About First

First is the Healthcare Advisory Firm That Never Stops Adding Value.


Company Overview

First healthcare advisors partner with our clients to derive value from investments in technology initiatives with the understanding that people will have the most significant impact on cost and quality advances.

First understands what providers are facing today. Providers turn to First for guidance as they navigate regulatory mandates, technological and cultural shift, decreased margins and the emphasis on quality care delivery.

First develops and sustains relationships by delivering dependable Clinical, Revenue Cycle, Technical, and Advisory solutions.

First works extremely hard to provide our clients with the right advisor for the program, project or role requested. The time we invest in vetting and preparing our personnel save our clients valuable time and dollars while building trust that we have, and will, provide the ideal resource. The manner in which First addresses and supports our clients interests and concerns is a key discriminator of our organization.

The People of First

  • Accomplished healthcare IT professionals that have demonstrated their problem solving expertise with healthcare information technology systems.
  • Provide benefit and value throughout the life of the engagement.
  • Solve and support complex IT initiatives, allowing our clients to concentrate their resources on core priorities and business objectives.
  • Deliver complete and fully documented solutions.

The Clients of First:

  • Value our ability to deliver highly vetted and specialized advisors and a management team that has served on every side of the healthcare delivery spectrum.
  • Value our ability to deliver the “right” solutions regardless of the complexity of the problem.
  • Value our flexibility in addressing the challenges in utilizing and managing consultative personnel, acting as long term partner.

The Management Team at First:

  • Includes some of the most experienced and talented healthcare business and technology leaders in the industry, who consistently demonstrate the vision necessary for leading a national healthcare advisory organization.
  • Separates itself by leveraging a wide network of Federal and commercial relationships in areas that strengthen our core expertise to the ultimate benefit of our clients.
  • Focuses solely on the healthcare IT industry and government agencies with healthcare related missions, attracting the top experts in the field.

Working at First:

First knows that prosperous employees create successful client experiences and we believe that technology can only be made meaningful through people. Our people have a superb support structure at First, creating enriched skill sets, engagements and careers. Our company is equally focused on ensuring that our employees maintain a balance with their career and family or personal lives. Our compensation, vacation policy, non-billable and bench time plans, and overall culture encourages pursuits outside of the consulting world. Our compensation package is HIGHLY competitive and there is no relocation necessary. In addition, First has a long history of working with experienced independent consultants and paying above market rates. First is committed to our employees while on billable engagements or not and we are constantly investing in our employees finding new ways to function and collaborate as a one team even though we serve many clients in multiple locations.

Who We Work With

Leadership Team

The Management team at First includes some of the most experienced and talented healthcare business and technology leaders in the industry, who consistently demonstrate the vision necessary for leading a national healthcare advisory organization. Our team separates itself by by leveraging a wide network of relationships in areas that strengthen our core expertise to the ultimate benefit of our clients. Each First manager is solely focused on the healthcare IT industry, providing our clients focused expertise in the field and issues driving healthcare transformation.

Randy Bailey - Chairman+ Randy Bailey - Chairman
Carter Groome - Chief Executive Officer+ Carter Groome - Chief Executive Officer
Jack Wagner - VP - Advisory Services+ Jack Wagner - VP - Advisory Services
Carol Selvey - VP - Advocacy+ Carol Selvey - VP - Advocacy
Bob Hooper - VP of Sales+ Bob Hooper - VP of Sales
Kerri Gallagher - Chief People Officer+ Kerri Gallagher - Chief People Officer
Patti Donoghue - Chief Financial Officer+ Patti Donoghue - Chief Financial Officer

Vision & Approach

Today’s health tech initiatives go far beyond the CIO’s world. CMIO’s, CNO’s, CFO’s, clinicians more are invested in and navigating a massive shift in how healthcare must be delivered, in how information flows and how involved patients are in their well being.

Clients are asking questions like:

  • “How do we realize the value from our technology investments?”
  • “How do we use our technology to compete and win?”
  • “How do we maintain the culture of change once the technology is implemented?”
  • “How do we get our arms around the new documentation requirements?”
  • “How do we get our physicians to adopt our new systems?”
  • “How do we avoid lapses in training?”
  • “What can be done about our technical bottlenecks?”
  • “Cookbook medicine will not work in our organization, how can change management succeed in our unique environment?”
  • “Our consulting budget has been drastically cut, how can we still get the help we need?”

Our Vision

Consensus best practices and methodologies for healthcare, at best, will have minimal impact on bending the cost curve in our organization. Time and time again, we see that the answers to these questions involve the alignment of an organization’s financial, clinical and technical processes with culture as a major influencer. This alignment must occur in small steps on a customized basis, as no two organizations are the same. Small success will allow for larger initiatives and capability for marked progress. First provides the experts to quickly identify efficiency issues, improve performance, and transfer knowledge to your organization.

Our Client Approach “Dynamic Maximization”

First developed and honed and approach and methodology called FirstTRAK that measures and accelerates process efficiency to optimize clinical, revenue cycle, and technical components of your organization. The dynamic part of our approach refers to an understanding that no two health delivery organizations are alike and we must take socio-cultural factors into each engagement. Maximization refers to an ideal state of harmony between the value influencers and the personnel side of lasting change management. FirstTRAK is built to provide value in diverse implementation, optimization, regulatory deployment, project management, training or even analysis efforts.

Our Advisor Approach cultivates and supports experts that are dedicated to improving the delivery of healthcare

Voted the best places to work in 2014 by Modern Healthcare magazine, employees and consultants choose to work with First. All of our advisors are experienced professionals in the healthcare industry in addition to their deep knowledge of the latest technology and practices. First diligently matches our advisors experience with engagements that are poised to take advantage of their background and personalities. Our people are located throughout the US, often times allowing our clients to take advantage of regional resources for smaller targeted engagements while lowering any expenses related to consultant travel. In addition, First is capable of leveraging the combined experience of our four business units (Clinical, Revenue, Technical, and Advisory Solutions) to meet large scale deliverables with deep resource needs.

Case Studies

EHR Value Realization
Client: Community Health Systems Assignment: Cerner Clinical Workflow Optimization Results: Multi-hospital core measure improvements
Client: Veterans Affairs Assignment: VistA Workflow Integration Results: Development and testing efficiency gains
Meaningful Use
Client: Mt. Sinai Health System, NYC Assignment: MU Program Management Results: Attestation strategy, execution and new entity
Revenue Cycle
Client: Renown Health Assignment: Epic Revenue Cycle Implementation and Workflow Design Results: Charge review training and metric improvement
Client: Bon Secours Health System Assignment: Epic Revenue Cycle Optimization Results: Reporting and Integration Streamlining
Client: Mt. Sinai Health System, NYC Assignment: ICD-10 Program Management Results: Testing and training program implementation and readiness
Legacy Support
Client: Swedish Medical Center (Providence Health) Assignment: Support of legacy systems while Epic installed Results: Single sourcing for all support needs over 3 years