Meet Our Team
Hilary's passion is to partner with organizations to facilitate their transformation in even the most challenging of economic and healthcare environments. Hilary is President of Ancillary Care Strategies, providing oversight over its two business divisions. The PT Management Services Division provides co-management service line direction and oversight, HR, recruiting, regulatory compliance, billing advisement, and revenue cycle expertise, driving financial and clinical transformation results to clients nationwide. The Lean Leadership Enterprises division provides lean transformation and leadership development across physician-owned orthopedic, primary care, multi-specialty, hospital systems and organizations. With 15 years as a Founder and Principal of ACS, and leveraging more than 28 years of healthcare management experience, Hilary is passionate about leading our team into a new and challenging era. Her first venture was as owner of a nationwide Therapy company that specialized in the sales, marketing, licensing, service delivery and management of rehabilitation facilities, hospitals, skilled nursing facilities, home health agencies and specialty outpatient clinics. In addition, Hilary has been a principal at several start-up companies, including a long-term care facility, a leading edge pharmacy and disease management company and a healthcare software enterprise. Hilary has led or participated in a multitude of lean events and workshops, received lean tool training and certification from Virginia Mason and developed lean transformation knowledge and techniques as part of Therapy Transformations across multiple clients. She has presented those learnings and successes: “Transforming Outpatient Rehab Performance: A Case Study on How ‘Lean’ Principles were used to Eliminate Waste, Improve Clinical Outcomes and Substantially Increase Net Income”. Hilary earned a Master of Arts Degree and Bachelor of Arts Degree in Speech-Language Pathology and Audiology and her teaching credential from San Diego State University. Hilary is certified by the American Speech and Hearing Association (ASHA) and is a member of Adaptive Business Leaders (ABL) and Executive Women in Healthcare.
Laurie Fiorica is an engaging leader, operations expert, speaker, teacher and
facilitator in a multitude of areas, including:
strategic planning, systems thinking, lean methodology, Six Sigma
methodology, interpersonal skills, operational management and leadership, and
project management. She has spent her
20+ year career driving and helping teams and individuals make dramatic improvements internationally and across multiple
industries. Laurie has held
a variety of senior management positions in healthcare, including Chief
Operating Officer of a large Multi-Specialty Practice and as VP, Operations and
VP, Organizational Improvement. She has led
or facilitated more than 1,000 improvement events and facilitated more than 2,500
hours of training. Laurie has unique
expertise in workflow optimization, ancillary optimization, (including physical
therapy, laboratory, radiology, materials management, and ambulatory
surgery) and significant strategic and operational experience in Orthopedics
and Musculoskeletal, Primary care - for profit, non-profit, and Federally Qualified Health Centers, Women’s Health,
Medical Home (and Accountable Care), Cardiology, and Oncology service lines. From a management perspective, Laurie has personally
led lean transformations achieving significant financial, quality, and
productivity results in physician-owned medical practices, multi-specialty
clinics, rural and urban hospital systems,
traditional manufacturing and assembly as
well as high volume and low volume, FDA-regulated manufacturing. She has taught the Toyota Production System
within Thedacare (WI), Dreyer (Advocate) Medical
Clinic (IL), Women’s College Hospital (Ontario, CA), Mirion Technologies, Red River Army Depot (Texarkana, TX), Air Force Surgeon General
Office, Lockhead Martin, and many others.
has a Bachelor of Science Degree in Biology from the State University
of New York (SUNY) College at Geneseo and a Master of Science Degree from the
University of Rochester School of Medicine and Dentistry.
Laurie is a
certified Six Sigma Blackbelt Practitioner and a recipient of the 2012 Woman of
the Year recognition by the National Organization of Professional Women. Laurie is a speaker, teacher and facilitator in a multitude of areas, including: strategic planning, systems thinking, lean methodology, Six Sigma methodology, interpersonal skills, operational management and leadership and project management.
