Boston Medical Center Health System acquired and has begun integration of BMC – Brighton and BMC – South. After the quick integration for October 2025, BMCHS has begun deeper due diligence and incorporation efforts, including in ambulatory.

During the last 6 months, BMCHS has identified additional challenges, included but not limited to the following:

• Clinic Operations Subscale
  • Volume: There has been a steady decline in volume due to many factors and 75% of clinics are operating subscale
  • Staffing: Clinics appear to be significantly overstaffed for volume
  • Referrals: New patients come in via referrals that arrive primarily via phone staffed in each individual clinic (or less often via fax)
• Management Structure Variable & Lean:
  • Lean administrative structure and focused on day-to-day emergencies across many subscale and geographically dispersed sites
  • Variable # and types of roles across each site
• Data & Reporting Gaps:
  • Challenge to data availability in the interim, prior to Epic go-live
  • Limited governance and oversight to establish shared goals and manage key metrics

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