The #1 Solution to Fragmented Hospital Care

👩‍⚕️👨‍⚕️ We are nurses, physicians, allied health professionals, and engineers with a passion for hospital teamwork.

💡 We invented Structured Interdisciplinary Bedside Rounds (SIBR) for care teams and Triple-E Handover for nurses.

🔬 Since 2010, we’ve refined these evidence-based methods on hundreds of units, so we know they actually work in the flow of clinical care.

🛠 We bundle these methods with tools, training, and software to deliver a time-efficient, cost-effective, ready-to-roll implementation.

📊 Achievable results include 20% to 47% fewer harm events, 10% to 16% lower Length of Stay, and top-quartile HCAHPS scores.

A PI project so successful we made it a company

We are hospital professionals, like you. We reinvented frontline teamwork on our own units and we have helped hundreds of others since 2010.

Our care model was supposed to just make patients safer, but it turned out that it also improve patient satisfaction scores, length of stay, and costs of care.

Face the hidden burden of fragmented hospital care

Many challenges you’re facing have a common root cause: fragmented care.

That’s good news, because fragmented care is solvable in ways that physicians and nurses prefer.

Every unit-level outcome from CLABSIs to LOS to HCAHPS has a common input: the quality of clinical teamwork and communication.

There’s no simpler way to improve such a broad range of outcomes.

A group of all-stars doesn't always make an all-star team

It’s not enough to have skilled staff. Commercial aviation is safe not because pilots are brilliant, but because cockpit teamwork is a finely-honed science.

The finely-honed science of clinical teamwork exists, and it’s available today in our programs.

Voices from the frontline

If clinicians, patients, and hospital leaders all love something, that can be a sign.

“Highlight of my career”

– Nancy, Pharmacist

“Our metrics improved on every category”

– Dr. Jon

“What is the why for SIBR? The patient is the why!”

– Cassie, RN

Where does it hurt?


LOS & DC Coordination

Up to 43% decrease in LOS - 10-15% common


Reduce harm events

24.5% decrease in unit mortality


Patient engagement

88 point increase for HCAHPS “rate the hospital”

Reduced care costs

$1.4M annual savings per unit due to lower LOS

Employee Engagement

24% increase in nursing job satisfaction

To improve outcomes, don't focus on outcomes

Start at the bedside. Focus on moments that matter, like nursing handover and interdisciplinary rounds.

Invest in daily routines — small improvements add up quickly.

Start with nurses — then expect more from doctors:


Nurses First

Our Nurses First program hardwires the Triple-E Handover to improve the culture, safety, and efficiency profile of nursing care; support young and temporary nurses; and create readiness for interdisciplinary rounds.


SIBR® rounds bring the bedside nurse, physician and allied health to the patient’s bedside to synthesize a mutually supported plan of care in an efficient, patient-centered experience.

Secure your legacy as a transformational leader

The shortcut to transforming your hospital for the next decade is simple: rent the expertise of 100+ hospital units packaged into an "off-the-shelf" PI initiative — designed by clinicians — and shown to substantially improve a broad range of metrics across multiple units. Here's what you get:

Tools and training to deliver real change in 3 to 6 months

We provide a reliable implementation pathway to clinical operations excellence: a blend of software and services to train, coach, and lead your frontline staff into the best clinical teamwork of their careers.

Our doctors and nurses communicate a vision that wins clinical hearts and minds.


Our app enables real-time, objective feedback on actual bedside skills.


Our onsite and online training teaches the knowledge, attitudes, and skills needed for advanced teamwork.


Our performance dashboards reveal hidden issues with both bedside practice and unit health, so leaders can see who may need support.

Trusted by Leading Hospitals

The best-run hospitals invest deeply in bedside teamwork, and we're proud that many have asked for our help.

Book a private webinar

Request a webinar to ask the hard questions like, "How do we engage our physicians?" and "How does this support our nurses?"

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