Advisory Services

Providing insight into your
data management, workflow,
and efficiency challenges

Leverage Our Knowledge and Insight

By choosing to work with Keena, your practice will align with industry leading healthcare consultants to evaluate your demanding technology and workflow needs while also providing insight and consideration of industry trends and regulatory requirements. As your needs change, an appropriate consultant will be assigned to the project at hand ensuring that you always receive the best resource to manage your situation. Our clients all come to embrace each assigned consultant as essential members of their team knowing that they are a trusted expert supported by a diverse team of skilled Keena advisors and workflow enabling tools. With Keena you’re not just hiring a temporary resource but healthcare IT experts and technology facilitators who are always just an email, phone call or text message away.


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Management Services
Clinical Data

Keena consulting clients have a “direct-line” to an assigned clinical data expert to help strategic IT projects such as: daily EHR/PM troubleshooting, upgrade support, large project support, specialty project lead, configuration advice, peer networking, workflow automation and general industry trends.


Staff Training

No matter the software application or required method of delivery, whether its end-user or IT analyst training, we have the skilled resources to help with these projects. Our experts can assist in training needs for Large Project Rollouts, EHR/PM End-user Training, and IT Analyst Admin Training. We also specialize in advanced training areas including SQL, Interface Builds, or Software-Specific training tasks such as Allscripts TouchWorks Advance Structure Note, etc.


Optimization Reviews

Most workflow challenges for end-user staff and management are the result of complex EHR/PM and ancillary systems being rapidly deployed. These complex deployments can often lead to misconfigured software and cumbersome workflows that negatively impact productivity. Our team evaluates and recommends system optimization reviews on a regular basis. Through these systemic workflow analyses our team will provide a detailed report of adjustments that lead to an organization working smarter, not harder.


Expert Project Management

Regulatory and organizational changes often result in new and unexpected projects. Timely implementation of these projects often requires the need for an expert resource to help backfill staff daily tasks or to lead the project. Our project management team will evaluate your needs and bring in experienced project managers or task-oriented consultants to make sure your plans stay on course with a successful conclusion. Examples include: Major System Upgrades, Software Conversions, and New Locations or Specialty Rollouts.


Custom Reporting Needs

Data is only as powerful as the analytic algorithms that drive operational reporting. Although most systems come with a standard set of reports that cover your basic data management needs, it is nearly impossible to achieve peak organizational efficiency without custom reporting. Our team of database experts will take your data reporting requests and turn them into accurate and effective operational tools. A sample of our capabilities include: staff productivity reports, quality and regulatory performance analysis, billing tracking and financial performance, or occasional one-off reports to support a clinical trial or security/legal audit.


Workflow Automation/Data Cleanup

Repetitive manual workflows often result in inefficiency, job dissatisfaction and wasted budget dollars. Any workflow that is repetitive and data-driven with numerous manual steps or excessive “clicks” should be evaluated for automation. If rules and login models can be written down, then an effective electronic process can be created to manage the task more efficiently. Examples include: CPTII Code Billing, Patient Problem/Diagnosis clean-up, Patient Portal Flagging and more.

We were at a point in time where our IT staff shortfall and tight local labor market had the potential to disrupt our ability to manage mission critical daily operations. After bringing in skilled and experienced Keena IT consultants to support our department, we not only were able to effectively maintain essential IT systems but also implement new quality and efficiency enabling applications and programs.

The result was an increase in staff satisfaction and overall increase in our clinical operations and improvement in care delivery.”


Management Services
Claims Data

Keena brings claims data experts together with state-of-the-art normalization and analytical tools to clean, organize, store, and enable financial reporting and enhance management capabilities. We can help detect trends both for individual payers as well as across them allowing your organization to predict where the business is going before it gets there. Keena claims advisory consulting clients have a direct line to an assigned claims data expert.

Read Our Case Study

ACO Advisory Services

Building excellent ACO services requires a deep understanding of claims processing and the algorithms that drive those processes. The claims consulting team at Keena brings the knowledge, analytical skills and experience your organization requires to manage any claims data challenge. If you are just starting out, we can partner with you to design your network and set up your ACO. If you’re already up and running, we’ll take a macro view of your data architecture and help find efficiencies and enhancements that impact your bottom line. No matter the stage of deployment, we have the people and analytical tools to help.