Sue Bowles is a Regional Operations Director for Ancillary Care Strategies. She has more than 25 years of healthcare management experience and previously served as manager of outpatient therapy services at Cedars Sinai Health System and executive director of gift services at UCLA. At Cedars, she successfully developed a number of specialty programs, including cancer rehab, lymphedema, urinary incontinence, voice center, ergonomics evaluations, return to work evaluations and work hardening and driving and community re-entry programs. Sue is a certified trainer for the Meyer’s Briggs Personality Type Indicator and has held many workshop events utilizing this tool. She has also served on the faculty of Mt. St. Mary’s College in Los Angeles and as part-time faculty in the Division of Occupational Science & Occupational Therapy at the University of Southern California in Los Angeles. She received her Doctorate in Occupational Therapy from the University of Southern California, Master of Business Administration degree from Pepperdine University, and Bachelor of Science Degree in Occupational Therapy from the University of Puget Sound. Sue is a speaker/trainer on leadership and management topics.
Melissa Clark is a Regional Operations Director for Ancillary Care Strategies. She is a licensed occupational therapist and certified hand therapist with over 25 years of clinical, education and healthcare management experience. She has worked in a variety of hand/outpatient settings in clinical and management roles. Melissa served as Assistant Professor for A.T. Still University's Occupational Therapy Program and was engaged in teaching, program development, policy/procedure implementation, accreditation and research. She also worked for Smith & Nephew Rolyan, Inc. as a clinical education consultant and developed national education programs while managing a $1 million territory. Melissa was Founder/President of Progressive Rehab Concepts, Inc., a national continuing education business. She has held several positions on the Arizona Occupational Therapy Association Executive Board including Vice President, Treasurer, Board Member, Conference Chair and Marketing Chair. Melissa has traveled with clinical service teams to several countries including Honduras, Guatemala, Mexico, Panama and Romania to provide therapy, training and assistance with start-up clinics for underserved pediatric and adult populations. Melissa received her Doctorate of Health Science degree in Global Health from Nova Southeastern University, a Master's degree in Exercise Science and Health Promotion from California University and a Bachelor's degree in Occupational Therapy from Indiana University.
Todd Hixson is a Regional Operations Director for Ancillary Care Strategies. He is a licensed physical therapist with over 19 years of clinical and management experience in a variety of healthcare system and private settings. His experience includes multi-disciplinary management of physical, occupational and speech therapy. He has extensive experience in program development, internal physician marketing, documentation, coding and compliance training, and clinical mentoring. Todd served as director of outpatient operations at Midwest HealthStrategies in Muncie, Ind. At Midwest, he was responsible for program development, marketing, coding, billing and documentation for 10 outpatient clinics. He also participated in the development of a human motion analysis laboratory and specialty clinic in collaboration with Ball State University’s Biomechanics Department. The team developed 3-D motion capture and a neurocom balance system to treat orthopedic, pediatric, neurological and sports patients. Todd's clinical focus has been with orthopedic, sports medicine, and spine patients, and he has received McKenzie Mechanical Diagnosis and Therapy A-E training. An ASTYM certified clinician, he earned a Master of Science Degree in Physical Therapy from the University of Iowa and a Master of Science Degree in Health Education from the University of Northern Iowa. Todd is a member of the McKenzie Institute.
Henry Castellanos is a Lean Practitioner at Ancillary Care Strategies. Henry's passion is in process improvement, building a culture of excellence, and accomplishing extraordinary results through waste reduction and employee engagement.
Henry has operational management experience in internal medicine, orthopedics, and materials management. Prior to joining ACS, Henry managed an internal medicine practice wilth more than 50 physician and staff. He also worked as a Lean Transformation Facilitator across multi-specialty service lines, including Internal Medicine and Primary Care, Oncology, Orthopedics, Pain, and Ambulatory Surgery. During his tenure at Dreyer Medical Clinic (Advocate Healthcare - a nationally recognized healthcare organization), Henry was instrumental in increased revenue in Orthopedics (26%) and Podiatry (18%). Henry also worked to improve the surgical ratio for an orthopedic surgeon from the 45th percentile to greater than the 75th percentile through application of lean methodology and tools.
