Your Partners in Digital Transformation.

Evidence-Informed. Collaborative.
Customized.

We don’t believe in off the shelf solutions. Our work begins with a clear understanding of each client’s context, priorities, and constraints—how services are organized today and what needs to change. Based on this insight, we design tailored, pragmatic approaches that align with organizational realities and strengthen how services are planned, delivered, and governed.

Expertise in Action

We support organizations across four critical pillars, combining strategic insight with technical depth to help you navigate change and manage risk.

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Strategy and System Transformation

MD+A supports healthcare and public sector organizations in strengthening their direction, performance, and long-term sustainability. 

We bring together strategic planning, partnership development, and system redesign to help organizations navigate evolving challenges and seize new opportunities.

  • MD+A partners with healthcare and public sector organizations to shape clear, ambitious strategic directions that actually get implemented—not just filed away. We work side-by-side with leadership and frontline teams to define priorities, make tough choices, and build practical roadmaps that turn vision into execution. 

    By grounding strategy in real-world public sector conditions—population health needs, policy and regulatory requirements, funding constraints, system pressures, and workforce capacity—we help clients focus resources where they matter most, strengthen system performance, and achieve sustainable, measurable improvements in health outcomes.

  • MD+A helps healthcare and public sector organizations build the partnerships, alliances and integrations they need to deliver better care across the system—not just within a single institution. We work with providers, government bodies, and community organizations to align priorities, clarify roles, and create clear, practical frameworks for collaboration. 

    Through structured stakeholder engagement and facilitation, we turn fragmented relationships into coordinated alliances and integrated service models. The result is smoother care pathways, better use of shared resources and data, and more coherent, responsive services for patients and populations.

  • MD+A supports healthcare and public sector organizations to rethink how services and systems are designed and governed—so patients move through care faster and health systems perform better as a whole. We combine proven improvement and change-management frameworks with deep experience in health system reform to tackle both frontline bottlenecks and the broader policy, funding, and organizational structures that shape them. 

    Working with clinical, operational, and policy leaders, we redesign care models and workflows, strengthen coordination across providers and sectors, and embed data and performance insights into everyday decision-making. The result is more timely, efficient, and reliable services for patients and populations, and a health system that is better aligned, more integrated, and more resilient to ongoing pressures and change.

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Privacy, Security and Risk

MD+A helps organizations protect sensitive health information and digital assets so they can innovate without losing control of risk. MD+A combines deep privacy expertise, regulatory understanding, and practical security and risk management.

We design and strengthen privacy programs, regulatory compliance approaches, cybersecurity practices, and governance structures that boards and regulators can trust.

  • MD+A’s Privacy Advisory Services help healthcare and public sector organizations design and strengthen their overall approach to protecting personal health information. We support clients in identifying, understanding, and mitigating privacy risks across programs, services, and digital initiatives.

    We develop and refine privacy programs—policies, procedures, roles, and governance structures—so that technologies, workflows, and business processes align with legislation and recognized best practices. Our team provides advisory support on complex issues such as consent models, information sharing, de-identification, and secondary use of data, ensuring that decisions are both practical and defensible.

    MD+A also conducts privacy impact assessments and develops privacy requirements to identify risks early and influence safer system and service design. We complement this with tailored training for leaders, clinicians, and staff to build awareness and clarify day-to-day responsibilities. The result is a clear, organization-wide privacy framework that supports responsible information use while enabling innovation and system improvement.

  • MD+A’s Privacy Operational Support service helps organizations run their privacy function day-to-day, augmenting in-house capacity with specialized expertise. We work alongside your privacy office, information management, and clinical/operational teams to manage routine and complex privacy activities efficiently and consistently.

    Depending on need, we can support or lead activities such as intake and triage of privacy inquiries, incident and breach management, access and correction requests, third-party data-sharing reviews, and ongoing updates to privacy documentation and registers. We help design and implement practical tools—templates, checklists, workflows, and tracking mechanisms—that make privacy processes repeatable and auditable.

    For organizations without a large dedicated privacy team, MD+A can provide “privacy office” support on a part-time or interim basis, ensuring continuity of operations and ready access to expert advice. This operational backing allows organizations to meet their obligations, respond to issues quickly, and maintain stakeholder and regulator confidence, without having to build all of the capability in-house.

  • MD+A helps organizations build practical, evidence-informed approaches to regulatory compliance and enterprise risk management in the context of health information and digital health. We assist in interpreting and applying relevant legislation, standards, and guidelines; mapping compliance gaps; and prioritizing remediation activities. 

    Our work includes developing risk registers and mitigation plans, embedding risk considerations into project and change processes, and designing governance structures that keep privacy, security, and digital risks visible to leadership. This reduces the likelihood of incidents, findings, and reputational damage, and supports more confident decision-making about new initiatives.

  • Through our security partners, MD+A helps healthcare and public sector organizations strengthen cybersecurity and information protection in a way that fits their size, complexity, and risk profile. 

    We support the development of security strategies, policies, and roadmaps; assess current controls and vulnerabilities; and help define improvement priorities across people, process, and technology. We also work with clients to embed security into procurement and implementation of new systems, and to clarify how privacy and security responsibilities align. 

    The result is a more resilient environment where critical systems and data are better protected against threats, and security is integrated into everyday operations rather than treated as an afterthought.

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Digital Transformation

MD+A helps healthcare and public sector organizations modernize how they plan, buy, govern, and use digital tools—so technology actually improves care and service, instead of adding complexity. 

We bring together digital strategy, governance, solution design, and procurement support into one integrated offering, ensuring investments are intentional, coordinated, and tied directly to system and organizational priorities to build digital maturity and resilience.

