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    <lastmod>2019-08-26</lastmod>
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      <image:title>Benefits &amp; Perks - Health &amp;amp; Dental</image:title>
      <image:caption>Assure the health and well-being of you and your family.</image:caption>
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      <image:title>Benefits &amp; Perks - Health &amp;amp; Dental</image:title>
      <image:caption>Assure the health and well-being of you and your family.</image:caption>
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      <image:caption>Flexible options to accommodate your scheduled and unscheduled outages.</image:caption>
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    <loc>https://www.downshiftconsulting.com/downshift-happenings</loc>
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    <lastmod>2023-09-23</lastmod>
  </url>
  <url>
    <loc>https://www.downshiftconsulting.com/downshift-happenings/ncqa-innovation-summit</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-09-23</lastmod>
  </url>
  <url>
    <loc>https://www.downshiftconsulting.com/downshift-happenings/himss-2020</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2020-03-02</lastmod>
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  <url>
    <loc>https://www.downshiftconsulting.com/downshift-happenings/ihi-national-forum</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2019-10-23</lastmod>
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  <url>
    <loc>https://www.downshiftconsulting.com/downshift-happenings/beckers-ceo-cfo-roundtable</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2019-10-22</lastmod>
  </url>
  <url>
    <loc>https://www.downshiftconsulting.com/downshift-happenings/himss-bits-amp-bites-w-edward-elmhurst</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2019-09-23</lastmod>
  </url>
  <url>
    <loc>https://www.downshiftconsulting.com/downshift-happenings/beckers-hit-rcm-conference-chicago-il</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2019-09-23</lastmod>
  </url>
  <url>
    <loc>https://www.downshiftconsulting.com/downshift-happenings/madison-wi</loc>
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    <priority>0.5</priority>
    <lastmod>2019-08-26</lastmod>
  </url>
  <url>
    <loc>https://www.downshiftconsulting.com/population-health</loc>
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    <priority>0.75</priority>
    <lastmod>2021-09-03</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1515454571649-43N91CPHXELYB3NDP6UE/people_dotmap_us_edited.jpg</image:loc>
      <image:title>Population Health</image:title>
      <image:caption>population health united states</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.downshiftconsulting.com/rfp</loc>
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    <lastmod>2021-10-14</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1629052611998-GTPCJWHLDXVWI9ZO26UK/downshiftlogo-noconsulting_300x300.jpg</image:loc>
      <image:title>RFP - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.downshiftconsulting.com/join-us</loc>
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    <lastmod>2022-02-02</lastmod>
  </url>
  <url>
    <loc>https://www.downshiftconsulting.com/value-based-care</loc>
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    <priority>0.75</priority>
    <lastmod>2021-09-03</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1515474420276-34PJ3W08X4AEYZN7UTJW/apple_coins_scale_edited_3.jpg</image:loc>
      <image:title>Value-Based Care</image:title>
      <image:caption>value-based care heart and health balancing against money</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.downshiftconsulting.com/user-dashboards</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2021-09-03</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1515698581012-G5RXR5LFUDFK5M7XOLMY/pointing_dashboard_edited_2.jpg</image:loc>
      <image:title>User Dashboards</image:title>
      <image:caption>epic dashboard finger pointing to screen</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.downshiftconsulting.com/regulatory-reporting</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2021-09-03</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1630694430960-AF10XIPKCYW2MQDSYIFT/Regulatory+Reporting.jpg</image:loc>
      <image:title>Regulatory Reporting</image:title>
      <image:caption>epic eCQM &amp; regulatory reporting</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.downshiftconsulting.com/patient-registries</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2021-09-03</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1515698615600-TEE35FVH7IWTZFLG6DXY/registires_gear_edited.jpg</image:loc>
      <image:title>Patient Registries</image:title>
