Healthcare Compliance & Operations Consulting

Compliance programs
built to hold up
at survey.

Earned across twenty years in behavioral health and healthcare operations. Applied directly to yours.

Your program looks fine on paper.
Will it hold up when a surveyor walks in?

Most healthcare organizations don't fail survey because of bad people. They struggle because the compliance program exists in policy binders, not in daily practice — and the evidence isn't there when someone asks for it.

"These aren't signs of a broken team. They're signs of a program that was never built to be tested — and that can be fixed."

  • Policies say one thing and day-to-day practice does another
  • No one can quickly produce the documentation a surveyor or auditor asks for
  • Compliance ownership is unclear, or sits on one person's desk
  • Leadership finds gaps during survey, not before it
  • You're growing — new sites, services, or payers — and your program hasn't kept pace

We build compliance programs
that work in practice.

FieldVector works directly with executive and clinical leadership to build compliance programs and the operational systems behind them — so your policies are followed, your evidence is ready, and your organization holds up under survey, audit, and payer review.

01

Compliance Program Development

We build compliance programs from the ground up — charter, policies, procedures, risk assessment, auditing, and monitoring — so your organization has a program that actually runs.

02

Survey & Audit Readiness

We test your program the way a surveyor or payer would, close the gaps, and organize your evidence so you can produce it on demand — before survey day, not during it.

03

Policy, Procedure & SOP Development

We write clear, usable policies and SOPs your team will follow — aligned to CMS, URAC, and Joint Commission expectations and built for training, not for the shelf.

04

Quality & Operational Reviews

We assess how work actually gets done, find where quality, revenue, and regulatory risk are slipping, and give you a clear, prioritized path forward.

A structured approach.
Practical results.

01

Review

We start by understanding how your organization actually operates today — not how the policy manual says it does.

02

Identify Gaps

We pinpoint the specific compliance and process gaps that create survey, audit, and payer risk.

03

Redesign

Policies, workflows, and monitoring tailored to your environment — practical enough to actually be used.

04

Implement

We don't hand you a report and walk away. We help put the program into practice so it holds up when tested.

Built on real operational
experience. Not theory.

FieldVector was founded by David Lewis — a healthcare operations executive with more than twenty years of experience leading and improving operations across behavioral health organizations, telehealth platforms, and multi-site clinical environments.

That depth of experience transfers directly to clients — whether you're building a compliance program from scratch, preparing for survey, or a clinical leader carrying compliance weight that wasn't in your job description.

  • COO and CCO of regional behavioral health and eating disorder treatment organizations
  • Clinical risk management at a major academic health system
  • Six Sigma Green Belt with a record of measurable operational improvement
  • Compliance, quality, and operational standardization across complex care environments
"The problems are different. The approach is the same: practical, grounded, and built to last."

Built for healthcare organizations
that need a program they can defend.

Behavioral Health & Healthcare Organizations

Your clinical work is strong, but the compliance infrastructure behind it hasn't kept pace. Whether you're building a program from scratch or inheriting one that needs repair, FieldVector brings the experience to make it defensible.

Telehealth & Multi-Site Providers

Growth across sites, states, and payers multiplies regulatory exposure. FieldVector builds the standardized systems that keep every location operating to the same standard.

When a surveyor asks how you screen vendors,
you can show them.

Tierosta is FieldVector’s exclusion screening and vendor risk tiering tool. It checks your vendors and staff against federal and state exclusion lists, tiers each vendor by risk, and keeps the documentation an auditor will ask to see.

01

Screen against the lists that matter

Vendors and staff are checked against the HHS-OIG exclusion list (LEIE), SAM.gov, and state Medicaid exclusion lists, then rechecked on a schedule.

02

Tier vendors by risk

A six-question rubric sorts every vendor into Low, Medium, or High. Tierosta suggests answers, but a person approves every tier, and the tier sets how often a vendor is rescreened.

03

A human decision on every match

Possible matches go to a review queue where someone records a decision and a reason. Nothing is cleared automatically.

04

Evidence you can produce on demand

Download a PDF report for each screening and export an append-only audit log, so the proof is ready before anyone asks for it.

Explore Tierosta Built by FieldVector, from the compliance work we do.

Let's make your program
ready for survey.

If you're building a compliance program, preparing for survey, or inheriting one that needs repair — reach out. We'll have a focused conversation about where you stand and what's getting in your way.

Email: apheion@fieldvectorhq.com

No pressure. No pitch. Just a direct conversation.

Ready for a program that holds up when it's tested?

Twenty years in behavioral health and healthcare operations — applied directly to your organization.

Request a Compliance Readiness Review

No theory. No fluff. Just compliance and operational expertise that works.