Decision Clarity
See what requires action
Turn fragmented operational and clinical information into focused measures that leaders and teams can use.
- Actionable healthcare analytics
- Executive and operational dashboards
- Clinical informatics insight
Founder-led healthcare performance consulting
Turn healthcare complexity into measurable performance
Novaryn Bridge Consulting Group LLC helps government agencies, healthcare organizations, and contracting partners solve costly operational, compliance, workflow, and data problems. We connect clinical fluency, executive operations, and data intelligence to deliver decisions teams can act on and improvements leaders can measure.
Data without directionReports exist, but leaders cannot quickly see what requires action.
Compliance without adoptionPolicies exist, but frontline workflows do not consistently support them.
Processes without flowRedundancy, workarounds, and unclear ownership slow essential work.
Strategy without executionPriorities are defined, but results are not sustained or measured.
Active engagement · Updated 21 September 2026
iQIES readiness before the 14 November PBJ deadline
Payroll-Based Journal submission moved from QIES to iQIES on 17 August 2026. The Q4 FY2026 submission covering 1 July through 30 September is the first one made through the new system, and it is due 14 November 2026 at 11:59 PM Eastern.
There are no extensions. A missed quarter produces the lowest staffing score rather than a warning. Submitters now need a HARP account, an assigned PBJ role, and approval from the facility's Provider Security Official — and access lapses after sixty days without a login, with vendor access granted separately at each facility by CCN. Separately, the July 2026 Five-Star refresh raised the total score thresholds for the long-stay, short-stay and overall Quality Measure ratings.
iQIES Readiness & Five-Star Diagnostic — what is delivered
- iQIES access audit. Active Provider Security Official confirmed, submitter roles verified, sixty-day inactivity exposure identified, vendor access checked against the correct CCN — per facility.
- Submission dry run. One Q4 FY2026 PBJ file per facility walked through iQIES validation weeks ahead of deadline week, with errors classified by cause and remedy. Validation output can take up to twenty-four hours to return, so a file first submitted on the deadline cannot reliably be corrected in time.
- Five-Star delta analysis. The effect of the July 2026 threshold increase quantified per facility, separating rating movement caused by the threshold change from rating movement caused by performance.
- Quality measure gap register. The specific measures nearest a scoring threshold, ranked by points recoverable per unit of operational effort.
- Findings memo and remediation roadmap. A named owner and a target date against every gap, plus a one-page summary for an ownership or board audience.
- Closeout call. Sixty minutes with leadership to agree the remediation sequence.
The dates that govern this
PBJ moved to iQIES17 Aug 2026
Q4 FY2026 quarter closes30 Sep 2026
Last date to start and still finish before the deadline9 Oct 2026
Q4 FY2026 PBJ submission due, 11:59 PM ET14 Nov 2026
Scope note: NBCG assesses and advises. This engagement touches no protected health information, needs no access to clinical systems, and requires no business associate agreement — which is why it can be scoped and signed in days rather than months. NBCG does not submit PBJ or any other file to CMS on a client's behalf, and does not provide clinical care, chart review, or MDS coding advice.
Sources: CMS memo QSO-26-12-NH · CMS staffing data submission · CMS Provider Data Catalog — nursing homes
Client Outcomes
Better decisions. Stronger operations.
NBCG begins with the result the client needs—not a predetermined technology or generic consulting package. We connect what your systems capture to what your teams actually do, transforming information into clear decisions, practical workflows, and measurable performance.
Compliance in Practice
Move beyond the policy
Translate regulatory requirements into workflows, ownership, monitoring, and training that teams can consistently follow.
- Quality and compliance readiness
- Corrective workflow design
- Performance monitoring
Operational Reliability
Simplify before automating
Expose bottlenecks, eliminate unnecessary steps, clarify accountability, and apply technology only where it strengthens the process.
- Workflow and process improvement
- Workforce implementation
- Appropriate automation
Execution Support
From plan to sustained result
Support healthcare and government teams through implementation, stakeholder alignment, measurement, and disciplined follow-through.
- Health program operations
- Project and stakeholder support
- Training and sustainment
Defined EngagementsClear scope. Practical deliverables.
Healthcare Performance Diagnostic
A focused assessment of the operational system behind the performance problem.
- Workflow and data review
- Risk and root-cause findings
- Prioritized improvement roadmap
Quality & Compliance Improvement Sprint
Translate identified regulatory or quality gaps into workable corrective action.
- Gap and control assessment
- Corrective workflows and ownership
- Monitoring tools and staff implementation
Healthcare Analytics & Dashboard Project
Transform existing data into useful measures for executive and operational decisions.