      <image:caption>epic registries - finding people in chronic illness populations or attribution lists</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.downshiftconsulting.com/clinical-decision-support</loc>
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    <priority>0.75</priority>
    <lastmod>2021-09-03</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1515475001746-LTYBTB36OWT28RR8GU3Y/decision_gear_edited.jpg</image:loc>
      <image:title>Clinical Decision Support</image:title>
      <image:caption>epic clinical decision support gears</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.downshiftconsulting.com/current-opportunities</loc>
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    <priority>0.75</priority>
    <lastmod>2022-02-02</lastmod>
  </url>
  <url>
    <loc>https://www.downshiftconsulting.com/employees</loc>
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    <priority>0.75</priority>
    <lastmod>2018-01-25</lastmod>
  </url>
  <url>
    <loc>https://www.downshiftconsulting.com/terms-conditions</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2022-02-02</lastmod>
  </url>
  <url>
    <loc>https://www.downshiftconsulting.com/cob-integration</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2021-09-03</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1553217846561-1GIYJUMQX5F0LN6LX2FO/CBO+Integration.jpg</image:loc>
      <image:title>Community Based Org Integration</image:title>
      <image:caption>epic community outreach and integration</image:caption>
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  </url>
  <url>
    <loc>https://www.downshiftconsulting.com/risk-scores</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2021-09-03</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1553217907313-J1FVN3X68DAUEB37Q14L/Risk+Scores+and+Segmentation.jpg</image:loc>
      <image:title>Risk Scores, Segmentation, &amp; Screening</image:title>
      <image:caption>epic risk scores, member segmentation &amp; screening</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.downshiftconsulting.com/ee-rme</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2021-09-03</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1553217966750-XAWH1V9XWT2PPKZSQQBF/EE+and+RME.jpg</image:loc>
      <image:title>Eligibility &amp; Enrollment and RME in Epic</image:title>
      <image:caption>Eligibility &amp; Enrollment and Roster Management Engine in Epic</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.downshiftconsulting.com/home</loc>
    <changefreq>daily</changefreq>
    <priority>1.0</priority>
    <lastmod>2025-09-29</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/8ae617d0-8c15-48cd-ae69-f80502934985/2+-+cj_duax_headshot25.jpeg</image:loc>
      <image:title>Downshift Consulting</image:title>
      <image:caption>President &amp; Principal Consultant As a former Epic employee and Epic client consultant, C.J. has worked with some of the country's largest and most prestigious healthcare organizations.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1629048913299-SBJZ6QWFZ27F8EMGYLUY/website+banner.jpg</image:loc>
      <image:title>Downshift Consulting - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1555773301800-GML9PCDUEJJ7YELDX3WF/lighbulb_earth_edited_1500x1000.jpg</image:loc>
      <image:title>Downshift Consulting</image:title>
      <image:caption>OUR MISSION To provide grounded support to efficiently guide healthcare organizations in realization and promotion of value from the Epic comprehensive health record</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1555773385848-WLG4VVCKRLQ5VOHB6LLC/raised_hands_edited_1500x1000.jpg</image:loc>
      <image:title>Downshift Consulting</image:title>
      <image:caption>100% of clients come back Without exception, clients say they'd work with C.J. again. If a full-time 40-hr commitment has not been available, organizations have adjusted policies to accommodate his support in a remote or part-time basis, time and again.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1516819552012-MAR0J0BAICYG9LF0QJKO/DownshiftSiteBanner.jpg</image:loc>
      <image:title>Downshift Consulting</image:title>
    </image:image>
  </url>
  <url>
    <loc>https://www.downshiftconsulting.com/our-services</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2021-10-14</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1629051318455-CNX12VZVH4LYRNS7LCSO/downshiftlogo-noconsulting_300x300.jpg</image:loc>
      <image:title>Our Services - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.downshiftconsulting.com/white-paper-request</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2021-03-12</lastmod>
  </url>
  <url>
    <loc>https://www.downshiftconsulting.com/care-management</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2021-09-03</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1555984648632-Z14QGJ3EX8WYDVLR6X47/care_mgmt.jpg</image:loc>
