Advisory services built for consequential decisions.

A

Pillar 1

Clinical & Medical Advisory

Physician-led advisory grounded in extensive experience. This pillar serves health systems and private operators who require clinical authority, not just operational consulting in their governance, pathway, and leadership challenges.

A1

Clinical Governance & Quality Systems Review

A rigorous diagnostic engagement assessing clinical governance structures, incident management, care pathway compliance, and quality metrics against international standards including CQC, JCIA, and PAHO benchmarks.

⏱ 6–10 weeks📋 Project-based

A2

Care Pathway Design & Optimisation

End-to-end design or redesign of clinical care pathways for high-volume or high-risk conditions, combining evidence synthesis with operational workflow mapping and patient experience design.

⏱ 8–14 weeks📋 Project-based

A3

Accreditation Readiness Advisory

Strategic guidance for healthcare facilities pursuing JCIA, ISO certification, or regional accreditation, covering gap analysis, documentation architecture, staff readiness, and mock assessment facilitation.

⏱ 12–24 weeks📋 Project-based

A4

Fractional CMO / Senior Medical Advisor

Dr. Bristo in a part-time Chief Medical Officer or Senior Medical Advisor capacity for a health system or private operator undergoing leadership transition, strategic change, or clinical transformation.

⏱ 3–12 months📋 Retainer

Health System & Hospital Strategy

Pillar 2

B

Drawing on direct leadership of a multi-facility regional health authority and strategic management competency, this pillar addresses the systemic, structural, and strategic challenges facing health systems and hospital operators.

B1

Health System Operational Transformation

A comprehensive engagement addressing systemic operational inefficiencies — covering patient flow, workforce deployment, supply chain, facility utilisation, and governance structures.

⏱ 16–26 weeks

📋 Flagship project

B2

Facility Design & Healthcare Planning

Strategic and clinical advisory for greenfield or refurbishment healthcare facility projects — bridging the gap between architectural planning and clinical operational reality.

⏱ 12–52 weeks

📋 Project / Retained

B3

Strategic Planning & Board Advisory

Facilitating and co-authoring multi-year strategic plans for health authorities, hospital boards, or health ministries — including environmental analysis, priority setting, and KPI framework design.

⏱ 10–16 weeks

📋 Project / Retained

B4

Performance Benchmarking & Regulatory Alignment

Independent benchmarking of health systems or hospitals against regional and international peers covering clinical outcomes, financial performance, patient experience, and regulatory compliance.

⏱ 8–12 weeks📋 Project-based

Healthcare Investment & M&A

Pillar 3

C

For private equity firms, family offices, development banks, and individual investors evaluating, acquiring, or managing healthcare assets in the Caribbean and emerging markets.

The only clinical due diligence provider in the region with these combined credentials.

C1

Healthcare Asset Due Diligence

Comprehensive clinical and operational due diligence on healthcare acquisition targets — covering quality, regulatory compliance, staffing risk, operational performance, and investment risk.

⏱ 3–6 weeks📋 Project-based

C2

Distressed Asset Turnaround Strategy

For healthcare businesses in financial or operational distress — a comprehensive turnaround diagnostic and recovery plan combining clinical operations, financial restructuring, and leadership reconfiguration.

⏱ 8–16 weeks 📋 Project / Retained

C3

Investment Structuring & Financial Modelling

Advisory and financial modelling for healthcare investment transactions — acquisition structuring, seller financing, turnaround projections, and IRR scenario modelling.

⏱ 4–8 weeks📋 Project-based

C4

Post-Acquisition Operational Integration

Supporting investors post-close with clinical and operational integration — leadership transition, clinical governance establishment, brand integration, and 100-day value realisation planning.

⏱ 3–6 months📋 Retained

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