Cadence Clinical Services

Expertise that Covers the Entire Care Continuum.

What We Do

Clinical advisement across the care continuum

Our team of experts uses best practices and processes to empower hospitals, health systems and the community to achieve optimal outcomes. Their expertise covers the entire care continuum with services ranging from quality, regulatory, behavioral health, operations care and utilization management, leadership development and patient experience.

Clinical advisement

Expert navigation and strategic development services across the care continuum from clinical care management, quality and safety, regulatory readiness, patient outreach and care navigation.

Quality and regulatory

Cadence’s team of professionals provide comprehensive program assessments, implementation and coaching to achieve compliance and certification for standard and advanced accreditations and associations.

Chronic care

Cadence’s experienced registered nurses, under the supervision of participating providers, use telephonic outreach to coordinate care outside of office visits for Medicare B eligible patients with chronic conditions.


  • Chronic Care Management Assessment and Implementation Advisory Services
  • Capacity Management Assessment, Implementation, and Coaching
  • Surgical Services Assessment, Implementation, and Coaching
  • Emergency Department Assessment, Implementation, and Coaching
  • Laboratory Assessment, Implementation, and Coaching
  • EHR Conversion Support
  • Patient Experience Program Support

Education and Development

  • Nurse Leader Academy
  • Executive Leader, Senior Leader, Frontline Leader Executive Coaching/Coaching & Development
  • Ovation Healthcare’s Learning Institute Symposiums and Conferences

Behavioral Health

  • Behavioral Health Quality/Regulatory Readiness
  • Behavioral Health Operations Assessment, Implementation, and Coaching
  • Deemed Accreditation Surveys

Quality/Patient Safety

  • Quality Program Assessment, Implementation, and Coaching
  • Patient Safety/High Reliability Assessment/ Culture of Safety
  • Risk Program Assessment
  • STARS Recovery
  • Leapfrog Assessment Support
  • Employee Engagement Survey Readiness
  • Critical Event Recovery


  • Regulatory Readiness Assessment
  • Medical Staff Bylaws Review
  • Infection Prevention Program Assessment

Case Management/ Utilization Review

  • Case Management Assessment, Implementation, and Coaching
  • Patient Throughput and Cost Analysis
Why Cadence Clinical Services

Experts who have been hospital operators and understand your operational challenges

Our team of experts understand the challenges hospitals and health systems face.  We work with you to fully understand your needs and opportunities.  Our team of experts with advanced degrees, certifications and experience deliver results that advance and strengthen your organization, your teams and your patient outcomes and quality.

What Our Partners Say

We deliver results and value


Our experts share best practices and insights cultivated over four decades of working with hospitals and health systems.

Michele Back, MSQA, BSN, CPHQ

Director of Quality and Safety, Clinical Services

Michele Back serves as the Senior Director of Quality and Safety for Cadence Clinical Services. She brings experience as a healthcare leader and consultant who works collaboratively with clients to manage ongoing healthcare challenges, developing evidence-based solutions that achieve benchmark clinical outcomes for safety, high quality, and cost-effective care. She supports leaders, physicians, and stakeholders to achieve cutting-edge results through frequent communication, practicality, accountability, integrity, and respect.

Sandy Garcia, MBA, BSN, RN, NHA, CJCP

AVP, Regulatory Affairs and Behavioral Health Services, Clinical Services

Sandy Garcia serves as Associate Vice President of Regulatory Affairs and Behavioral Health for Cadence Clinical Services. She brings over 37 years of healthcare experience, previously serving as a Chief Nursing Officer and Chief Operating Officer for several acute care facilities. Her experience ranges from large tertiary care facilities to small rural hospitals. She has also worked with the Department of Justice and the Department of Defense with emphasis on quality and accreditation preparation and recovery for Behavioral Health, Ambulatory, Nursing Care Centers, and Hospitals.