      <image:title>Care Management</image:title>
      <image:caption>Epic Care Management via Healthy Planet toolsets</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.downshiftconsulting.com/tenured-healthy-planet-resource</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2019-08-05</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1559935376183-M1FE6JMY90DDMPG1JRKR/gear_knowledge_share_edited.jpg</image:loc>
      <image:title>Tenured Healthy Planet Resource</image:title>
    </image:image>
  </url>
  <url>
    <loc>https://www.downshiftconsulting.com/meet-the-team</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-09-29</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1629051782069-IO33FT7FPS44M8PKIYLN/downshiftlogo-noconsulting_300x300.jpg</image:loc>
      <image:title>Meet the Team - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1580961931403-6FKR1Y5GOIGH3TDI88UY/core_principle_2_v2.png</image:loc>
      <image:title>Meet the Team</image:title>
      <image:caption>Experience is the foundation of our confidence. We have great foresight because we pause, reflect on, and capture hindsight. We take the long-view. When we get the answer, we hang up the phone. We have chops when it comes to deconstruction of problems and interacting with multiple stakeholders to resolve them. We are flexible to our clients’ needs. We help our clients define their success – because there is ours.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1566793538455-HDM8LTWSBXPIBRFTKXZG/core_principles_2b.png</image:loc>
      <image:title>Meet the Team</image:title>
      <image:caption>We go fast with mindful urgency. We excite our co-workers to achieve. We are balanced; our calm is contagious. We tell the truth even when it hurts; we bill only what we work. We are supportive and empathetic in our language, particularly when written. We thrive on helping others grow. We go first: we say hello, we offer help, we build bridges.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1589224021592-HC5LV3AUIPUWSBJ48DWL/analytics_leader.jpg</image:loc>
      <image:title>Meet the Team</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1589224073600-D4Z3RRE20EPKG1CMIO29/interop_data_engineer.jpg</image:loc>
      <image:title>Meet the Team</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1589224279200-PN1G9MPIZH7SRZN8B5MO/analytics_tableua_pm.jpg</image:loc>
      <image:title>Meet the Team</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1589224337876-WKROV9B4YA84LYTM509N/healthy_planet_resource.jpg</image:loc>
      <image:title>Meet the Team</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1589224387655-L9VT6PN94A9N0OUCL18I/clinical_tranformation_leader.jpg</image:loc>
      <image:title>Meet the Team</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1589224438172-JV8CVIV14QRQY03MZXHC/pharmacy_pm.jpg</image:loc>
      <image:title>Meet the Team</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/deedfa7e-64b0-4359-a84f-7a1481111f06/2+-+cj_duax_headshot25.jpeg</image:loc>
      <image:title>Meet the Team</image:title>
      <image:caption>C.J. Duax, Founder &amp; President - A thought leader in the Epic population health space who wrote the software giant’s original white paper on the Medical Home and meeting NCQA requirements (in total the foundational analysis and recommendation package that would become Epic’s Healthy Planet), C.J. has contributed to Epic’s continued population health evolution for the better part of the last decade. He oversaw the first-ever Healthy Planet and Payer Platform implementations at the foremost healthcare organization in the world. With a knack for appropriate communication styles at all levels of the HIT and operational hierarchy, a deeply technical &amp; broad Epic knowledge base, and a passion for transforming healthcare and inspiring teams to do the same, he brings unsurpassed value to engagements and a singular voice of authority to Downshift.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1565668990399-Y104NFY1OO4XVPC3M890/prayer_flag_tree_edited.jpg</image:loc>
      <image:title>Meet the Team</image:title>
      <image:caption>We are all owners. Our staff treats the business as if it was theirs, because it is. We believe in ourselves, enough to do our own thing: to own our autonomy, to own our freedom, to own our future, and most importantly to own our role as inspiration to you and your team to own YOUR greatness as leaders in healthcare IT. That’s Downshift.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1566783638912-8OK0YJ01N2P9HE7XMR5O/about_us.jpg</image:loc>
      <image:title>Meet the Team</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1565662314095-83JX7IDBTJYY7L3ZNL2J/balanced_rocks_edited_coreprinciples.jpg</image:loc>
