At PBHS we provide the road map for those seeking innovation and reform. Much of today's political dialogue on health-care reform centers on how to pay for the cost of health care in the future, or how to minimize access to healthcare resources. PBHS offers the other half of the equation: innovation to reduce costs by improving the quality and delivery of the care itself. We didn't simply ask how we can afford health care. We show how to make it affordable—by making it less costly and of better quality.

Patient's perspective when we get it wrong.

Patient's perspective when we get it wrong.

It Works

Since pioneering Substantive Outcomes as a framework in 2005, PBHS has helped organizations discover and use clinical methodology in a way that is practical, productive, and measurable. Our industry-leading work in Substantive Outcomes has included collaborating with over 288 healthcare facilities, systems and organizations to develop key methodologies and implement best practices.

“When healthcare providers make more money by providing more care, supply creates its own demand.”

—Rob Turner, Hospital CEO


To shorten the learning curve and speed financial return on investments, we have developed implementation methodologies and best practices based on our 97 integration research initiatives we've conducted. Find out how to put our expertise to work for you.

What We Do

We provide administrative and clinical support to the people and processes involved in turning clinical vision into a reality, by applying clinical and organizational methodology specifically designed to be effective for our partner’s culture. It’s a step-by-step methodology that ensures a smooth, results-focused transition. Our approach puts vision into practice with minimal disruption while achieving the most effective, productive, and profitable clinical outcome possible. 


Organizations contributing to the Research and Development.


Patient's participating in the research.


Proprietary clinical approaches.




This is critical because sustained business success in the evolving healthcare market will depend as much on organizational and systems alignment as on clinical practice. With the current level of operators and no clinical model, such alignment has been impossible to achieve in the current market place.  Partnering with post-acute providers, we remake the acute care/post acute care relationship from the ground up into systematically aligned outcomes organizations performing at a level of excellence not achieved previously. This is critical for patient success while allowing all participating entities to partake in new financial opportunities in their local healthcare economies.



Get Involved

Sixteen years of research has proven that transitioning patients through acute and post acute entities - housing them, feeding them, giving them meds, exercises and walking them - without achieving the necessary changes in metrics for where they are returning only delays the readmission process.  All parts of the continuum must identify and agree upon the necessary outputs to be achieved for a patient. Then each part of the continuum must facilitate achievement of the critical outputs relevant to their part of the continuum.