When assessing performance, does your health system look in both directions—past and future?
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The Comprehensive Safe Start is a structured framework that facilitates a true 360-degree view, embracing evidence-based clinical assessment, financial metrics, clinical effectiveness, and infrastructural capacity. By applying this methodology, health systems can identify potential risks as well as engage their workforce in more collaborative—and ultimately more effective—decision-making processes.

Download this white paper, which provides an overview of Comprehensive Safe Start by detailing the four components—Subject, Background, Assessment, and Recommendation—of any successful application of this approach. By adhering to these principles, healthcare providers can achieve measurable improvements in patient outcomes and satisfaction, cost of care, and clinician engagement.

Mark S. Kestner, Chief Medical Officer

Dr. Mark Kestner, Chief Medical Officer with TractManager, is a surgeon with deep leadership experience in military, university, integrated delivery, and especially community-based healthcare systems. For the last five years he has consulted with healthcare organizations in the areas of reimbursement, quality of care, resource utilization, and case management. At the same time, he has served as Chief Medical Innovation Officer with Community Regional Medical Center in Fresno, Calif., an academic teaching center for the University of California San Francisco.


Kristin Stitt, Value Analysis Consulting Manager

Kristin Stitt is an experienced healthcare professional with more than 25 years in practice. She is an Adult Nurse Practitioner, with specialty training in Cardiovascular Wellness and Prevention, and her experience has included direct patient care as a nurse and advanced practice nurse in critical care, hospice, trauma, and cardiology.


Dee Donatelli, VP of Professional Services

Dee Donatelli joined TractManager in 2018 as the director of Value Analysis Consulting. She is chair-elect of the 2019 board of the Association for Healthcare Resource and Materials Management (AHRMM) and the former president of the Association of Healthcare Value Analysis Professionals (AHVAP), where she helped facilitate the creation of Value Analysis Certification. In October 2015, Dee was inducted into the Bellwether League and currently serves on the League’s board of directors


Barry Dyer, Senior Vice President of Consulting

Barry has more than 25 years of experience in management consulting, system implementations and process improvement.  His experience includes serving as VP Strategy with Oracle Cloud Applications Consulting. 


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