      <image:title>Meet the Team</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1629047485282-LDQ19QPK0HEZKR12XVPV/business_relaxed_headshot_cropped_1500x1000_ourleadership.jpg</image:loc>
      <image:title>Meet the Team</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1566784107259-DQA2OOZ4DE7ZZRE9XDN0/long_road_mountains.jpg</image:loc>
      <image:title>Meet the Team</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1565663531662-94GF1I0VERKVU28JC861/bulb_inmess_edited_availableresources.jpg</image:loc>
      <image:title>Meet the Team</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1566355782000-XE5WXBE2TPH8GB6DWBCV/our_approach_gears_noborder.png</image:loc>
      <image:title>Meet the Team</image:title>
      <image:caption>We understand the challenges that executives and physicians face on a day-to-day basis. We work with you to create and enhance productive work environments to achieve ambitious goals. High quality, leadership-driven, organization-specific solutions are still the best answer for the world’s top providers and payers. You’ve got a vision? We’ll help you execute it.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.downshiftconsulting.com/our-clients</loc>
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    <priority>0.75</priority>
    <lastmod>2024-08-19</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1566359988229-YHDUE5DNAJS3FZFGRLVG/mike.jpg</image:loc>
      <image:title>Our Clients</image:title>
      <image:caption>Mike, VP Ambulatory Operations - A rising star with a deep understanding of the value-based landscape at a preeminent academic institution. He recognized a need to cut through bureaucracy while limiting exposure to the organization during a recent project, and needed expertise at the ready to lead confidently and to speak truth to power. We did just that, deftly navigating politics within the organization, stewarding lagging project components, and helping all involved to distinguish noise from news. Key principles portrayed: Trend-Setting, Passionate, Visionary, Community Leader Where We Filled the Gaps: Adaptive, Future Focused, Collaborative, Data-Driven Approach</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1629052024976-X8QQODF982P4WEXFQUSK/downshiftlogo-noconsulting_300x300.jpg</image:loc>
      <image:title>Our Clients - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1566358936565-ZID2EI1EAVZBQ4LVXMKZ/mike_1.jpg</image:loc>
      <image:title>Our Clients</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1566358953672-FNJ965RN93HXFLS9Z57U/sandra_1.jpg</image:loc>
      <image:title>Our Clients</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1566795386700-UZRNBZMQ27PJIV1K7IB8/daryl_1.jpg</image:loc>
      <image:title>Our Clients</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1566358921844-ROTSPZYLWAQ4LUBE2LOS/kelly_1.jpg</image:loc>
      <image:title>Our Clients</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1566358990881-ARWDVHRW92DVDO6D9CY0/kyle_1.jpg</image:loc>
      <image:title>Our Clients</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1566795469182-OZ1A4IB3AZBXKP8HJGI9/didi_1.jpg</image:loc>
      <image:title>Our Clients</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1566400155419-ZN9HOQGSJSBG3XR4RVE8/client_characteristics_over_gear_awards.jpg</image:loc>
      <image:title>Our Clients</image:title>
      <image:caption>We have great Foresight because we pause, reflect on, and capture hindsight. We take the long-view. When we get the answer, we hang up the phone. We have Chops when it comes to deconstruction of problems AND interacting with multiple stakeholders to resolve them. We are flexible to our clients’ needs. We help our clients define THEIR success - because theirs is ours. We Go Fast with Mindful Urgency. We Excite our co-workers to achieve. We are Balanced; Our Calm is Contagious. We tell the truth even when it hurts; We bill only what we work. We are Supportive and Empathetic in our language, particularly when written. We thrive on helping others grow. We Go First: we say hello, we offer help, we build bridges.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1566360471590-LNDOVV0DQ7UOK60C6WMN/kyle.jpg</image:loc>
      <image:title>Our Clients</image:title>
