Barker & Barker Consulting
We work with hospital systems, federally qualified health centers, clinic networks, and federal health programs, in the United States and abroad, that know the results are not where they need to be. What they need is someone who can name what is actually wrong and what a different end-state would look like.
You already know
Not every organization has all of them. The ones that do usually try to fix them one at a time and wonder why nothing moves.
The plan is approved. Six months later the units run the way they always have, and nobody can say exactly where the strategy stopped reaching the floor.
Two dashboards, two numbers, one meeting where nobody wants to be the one who asks which one is right.
The whole operation depends on two or three people who know where the bodies are buried. When they take PTO, everything slows.
The Kaizen event worked. The board slide looked great. Eighteen months later the numbers are back where they started and the same problem is on the agenda again.
Flagship methodology
Business Optimization Strategy System. The proprietary Barker & Barker framework used with hospital systems, FQHCs, and federal programs that stopped trying to fix isolated problems and started rebuilding the system underneath them.
Four pillars make up the system: Process Optimization, Data Intelligence, Leadership Architecture, and Technology Alignment. The four B.O.S.S. Moves below are how it is installed. What each move looks like inside your organization is the conversation we have on the call.
The operational architecture the current model was never designed to carry.
The revenue, throughput, and decision cycles you are already paying for.
The gains, so the next leadership change does not reset the clock.
What works, into the next contract, the next region, the next market.
What we work on
Everything we do is a way of delivering strategy and operational excellence for hospitals and clinics, in the United States and abroad. B.O.S.S. Moves is the flagship methodology that carries it.
Where waste actually lives in your operation versus where the last consulting project told you it lived. Lean Six Sigma and other continuous improvement methods, workflow automation, and standard work led by a Master Black Belt inside your operating cadence.
Business Optimization Strategy System. The framework that turns strategy into operating architecture and holds the gain. Build. Optimize. Sustain. Scale.
Data-quality initiatives and assessments across clinical and administrative sources, so the numbers leaders steer by can be trusted, defended, and acted on.
We compete for prime and subcontract work with the Department of Veterans Affairs, HRSA, and NIH as an SBA-certified SDVOSB, and bring the same operating discipline to every task order.
Recent briefings
What GAO-25-107149 actually shows about foreign medical program claim processing, and what it does not.
What grant-supported providers are quietly asking about billing operations that grants alone will not fund.
What the final rule actually requires payers and providers to have in place, on what timeline, and what happens if they do not.
Takes 5 minutes. Know where you stand.
Answer the assessment. You get your readiness score. If we are the right fit for what you scored, you get on my calendar. If not, you keep the results.
Start the assessment →go.barker-barker.com · No email spam. Your results are yours to keep.
Registrations & certifications
SDVOSB
PMP, current through Aug 30, 2029
Certified May 30, 2008
Practice founded 2016