Clinical Performance & Quality Improvement

Improve outcomes, ensure compliance, and achieve quality excellence with Coker’s integrated clinical performance and peer review solutions.
Explore the information below for a deeper look at our full capabilities and approach

Coker's Clinical Performance Team Areas of Expertise

Coker helps healthcare organizations enhance care quality, reduce clinical variation, and meet regulatory performance standards. Our multidisciplinary team (including NorthGauge’s clinical reviewers and HCPA’s systems analysts) integrates data, compliance, and quality improvement to elevate clinical outcomes across the continuum of care.

Clinical Performance Assessment

Identify improvement opportunities through objective clinical reviews and performance benchmarking.

Quality & Regulatory Readiness

Meet CMS, Joint Commission, and payor quality standards with focused quality improvement plans.

Care Model Optimization

Enhance patient experience and efficiency through care model redesign and workflow improvement.

Physician Peer Review & Governance

Build fair, defensible, and data-driven peer review programs that promote accountability and engagement.

Value-Based Performance Alignment

Align quality metrics and performance initiatives with value-based reimbursement goals.

Data & Analytics Integration

Leverage analytics to track, visualize, and sustain improvement across all quality domains.

Challenges We Solve

How Coker Improves Clinical Quality and Performance

Clinical Variation Across Providers

We identify inconsistencies in care delivery and develop evidence-based interventions to standardize quality.

Regulatory & Accreditation Readiness

We prepare organizations for CMS, Joint Commission, and other quality program requirements.

Inefficient Peer Review Processes

We redesign peer review programs to ensure fairness, compliance, and defensibility.

Care Model Inefficiencies

We analyze workflows and interdisciplinary processes to improve throughput and care coordination.

Value-Based Care Alignment

We align clinical quality metrics with reimbursement models for financial and performance synergy.

Data Transparency & Outcome Measurement

We implement dashboards and reporting tools that provide visibility into key performance indicators.

Services

Explore the service offerings within Coker’s Clinical Performance & Quality Improvement capability.
Clinical Review Support

Navigate clinical challenges with Coker's expert NorthGauge team and support.

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Clinical Performance Improvement

It might seem strange to hear from a consulting firm that the patient is at the center of all we do.

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Clinical Medical Necessity Reviews

Ensure appropriate, evidence-based care with clinical medical necessity reviews that reduce risk, improve documentation, and strengthen reimbursement integrity.

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Litigation and Risk Management Support

Navigate clinical challenges with Coker's expert NorthGauge team and support.

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Medical Provider Liability Claims Assessment

With credible, defensible assessment, NorthGauge shortens claims lifecycles, saving considerable time and money.

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Physician Peer Review

We have reviewed thousands of cases across all specialties and subspecialties. We've applied our extensive peer review experience to fine-tune strategies that support the unique needs of our clients.

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Performance Excellence - Clinical Systems Integration

We help healthcare organizations develop performance enabling solutions that drive sustainable operational and clinical improvement.

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Performance Excellence - Care Model Enhancement

We help healthcare organizations develop performance enabling solutions that drive sustainable operational and clinical improvement.

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Performance Excellence - Quality Improvement

We help healthcare organizations develop performance enabling solutions that drive sustainable operational and clinical improvement.

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Value-Based Care & Reimbursement

We help organizations achieve value-based initiatives by aligning partners, forecasting financial returns associated with regulations and payor contracts, and improving clinical workflow.

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Coding Compliance Reviews - Medical Necessity Reviews

A structured coding and billing validation audit program performed by an external, unbiased third party.

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HIM Services - CDI – Clinical Documentation Improvement

Healthcare Cost Solutions (HCS) specializes in helping facilities in times of transition by providing key leadership professionals to help manage day-to-day operations and/or to perfect operational efficiencies and strategies.

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HIM Services - OSHPD/MIRCal Data Corrections/Submissions

Healthcare Cost Solutions (HCS) specializes in helping facilities in times of transition by providing key leadership professionals to help manage day-to-day operations and/or to perfect operational efficiencies and strategies.

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Clinical Due Diligence

Navigate clinical challenges with Coker's expert NorthGauge team and support.

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Ready to elevate your clinical performance and quality outcomes?

Fill out the form to connect with our clinical performance advisors and learn how Coker helps healthcare organizations achieve quality excellence.

FAQs

Do you assist with Joint Commission and CMS readiness?

Yes. We support CMS and Joint Commission readiness through mock surveys, documentation reviews, tracer activities, and corrective action planning.

Can Coker help redesign our peer review process?

Absolutely. NorthGauge specializes in building objective, defensible peer review frameworks.

Do you integrate quality programs with value-based reimbursement?

Yes. We align quality and financial objectives to maximize both compliance and revenue performance.

Can you support ongoing quality tracking and analytics?

Yes. We implement monitoring tools and dashboards to measure and sustain performance improvements.

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Your success determines our success.

We are a people business that understands the importance of communication. Work directly with talented teams of senior-level consultants passionate about improving healthcare.
Meet the Experts