focused in assisting in design motifs impacting the totality of care services from inpatient to the outpatient setting.

  • Cath Lab
  • Cardiac Intervention
  • Chest Pain
  • Women’s Heart
  • Cardiac Heart Failure
  • Hospital to home transitions
  • Vascular
  • Atrial Fibrillation Clinic
  • Senior Heart Care
  • Observation Units
  • Quality monitoring and appropriateness reviews

Our work in business development spans a spectrum from new program design and evolution to the formation of clinical networks and strategic affiliations. Importantly these activities are performed with the credibility of a team which understands clinical medicine and the necessary business issues to be successful in these arenas. We bring specialized tools and experiences to assist you in:

  • Joint ventures
  • Formation and structuring of strategic alliances and networks
  • Clinical assessments in mergers and acquisitions
  • Physician/Hospital relations
  • “Referral Science Programs”
  • Outreach/new market opportunities
  • Quality improvement
  • Physician/patient/staff satisfaction programs
  • Marketing and branding assistance

The glue to successful business models is the leadership team and the investment it makes to develop the organization’s human capital. The Riner Group has expertise in the training and development of physician and executive leadership. We work across a spectrum of individuals from Board members to department managers to develop the skills to lead the organization into the future. Components of our leadership development programs include:

  • Environmental and personnel assessments
  • Establishing individual roles and responsibilities
  • Setting organizational goals
  • Motivational and associate engagement programs
  • Clarifying decision-making process
  • Coaching and mentoring of physicians and healthcare executive leadership

Address your organization’s immediate management needs. The Riner Group provides interim administrative and physician program management services while assisting in identifying and interviewing potential permanent candidates. Our role as interim manager for your healthcare services may include:

  • Oversee daily operations
  • Manage financial performance
  • Monitor and address quality outcomes
  • Build physician relationships
  • Develop regular reports and dashboards
  • Implement strategic action plan