PULSE Advisory
Healthcare Operations Advisory · San Diego

DESIGNED TO operate.

Care in motion
Effort built the practice. Systems will scale it.
Operational diagnostic
Your best people are carrying the system. Give them one that carries them back.
Clinical team
Quality care starts behind the scenes.
At the bedside
Bedside experience. Business outcomes.
Effort built the practice. Systems will scale it.
Your best people are carrying the system. Give them one that carries them back.
Quality care starts behind the scenes.
Bedside experience. Business outcomes.
Start With an Assessment Our Approach
RN-founded advisory Survey-ready operations, maintained continuously Multi-site operations, built and scaled Systems that hold at 3 AM
The Duality

Bedside experience.
Business outcomes.

The bedside
01 · THE BEDSIDE

Leigh Ann started inside a system that truly operated. Defined roles, structured workflows, escalation paths that held on a Tuesday morning and on a Saturday at 3 AM. That standard is the baseline for every engagement.

The boardroom
02 · THE BOARDROOM

Clinical credibility alone does not scale a practice. PULSE pairs it with staffing models, compliance architecture, and margin discipline, so the organization performs whether or not its strongest people are in the room.

What We Do

OURSERVICES.

01

Assess

A clear written read on how the operation actually runs. What is working, what depends on individual heroics, and what it costs you.

OPERATIONAL ASSESSMENT · HEALTH INDEX
02

Design

Workflows, SOPs, staffing structures, and EHR configuration built around how your team works. Designed by someone who has used them.

SYSTEM DESIGN · EHR ALIGNMENT
03

Operate

Training, integration, and a continued partnership. We refine the system as the organization grows and its needs evolve.

TRAINING · ONGOING ADVISORY
All Services →
Who We Serve

Built for the people building care.

Private practice clinician
PRIVATE PRACTICES

Clinician-founders who know how to practice medicine and need the structure to run a business around it.

Concierge medicine, personalized care
CONCIERGE MEDICINE

High-touch care depends on high-function operations. Systems that protect the experience your patients pay for.

Behavioral health
BEHAVIORAL HEALTH

Small centers where census shifts, staffing pressure, and regulatory scrutiny meet. Systems that hold under all three.

How The Work Runs

Five moves. One operating system.

STEP 01

Assess

How the practice actually runs: schedules, workflows, revenue cycle.

STEP 02

Diagnose

Symptoms are signals. Find the source before designing.

STEP 03

Design

Staffing models, compliance architecture, margin discipline.

STEP 04

Implement

With your team, at the pace the floor can absorb.

STEP 05

Sustain

Measured at the bedside, owned by your team. The system runs without us.

I knew how to practice medicine. I didn’t know how to build a practice. PULSE built the support I needed.

Christine Najjar, MD, MS, MHP, ABOM
Founder & Physician · Food First MD
Leigh Ann Wilson, RN
The Founder

Worked at the bedside. Learned the business side. Created PULSE to connect the dots.

Clinical credibility, paired with staffing models, compliance architecture, and margin discipline.

Leigh Ann Wilson, RN
Founder / Principal Advisor
Meet Leigh Ann →
Insight

From The Journal.

All Insights →

READY TO
BUILD THE SYSTEM.

Connect With PULSE