Master Data Management (MDM) Solution Advisory

To operate successfully, Healthcare Information Exchanges, Accountable Care Organizations and healthcare organizations involved in merger/acquisition processes are often faced with the enormous challenge of accurately and effectively consolidating information on patient identities and healthcare encounters from several disparate systems. A Master Data Management plan for these complex and time-sensitive projects is mission critical. Keena MDM consultants have both the expertise to build a plan for your organization and a proven MDM solution to normalize, store and manage the data, if needed.


Claims Automation/Data Cleanup

Keena’s claims processing service stems from a proprietary automation system using Robotic Process Automation (RPA) to handle the mundane and complex manual tasks of processing claims. Through our years of experience across many payors we have identified and mastered all the unique characteristics and requirements necessary for successful claims submissions. Let our team of claims data experts evaluate your repetitive and data-driven processes for productivity improving automation. Examples include: 100% audit, claims attribution and web process automation.

Our Leadership Team


Director of Business Development

Prior to joining Keena (formerly EHR Integration Services) in November of 2012, Jamie Steck was the IT Director for Central Utah Clinic in Provo, Utah for 12 years, and their clinic accountant for 2 years. While at the clinic, Jamie was instrumental in moving the organization to its EHR system in 2001. During his time, the clinic grew from 30 providers to nearly 300 with over 95 locations throughout the state and extending into Arizona and Nevada. The clinic has been a nationally recognized leader in quality initiatives, helping the state of Utah develop its HIE program. Jamie holds a bachelor’s degree in Accounting from the Utah State University, and an MBA from the University of Phoenix. Since joining Keena Healthcare Technologies (EHR-Integration Services), Jamie has led or consulted on a dozen similar projects for many clients. Jamie has also been instrumental for several clients to offer direct advisory services to Sr. Leadership on staffing, quality programs, software recommendations, etc. Jamie has even presented the findings to several boards directly in their respective meetings.


Senior Account and Project Manager

For 10-years prior to joining Keena, Christine Piper was the EMR Project Manager and Lead Analyst for Affiliated Community Medical Centers (now known as Carris Health) -headquartered in Willmar, MN. Since joining Keena, she was called back to that clinic to serve as an interim CIO for 6-months. While there, Christine was instrumental in managing the following initiatives: fully implementing TWEHR; successfully completing several years of quality payment program initiatives; archiving legacy systems; converting an EPIC system to TWEHR; and integrating multiple ancillary systems. In many circumstances she was required to think outside-the-box to determine the ideal solution for the situation.

Since joining Keena she has managed multiple clients upgrades of TWEHR/PM and conversion projects such as HealthEast joining Fairview. She wrote the initial TWEHR extractions for Nextgen’s Population Analytics and defined the curriculum of Keena’s v11Note Admin training course. Christine holds a bachelor’s degree in Management Information Systems from the Minnesota State University Moorhead.


Senior Manager Data Analytics and Management

Prior to joining Keena (formerly Byte Sized Solutions) in July of 2018, Jim Krema was President and Quantitative Portfolio Manager for Krema Asset Management, LLC. Jim managed and marketed a quantitative based equity fund. Prior to this, Jim was a Quantitative Portfolio Manager at Driehaus Capital Management in Chicago. As portfolio manager at Driehaus, Jim and his team managed five quantitatively based equity portfolios. Preceding his role as portfolio manager at Driehaus, Jim was the Director of Information Technology (IT). Jim’s role within IT evolved with the firm as he was the first IT hire at Driehaus and grew the department to a staff of 16. During this same time period, the firm overall grew to 100+ employees and over $3 billion under management.

Jim holds a bachelor of science degree in mathematics from Benedictine University and a master’s degree in Computer Science from DePaul University. Early in his career, Jim taught high school mathematics and computer science at the college level. As manager of the Data Analytics and Management team, Jim and his team work closely with directors and managers at healthcare providers, such as Advocate Aurora Healthcare, in automating various processes and tasks in the areas of claim processing, member eligibility and patient attribution. An underlying theme in the development of many of these systems, is a focus on financial risk mitigation.