Information governance brings together the strategies, structures, and practices that ensure information is managed in a coordinated, accountable, and purpose-driven way across an organization. MD+A helps organizations establish clear governance models that define how information decisions are made, who is responsible for what, and how policies, standards, and oversight mechanisms are implemented. Our support enables organizations to align information practices with clinical, operational, and strategic goals, ensuring that information is used consistently, responsibly, and effectively across the health system.

  • MD+A works with healthcare and public sector organizations to define clear, practical digital health strategies that cut through the complexity of transformation. 

    We engage clinical, operational, and IT leaders to assess current capabilities and digital maturity, identify critical gaps, and set sharp, achievable priorities. From there, we develop phased digital roadmaps that spell out what to do, in what order, and with what resources—whether that involves modernizing core systems, enabling virtual care, improving data flows, or supporting frontline decision-making. 

    Our focus is on making digital investments that are realistic, sustainable, and tightly aligned with the organization’s mission and health system objectives, so technology actually improves care quality, access, and efficiency rather than becoming another layer of noise.

  • MD+A helps healthcare to put real discipline around digital health—so investments are controlled, risks are managed, and value is actually delivered. Our Digital Health Governance service establishes clear decision-making structures, roles, and processes that link digital initiatives directly to strategic priorities and budget. 

    We design frameworks to identify and manage clinical, privacy, security, and operational risks; enforce policy and regulatory compliance; and track performance through meaningful indicators and benefits-realization metrics. With MD+A’s support, organizations gain a governance model that brings transparency to digital spending, speeds up good decisions, and ensures that digital health investments improve outcomes, experience, and system performance.

  • MD+A helps healthcare and public sector organizations buy the right digital solutions.  We work with clinical, operational, and IT leaders to define clear, outcomes-focused requirements that reflect real needs, workflows, and constraints. 

    Using structured evaluation and scoring frameworks, we guide vendor selection to balance functionality, interoperability, usability, total cost of ownership, and risk. Our support spans the full procurement lifecycle—from requirements and RFP design through evaluation, negotiations, and implementation planning—so decisions are defensible, transparent, and value-driven. By aligning procurement with strategy and operational realities, we help organizations select solutions that are sustainable, implementable, and capable of delivering measurable improvements in care, efficiency, and system performance.

  • MD+A helps healthcare and public sector organizations understand whether their initiatives are actually working—and what to do next. Our Evaluation & Benefits Realization service assesses how strategies, digital projects, and service changes are performing against their intended outcomes, using clear indicators, baselines, and practical data sources. 

    We work with leaders and teams to define realistic benefits (for patients, providers, and the system), build measurable targets, and track progress over time.

    We don’t stop at reporting. We translate findings into concrete recommendations on how to improve adoption, adjust design, or re-focus investment, and we support organizations to embed benefits-realization thinking into business cases, governance, and day-to-day management. The result is a stronger line of sight from investment to impact, more credible accountability to funders and regulators, and better decisions about which initiatives to scale, fix, or stop.

  • Change only works if people know what to do with it. MD+A designs and delivers tailored training and coaching so teams can sustain new ways of working in privacy, digital, and data. 

    We provide practical sessions for executives, managers, clinicians, and technical staff on topics such as privacy and confidentiality, data governance and stewardship, digital health leadership, and using data and technology in day-to-day work. By pairing project work with targeted capacity building, we help organizations embed new practices, reduce long-term reliance on external consultants, and get full value from their investments.

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Information Governance

Information governance brings together the strategies, structures, and practices that ensure information is managed in a coordinated, accountable, and purpose-driven way across an organization.

MD+A helps organizations establish clear governance models that define how information decisions are made, who is responsible for what, and how policies, standards, and oversight mechanisms are implemented. Our support enables organizations to align information practices with clinical, operational, and strategic goals, ensuring that information is used consistently, responsibly, and effectively across the health system.

  • MD+A helps healthcare and public sector organizations get clear on what they want from data—and how to get there. We work with executive and operational leaders to define data ambitions grounded in real-world priorities: better population health insights, stronger performance management, improved access and equity, or more effective planning. We then translate those goals into a practical data strategy and roadmap that sets priorities, phases investments, and clarifies roles. The result is a focused plan that stops ad-hoc data projects, aligns digital and analytics efforts, and turns data into a managed, high-value asset rather than an expensive by-product.

  • MD+A builds data governance models that balance control with usability—so data is trusted, secure, and actually used. We help organizations define decision rights, stewardship roles, and accountability for data across programs and departments. Our work includes developing policies and standards for data quality, access, privacy, security, and data sharing, with a strong understanding of health-sector regulatory expectations. By putting in place pragmatic governance structures and processes, we help clients reduce risk, resolve data ownership conflicts, improve data consistency, and create the conditions for reliable reporting, analytics, and AI.

  • MD+A supports organizations to strengthen the underlying information management and data architecture that make good governance and analytics possible. 

    We map how data is collected, structured, stored, and shared across systems and settings, identifying fragmentation, duplication, and quality issues that slow down care and decision-making. Working with clinical, business, and IT teams, we design practical improvements—standardized data definitions and codes, better data flows between systems, simpler and more coherent registries and data stores, and clearer documentation. 

    This approach reduces rework and manual data wrangling, improves interoperability and reporting, and lays a solid foundation for advanced analytics and digital health initiatives.

Trusted Experience Across the Americas

Headquartered in Toronto, MD+A maintains strong partnerships and extensive project experience that extends from the Canadian North to South America.

 

Partner With Us

Whether you’re refining a strategy, planning a new digital initiative, or trying to get more value from the systems you already have, a conversation is a good place to start. Connect with us to explore how we can support your work.

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