A hospital-embedded care model for medically complex inpatients

Juliana helps health systems manage high-complexity patients who drive prolonged hospital stays, fragmented care, and repeated utilization—with a dedicated clinical model designed to improve throughput, coordination, and financial performance.

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[medical specialist interaction]
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Designed for the small cohort driving disproportionate inpatient utilization

Embedded directly within hospital operations

Focused on improving length of stay, discharge stability, and throughput


Built by leaders with deep clinical and operational experience

The problem

Traditional inpatient models were not built for today’s most complex patients

Across health systems nationwide, a small percentage of patients account for a disproportionate share of inpatient days, readmissions, and care coordination burden.

These patients often present with overlapping medical, behavioral, and social complexity that stretches traditional hospitalist and case management models beyond their intended scope.

With a small percentage of patients driving disproportionate utilization and coordination burden—the result is familiar across many hospitals:

Prolonged length of stay

Delayed discharges

Fragmented coordination across settings

Increasing pressure on hospital capacity

Health systems need a new approach designed specifically for this level of complexity.

Juliana is...

a dedicated care model for the highest-complexity inpatient population

Juliana works alongside hospital leadership, hospitalists, nursing teams, case management, and post-acute partners to provide focused clinical attention and coordination for medically complex patients.

Rather than replacing existing care teams, Juliana strengthens the system around them—adding dedicated capacity and expertise for the patients who require the most coordination and continuity.

The result is a more structured approach to managing complexity across the inpatient journey.

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How the Juliana model works

1.

Identify the target cohort

Patients with persistent medical complexity, utilization risk, and discharge barriers are identified using clinical and operational criteria developed with hospital leadership.

2.

Embed a dedicated multidisciplinary care model

Juliana supports hospitals with focused clinical leadership and coordinated care resources that work alongside existing hospital teams.

3.

Manage the full care journey

The model supports coordination across admission, inpatient care, discharge planning, and post-acute transitions.

4.

Improve operational and financial performance

By reducing fragmentation and improving coordination, hospitals can shorten length of stay, improve discharge stability, and recover valuable bed capacity.

Built for the metrics health systems care about

Length of Stay

Reduce unnecessary inpatient days created by fragmented coordination and delayed execution.

Throughput and Capacity

Free beds for higher-acuity demand and improve patient flow across the hospital.

Readmissions and Discharge Stability

Support safer and more coordinated transitions for high-risk patients.

Financial Performance

Improve margin through capacity recovery and more effective management of complex care.

Results that matter to hospital operators and financial leaders

23%

Reduction in hospital admissions

21%

Decrease in average inpatient days

$19M

Validated annual cost reduction

6,300+

Additional bed-days unlocked annually

Based on validated program outcomes and real-world implementation experience.

Additional details available upon request.

Where the Juliana model works best

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Academic medical centers

Regional health systems facing rising length of stay and discharge delays

Organizations managing medically complex or polychronic patient populations

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Health systems seeking capacity improvement without simply adding beds

Leadership team

Built by leaders across healthcare operations, clinical innovation, and complex care delivery

Juliana brings together experienced healthcare operators, physician leaders, and transformation experts focused on improving care for medically complex patients.

 

Our leadership team combines decades of experience across hospital operations, clinical leadership, care model innovation, and healthcare transformation.

Patrick Sorrentino

Patrick Sorrentino

CEO & Co-Founder
  • Healthcare executive with deep experience leading hospital operations and transformation initiatives
  • Former health system CEO with extensive experience in performance improvement and care model innovation
  • Focused on designing scalable operating models that improve both clinical and financial outcomes
Michael McCann

Dr. Michael McCann

Founding Director,
Clinical Model & Care Design
  • Physician leader with deep expertise in managing medically complex inpatient populations
  • Clinical leadership experience in developing innovative care models for high-utilization patient cohorts
  • Focused on aligning clinical excellence with operational execution
Mark Montoney

Dr. Mark Montoney

Clinical Strategy Advisor
  • Experienced physician executive with national leadership experience in care delivery innovation
  • Former health system CMO with extensive background in complex care transformation
  • Focused on integrating clinical strategy with operational performance
Les Wilkinson

Les Wilkinson

Strategy & Operations Advisor
  • Healthcare operator and venture builder focused on scaling new care delivery models
  • Leadership experience across healthcare innovation, operations, and investment strategy
  • Focused on building sustainable models that improve system performance
Juliana combines clinical leadership, hospital operations expertise, and care model innovation to address one of the most challenging problems facing health systems today: the management of medically complex inpatient populations.

Frequently asked questions

Find clear answers to common questions about our care coordination and patient support model.

If your health system is facing rising complexity and capacity pressure, let’s talk.

Schedule a conversation to learn how Juliana can support your organization.

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