Henry has facilitated Kaizen Event teams, coached and taught various process improvement tools and methodology. Henry's education is focused on Business and Healthcare Management. Henry is a Certified Crucial Conversations Practitioner and a Myers & Briggs Personality Type Indicator Practitioner. Henry received his Bachelor
of Science in Business Management-Healthcare, from Hallmark University in Texas.
Paul Cochrane is a Lean Practitioner with Ancillary Care Strategies. Paul brings his diverse experience in “Lean” Methodologies and Tools to Ancillary Care Strategies Clients. Originally trained by the masters from Toyota in the Shingijutsu group, he learned how to apply these proven principles to diverse areas ranging from healthcare, automotive, aerospace, furniture, and commercial products. He has held progressive roles from engineer through operations management and understands the hands-on work needed to improve as well as the business needs to be met.
Paul is passionate to adapting the problem solving methods to providing quality, affordable healthcare delivery. His experience has been in 4 countries, over 50 industrial sites, and 6 hospitals. Through teamwork and local expert collaborations, Paul has consistently demonstrated achievement of double digit improvement in key metrics by applying manufacturing experience, deep Lean skills, and Lean Six Sigma Black Belt training. He has served as a leader and coach making data-based decisions with teams that hit stretch goals. Some of Paul’s successes include:
As a Lean Sensei in Healthcare, Paul been able to improve many key indicators in Emergency Department “wait” times and “patients who left without being seen”, and lab turnaround times. In surgical environments, he guided teams to the achievement of better start times, improved room turnover speed, reduced prep visit lead time and supply inventory levels just to name a few.
Paul believes none of this is possible without full involvement of front line staff and the commitment of senior leaders. Building internal problem solving abilities and trust is critical to success. With 20+ years practicing Lean methods and Lean Six Sigma Black Belt methodologies, Paul believes he is always learning and alternates between teacher and student every day by listening, learning and sharing. Paul has a Bachelor of Science, Mechanical Engineering from Northeastern University in Boston, MA. He also has Lean Six Sigma Blackbelt for Service training from the George Group.
Laura Sole is the Administrative Director for Ancillary Care Strategies. Laura provides expertise in human resource and credentialing. She has more than 25 years of healthcare experience. Previously, Laura was a human resources generalist at Riverview Medical Center in Red Bank, N.J., where she supported more than 800 employees with benefits, compensation, recruitment and policy interpretation. She earned a Bachelor of Science Degree in Business Administration from Regis University, Denver, CO, and is a certified Professional in Human Resources (PHR).
Joan Cole is the Digital and Social Media Manager for Ancillary Care Strategies. She is passionate about communicating through social media, especially as a medium for driving ACS efforts to help Medical and Therapy practices to improve their operations and bottom line. In addition, playing a key role in bringing Lean methodology to Medical clinics to support healthcare improvement is very exciting. Joan has worked in the travel and tourism, higher education, consumer products, and consulting industries and has experience in internet marketing, marketing strategy, market research, technical support, and customer service.
Joan holds her Bachelor of Science degree in Management Science from the State University of New York, College at Geneseo, and her MBA from the University of Wisconsin, Whitewater, where she graduated Summa Cum Laude in 2011. She also holds the Award of Achievement in Digital Analytics from the University of British Columbia and is working toward her Certificate of Web Intelligence from the University of California - Irvine.
Vicki Lampert is Ancillary Care Strategies Director of Recruiting. She has more than 15 years of experience recruiting professional staff members for healthcare organizations. Before joining Ancillary Care Strategies, Vicki managed recruiting for the Mayo Clinic in Scottsdale, Ariz. Vicki has also recruited for Meridian Health System, a multi-site healthcare provider based on the East Coast. She earned a Bachelor of Science degree from the State University of New York in Albany, N.Y., and is certified as a Senior Professional in Human Resources (SPHR).