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About us

HRM International

HRM International is a leading performance improvement and turnaround strategy consulting firm focused exclusively on the healthcare industry. Our firm specializes in assisting global healthcare systems with performance improvement consulting as well as providing any interim management that may be needed to enhance the performance of the healthcare organization.

Services Provided

What We Do

The following list of services and strategies are a summary of the offerings that we provide to our clients. These services and strategies include:

Program and Services Development

Development of new programs and services needed for the selected client based on organizational needs.

Productivity Improvement

Developing tools for establishing productivity standards and monitoring them on a regular basis.

Clinical Operational Improvement

developing processes and systems designed to assist practitioners with improving outcomes and clinical practices.

Revenue Cycle Management

Providing expertise with revenue cycle initiatives including expertise with systems regarding IT, billing and collections as well as managed care negotiations.

Physician Practice and Medical Group Management

Providing management and technical expertise to improve the financial viability and quality of physician practice operations including alignment and integration strategies for physicians. Also providing relationship initiatives for health systems and physicians.

Mergers and Acquisitions

Providing expertise to accomplish organizational objectives for any partnering, joint ventures, mergers and acquisition of entities to achieve long range organizational objectives.

Strategic Planning and Strategy Development

Providing a strategic plan and process for organizations needed a blueprint for the future. This includes work with Governance and establishing a Board Planning Committee to insure long term attainment of strategic objectives.

Specialty Support Services

Providing any expertise needed for specific projects or execution of specific departmental of program objectives. This would include any development of new services for the organization or the placement of needed specialized staff and leadership.

Patient Experience

Improvement of patient experience ratings and enabling clients to achieve recognition for this improvement.

Culture Development

Developing a culture that is focused on patient centered care and patient experience. Our culture development initiatives have included establishing a culture of discipline and a culture of safety for client organizations as well as providing a blueprint with a step by step process for long term culture change.

Turnaround Management

Providing overall management and leadership for an organization in need of a comprehensive turnaround of all finances and operations. A comprehensive assessment and plan of action is constructed followed by an implementation plan and execution of that plan.

Interim Management

Providing executive level management or specific program management during transformational phases or in between leadership changes leading to the placement of permanent leadership.

Performance Improvement

Improving the financial and operational performance of the organization. This includes a Rapid Margin Improvement initiative that is available to organizations in need of immediate improvement.

We’re here for you. Call us at (321)-622-6134 or request an appointment online.

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Who We Serve

As an internationally focused firm, our clientele is comprised of hospitals and healthcare businesses and entities operating both domestically and international. We have served clients in the United States, Central America, South America and throughout the Middle East region. Our clients served have included the following types of organizations:

  • Acute Care Hospitals
  • Psychiatric Hospitals
  • FQHCs
  • Physician Practices
  • Multi-Specialty Medical Groups
  • Ambulatory Surgery Centers
  • Community Mental Health Centers
  • Health Plans
  • Private Equity Firms
  • Long Term Care Facilities
  • Home Health Agencies
  • Addiction Centers
  • Outpatient Clinics
  • Medical Device Companies

We have been fortunate to have achieved an international reputation by the variety of clientele served and the outcomes achieved for these clients.


Our Mission

The mission of HRM International is to partner with healthcare organizations, both domestic and international, to assist them in fulfilling their mission and making an impact on healthcare delivery.

Position of Being a Leader


Dr. Ian E. McFadden serves as Founder and President/CEO for HRM International. Dr. McFadden has over 35 years of healthcare administrative experience serving a variety of healthcare enterprises including: hospitals, health systems, physician groups, health plans, and mental health organizations.

Dr. McFadden has extensive experience working with hospitals and health systems in the United States as well as in other countries. Most recently he served as the CEO for Dr. Erfan and Bagedo General Hospital and previously served other hospitals in Saudi Arabia including Dr. Noor Mohammed Khan Hospital in Hafr Al Batin. He has also served several hospitals and health systems in the United States at the Senior Executive Level and spearheaded performance improvement and turnaround management initiatives at these hospitals. He has worked with a variety of health systems including HCA Healthcare and Catholic Health Initiatives.

Throughout his career Dr. McFadden has managed and consulted on many successful turnarounds of hospital clients and has established a reputation as a top hospital turnaround specialist. His turnaround methods are focused on quality outcomes improvement as well as increasing financial and operational performance. He has received numerous recognitions from various hospitals and has lectured nationally at several universities and at several conferences.

Dr. McFadden holds a Doctorate in Healthcare Administration from the University of Alabama at Birmingham. He also holds a Master’s in Health Administration from the University of Alabama at Birmingham and an MBA in Marketing from the University of Memphis. He is a Fellow in the American College of Healthcare Executives.

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