- Metric and source definition
- Dashboard or reporting solution
- Interpretation and adoption support
Clinical Workflow & EHR Optimization
Align system use with the realities of clinical work and required outcomes.
- Current-state workflow mapping
- Redundancy and failure-point analysis
- Future-state design and implementation plan
Informatics Workforce Development
Develop a currently employed nurse into an informatics role while producing a scoped optimization deliverable.
- Precepted, project-based practicum on synthetic data
- Optimization or governance artifact delivered to the employer
- Competency evaluation and role-transition readiness
Engagement 05 is delivered as non-clinical informatics project supervision. NBCG provides no patient care and no clinical supervision, and all student work runs on NBCG-owned synthetic scenarios rather than client production systems or live patient data.
The NBCG MethodDiagnose before prescribing
Define the outcome
Clarify the decision, risk, cost, or performance result that matters.
Trace the system
Connect the data, workflow, people, controls, and technology behind it.
Remove friction
Simplify the process, assign ownership, and design practical interventions.
Measure and sustain
Track adoption and results, then refine what does not hold under real conditions.
FounderLed personally, not handed off
Novaryn Bridge Consulting Group is led by Tessy Edomwandagbon, RN, MBA, MSN, Founder and Managing Member. A registered nurse with graduate preparation in both nursing and business, she leads every engagement directly — there is no junior handoff and no pass-through capacity.
85-bed unitSkilled nursing unit including a memory care population, directed end to end.
57 nursing staffClinical team under direct management, across roles and shifts.
Below benchmarkLong-stay urinary tract infection and antianxiety medication measures under the national rate.
Figures describe the scope of the founder's responsibility in a prior leadership role and are presented as key-personnel experience, not NBCG corporate past performance. Quality-measure comparisons are to the national rate published in the CMS MDS Quality Measures dataset. Survey history, references, and further detail are provided on request and in the capability statement.
The FirmFounder-led expertise. Team-ready delivery.
Novaryn Bridge Consulting Group LLC is a founder-led healthcare performance consultancy built to connect clinical reality, operational discipline, and data intelligence. The firm is intentionally focused: NBCG addresses problems where information, workflow, compliance, and execution meet.
For prime contractors and teaming partners, NBCG contributes founder-led subject-matter expertise in healthcare operations, clinical informatics, quality and compliance, workforce implementation, and performance analytics. The firm supports both proposal development and contract execution within a clearly defined workshare.
NBCG serves clients nationwide from North Texas and pursues carefully aligned prime, subcontract, and teaming opportunities across federal, state, local, and commercial markets.
NBCG is an independent Texas limited liability company, 100% directly owned by its founder. It has no parent company, no subsidiaries, and no affiliated operating entities.
For Buyers & Teaming PartnersContracting information
Legal NameNovaryn Bridge Consulting Group LLC
Business StructureTexas Limited Liability Company · 100% woman-owned
UEIN8XZPCX11LA3
CAGE Code24S37
Primary NAICS541512 · Computer Systems Design Services
Texas CMBL Vendor ID14232782053
Target Federal CustomersVA · HHS · CMS · DoD Target customers pursued, not a current customer list.
Capability StatementDownload the one-page PDF
NBCG's one-page capability statement is available for immediate download above. Federal health customers named are target customers NBCG is pursuing under NAICS 541512; NBCG does not represent them as current or past clients. Founder and key-personnel qualifications, representative experience, professional references, and teaming details are available on request, and NBCG welcomes carefully aligned prime, subcontract, and teaming opportunities.
LeadershipFounder & Managing Member
Tessy Edomwandagbon
RN, MBA, MSN
Tessy Edomwandagbon is a registered nurse executive whose career spans direct patient care, clinical leadership, healthcare operations, regulatory performance, and health information systems. She holds a Master of Business Administration and a Master of Science in Nursing, pairing clinical fluency with the operational and financial discipline that complex healthcare engagements demand.
As Founder and Managing Member of NBCG, she personally leads client engagements — bringing the perspective of someone who has practiced at the bedside, led healthcare operations, improved organizational performance, and worked with the systems and data that clinicians and decision-makers depend on.
ContactStart a conversation
Phone703-862-1031
LocationNorth Texas · Serving clients nationwide
Capability StatementDownload the one-page PDF
Tell us the performance problem, the outcome that matters, and the timeline. Whether you are a contracting officer researching vendors, a prime contractor building a team, or a healthcare organization facing an operational, systems, data, or compliance challenge, NBCG will respond with a focused next step. The capability statement is available for immediate download, and a facility-specific iQIES readiness conversation can usually be scheduled within one business day.