The Challenge

250-bed hospital expansion with $120M budget and 18-month timeline. Owner faced contractor delays, cost overruns, and accreditation pressure during construction.

Our Approach

• Embedded owner's rep team to validate CPM schedules, review payment applications, and manage change orders
• Established weekly coordination meetings and monthly executive dashboards
• Coordinated with JCAHO to maintain accreditation during construction
• Implemented risk mitigation protocols for critical path activities

Outcomes

• Project completed within 3% of budget and 4 weeks ahead of adjusted schedule
• Owner avoided $2.1M in questioned change orders
• JCAHO accreditation maintained with no construction-related findings

The Challenge

Behavioral health provider managing CARF, SAMHSA, and state licensing requirements. 14 months since last accreditation; documentation gaps in policy compliance, training records, and incident management.

Our Approach

• Conducted 6-week gap assessment across all applicable frameworks
• Harmonized overlapping policies across three frameworks
• Implemented evidence repository and compliance calendar
• Conducted mock CARF survey 8 weeks before official visit

Outcomes

• Achieved CARF accreditation with zero conditions
• Audit prep cycle reduced from 6 months to 12 weeks
• Compliance calendar now maintains ongoing readiness posture

The Challenge

350-employee manufacturing facility with rising TRIR (4.2) and OSHA compliance gaps. No formal industrial hygiene program or contractor safety protocols.

Our Approach

• Deployed OSHA-aligned EHS management system over 6 months
• Conducted air/noise sampling and implemented JHA library
• Trained supervisors on CAPA tracking and incident investigation
• Rolled out contractor safety orientation and quarterly mock inspections

Outcomes

• TRIR reduced to 2.1 within 18 months
• Zero OSHA citations during Year 2 inspection
• Contractor incident rate reduced by 60%
• Safety committee now self-sustaining with monthly governance cadence

The Challenge

Regional transit authority managing TSA security programs and FTA safety/drug-alcohol requirements. Facing audit findings from prior year and documentation deficiencies.

Our Approach

• Mapped overlapping TSA and FTA requirements
• Established centralized evidence repository
• Trained staff on documentation standards
• Coordinated with TSA and FTA inspectors during follow-up audits

Outcomes

• All prior findings closed within 9 months
• TSA security program recertified
• FTA drug/alcohol program achieved full compliance
• Authority now maintains quarterly readiness reviews

The Challenge

County emergency management agency managing $4.2M in FEMA EMPG grants. Documentation gaps in financial tracking, training records, and exercise compliance threatened future funding.

Our Approach

• Implemented evidence management system aligned with FEMA requirements
• Established quarterly reporting calendar
• Conducted staff training on grant documentation standards
• Prepared agency for FEMA monitoring visit

Outcomes

• Agency passed FEMA monitoring review with no findings
• Grant funding renewed for subsequent fiscal year
• Documentation system now used as model for neighboring counties

The Challenge

$85M wastewater treatment plant upgrade. Multiple contractors, EPA permit deadlines, and public accountability pressure. Project 6 months behind schedule at engagement start.

Our Approach

• Conducted recovery schedule analysis
• Implemented accelerated coordination meetings (3x/week)
• Negotiated contractor recovery plans
• Tracked EPA milestone compliance and provided weekly public works commission briefings

Outcomes

• Project recovered 4 months of delay
• Completed within 8% of revised budget
• EPA permit milestones met
• Commission received transparent risk reporting throughout recovery period