DOMD Career & Consulting
Physicians-Led Strategy for Health System Performance
Led by Nitesh Kumar, MD, MBA. We work with hospital executives and health system leaders to solve operational challenges and build sustainable improvement.
The Problems We See
Margin Pressure
Margin pressure from rising costs and reimbursement constraints
Operational Inefficiencies
Operational inefficiencies that compound across service lines
Physician Engagement Challenges
Physician engagement challenges affecting quality and throughput
Strategic Misalignment
Strategic misalignment between clinical and administrative priorities
How We Work
We start by understanding your system—not applying templates. Our engagements combine clinical insight with operational rigor. We work alongside your teams to design solutions that fit your context and build internal capability for sustained improvement.
Our approach is grounded in frontline reality. We spend time where the work happens, involve the people doing it, and focus on changes that stick.
Working Together
Strategic Advisory
Ongoing partnership for system-level planning and performance improvement
Project-Based Consulting
Focused engagements on specific operational challenges
Leadership Development
Physician leadership coaching and capability building
Start a Conversation
If you're facing operational challenges or exploring strategic improvements, let's talk. We work with a limited number of health systems to ensure focused, high-quality partnerships.
Contact: [email/phone to be added]
Leadership
Nitesh Kumar, MD, MBA
Dr. Kumar is a healthcare executive with operational leadership experience across academic and community health systems. He has led performance improvement initiatives in perioperative services, emergency medicine, post acute care and hospital operations.
His work focuses on bridging clinical and administrative perspectives to solve complex system problems. He holds an MD and an MBA, and has served in administrative leadership roles at various institutions.
Our Focus Areas
Perioperative optimization and OR efficiency
Emergency department throughput and capacity management
Revenue cycle performance and denial reduction
Care redesign and clinical pathway development
Physician leadership development and alignment