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Implementation Framework

90-Day Transformation Sprint

Healthcare transformation does not need to begin with a lengthy consulting engagement or a multiyear implementation plan.

Pulse Global Consulting Alliance’s 90-Day Transformation Sprint is a focused, data-driven engagement designed to rapidly identify operational opportunities, redesign care pathways, implement targeted improvements, and demonstrate measurable clinical, operational, and financial results.

Our objective is simple: Identify the opportunity. Design the solution. Implement the change. Measure the impact.

Why 90-Days?

Many healthcare organizations recognize opportunities to improve efficiency, increase capacity, reduce costs, and improve patient outcomes, but transformation initiatives can become slowed by lengthy assessments, competing priorities, and complex implementation processes.

The Pulse 90-Day Transformation Sprint is designed to overcome that barrier.

Rather than spending months analyzing the problem before taking action, our multidisciplinary team works alongside your clinical and operational leadership to rapidly move from assessment to implementation while establishing the infrastructure for sustainable improvement.

4 Phase Pulse System

1

Phase 1 — Discover

Weeks 1–3 we establish a comprehensive understanding of the current state.

Our team evaluates relevant clinical, operational, financial, and patient-flow metrics, including:

- Surgical volume and case mix
- Operating room utilization
- First-case start performance
- Turnover times
- Cancellation rates
- Length of stay
- Same day discharge rates
- Inpatient bed utilization
- Perioperative workflows
- Anesthesia processes
- Patient selection criteria
- Rehabilitation pathways
- Resource utilization
- Cost drivers
- Patient experience
- Relevant clinical outcomes

The result is a data-driven baseline against which improvement can be measured

2

Phase 2 — Design

Weeks 3-6 we transform the findings into a practical implementation strategy.

Together with your clinical and administrative leadership, we develop:

- Optimized clinical pathways
- Standardized workflows
- Patient-selection criteria
- Perioperative protocols
- OR efficiency initiatives
- Discharge pathways
- Rehabilitation strategies
- Staffing and resource optimization
- Performance metrics
- Implementation responsibilities
- Financial impact projections

The objective is not to create another report.

It is to create an executable plan.

3

Phase 3 — Implement

Weeks 6–10 our team works directly with the organization's clinical and operational teams to implement the highest-impact opportunities.

Depending on the engagement, this may include:

- Same-Day Total Joint Replacement
- Perioperative Optimization
- nhanced Recovery After Surgery (ERAS)
- Operating Room Throughput
- Surgical Capacity Expansion
- Patient Flow & Discharge Optimization
- Postoperative Rehabilitation
- Technology-Enabled Care

Implementation is performed collaboratively with local leadership and adapted to the organization's clinical environment, resources, regulatory requirements, and patient population.

4

Phase 4 — Measure & Scale

Weeks 10–13 the transformation must be measurable.

At the conclusion of the sprint, Pulse evaluates performance against the established baseline and quantifies the impact of the intervention.

We measure outcomes across four domains:

Clinical
- Patient outcomes
- Complications
- Readmissions
- Safety
- Patient satisfaction

Operational
- Surgical throughput
- OR utilization
- Length of stay
- Same-day discharge
- Cancellation rates
- Resource utilization

Financial
- Cost per case
- Avoided utilization
- Resource savings
- Capacity-generated economic opportunity
- Overall financial impact

Access
- Additional procedures accommodated
- Increased surgical capacity
- Reduced waiting times
- Improved access to care

From Improvement to Sustainable Transformation

The 90-Day Transformation Sprint is not designed to create temporary improvements. Our goal is to establish a repeatable operating model that your organization can sustain and scale. At the conclusion of the engagement, Pulse provides: – Current-State Assessment – Transformation Roadmap – Standardized Clinical & Operational Pathways – Implementation Framework – Performance Dashboard – Financial Impact Analysis – Sustainability & Scale Strategy Where appropriate, successful programs can subsequently be expanded across additional specialties, facilities, or health-system locations.

A Different Approach to Consulting

Traditional consulting often follows a familiar sequence: Analyze → Report → Recommend

Pulse Global Consulting Alliance takes a different approach: Assess → Design → Implement → Measure → Scale

We believe healthcare transformation is most effective when consultants work alongside the people responsible for delivering care—not simply advising them from a distance.

Our physician-led team combines clinical expertise with operational, financial, and implementation experience to help organizations translate strategy into measurable results.

What Can Be Accomplished in 90 Days?

The specific outcomes depend on the organization, baseline performance, and scope of the engagement.

However, the objective is always the same:

Create measurable improvement without compromising quality, safety, or patient experience.

In many cases, the greatest opportunity is not simply reducing the cost of existing care.

It is creating additional capacity within the existing infrastructure.

For example, redesigning an appropriate surgical pathway can allow an organization to:

Treat more patients
Free inpatient capacity
Increase operating room throughput
Reduce unnecessary resource utilization
Expand access
Improve patient experience
Reduce cost all without requiring proportional increases in physical infrastructure.

Start With One Opportunity.
Build a System-Wide Transformation.

A 90-Day Transformation Sprint can begin with a single high-impact opportunity and establish the foundation for broader organizational transformation.

– Potential starting points include:
– Same-Day Total Joint Replacement
– Orthopedic Service Transformation
– Perioperative Transformation
– Operating Room Optimization
– Surgical Capacity Expansion
– ERAS Implementation
– Postoperative Care Redesign
– Technology-Enabled Rehabilitation Patient Flow Optimization

Ready to Identify Your Organization’s Greatest Opportunity?’

Pulse Global Consulting Alliance works with healthcare organizations seeking to improve clinical outcomes, increase operational efficiency, expand access, reduce unnecessary expenditures, and create sustainable healthcare value.

Let’s identify what your organization can accomplish in the next 90 days.

Schedule a Transformation Assessment.