      <image:caption>Kyle - VP, Population Health - A former Epic resource who has deftly risen the ranks at leading organizations throughout the midwest, this client employs a no-nonsense, hands-off approach to engender autonomy and incentivize creativity to get a job done. Running up against challenges as the organization learned how to navigate the impact to clinical care that value-based reimbursement models presented, he needed senior application expertise melded with expert leadership capabilities to lead diverse team. We dove in and developed plans - executive down to grass-roots level - that allowed for conversations about and development of the bridges necessary to navigate the changing tides. We engaged the organization’s stakeholders in a way that opened their eyes to the possibility of change, while allowing them the breathing room to inact the change in such a way that protected continuity of care and respected the diligent approach typical of this multi-region HCO. Key principles portrayed: Industry Aligned, Balanced, Passionate, Trend-Setting Where We Filled the Gaps: Grounded, Adaptive, Collaborative, Future Focused, Visionary Approach</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1566360032908-2S5BBBM7JIZ0P66LH03I/sandra.jpg</image:loc>
      <image:title>Our Clients</image:title>
      <image:caption>Sandra, VP Analytics - With a clinical background, this client recognizes the power of a strong analytics program to improve healthcare efficiencies. To that end, she was looking for help operationalizing data stakeholder engagement, including governance and stewardship, to help disseminate data solutions more effectively. We came in with the expertise to help guide her team through the details to execute on the big-picture goals of a well-rounded, comprehensive, and cutting-edge analytics shop with increased data fluency across the organization. Key principles portrayed: Visionary, Future Focused, Data-Driven, Industry Aligned Where We Filled the Gaps: Collaborative, Adaptive, Balanced, Passionate Approach</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1566796748737-L5WKQH8SP5C8YW8IUEBK/hans_2.jpg</image:loc>
      <image:title>Our Clients</image:title>
      <image:caption>Didi - VP, Value-Based Care - A clinician, professor, and administrator, this client is a leading industry voice on value-based care models. She has a knack for surrounding herself with exceptional staff and is single-handedly charting a new course for talented young professionals in healthcare. With no shortage of passion and leadership capabilities, what she lacked were counterparts who could speak both the value-based and application languages in such a way that she and her team could continue to navigate. We put her team and myriad stakeholders’ collaborative efforts on a track that cut through the fluff and hypotheticals in deference to concrete, more easily explained objectives. The course corrections had the organization actively collaborating towards the future in relative short order. Key principles portrayed: Industry Aligned, Future Focused, Data-Driven, Visionary Where We Filled the Gaps: Adaptive, Collaborative, Balanced, Grounded, Passionate Approach</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1566796701309-DFDGXMLJSOE4DXLLJPCD/daryl.jpg</image:loc>
      <image:title>Our Clients</image:title>
      <image:caption>Daryl, Chief Data Officer - Client at a growing academic medical center, working to balance his technical talents with the need to steer his team in the innovative direction that his data stakeholders crave. He sought a strong leader who would keep the big picture in mind while also being able to manage the political environment, keep a level head when faced with overwhelming analytics demands, and offer suggestions for increasing efficiency across the teams We brought the ability to serve as a trusted right-hand, to both translate the goals to tangible steps and then manage the many groups it took to achieve them. Key Characteristics Portrayed: Industry-aligned, Future Focused, Data-Driven Where We Filled the Gaps: Adaptive, Collaborative, Balanced, Grounded Approach</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1566360237344-1XJKNEE6BUWGQJCEBPC4/kelly.jpg</image:loc>
      <image:title>Our Clients</image:title>
      <image:caption>Kelly - Exec. Director Care Mgmt - A down to earth, savvy Epic expert consistently at the forefront of the value paradigm who puts the team and organization’s needs before all else. But one who, as a result of seeking to do right by all, can ‘lose sight of the prize’. We came in as an advocate for her and her management style, provided objective timelines &amp; processes &amp; managed to them without bias, thereby allowing her to nurture the team’s needs and to prepare the organization for Go Live. As a result, the team’s major projects - Epic firsts on two separate occasions with us - were overwhelming successes. Key Characteristics Portrayed: Visionary, Future-Focused, Balanced Where We Filled the Gaps: Adaptive, Collaborative, Passionate Approach</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.downshiftconsulting.com/careers-1</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2021-10-14</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1566803222098-AVGYNMI797QIKYALAMU1/image-asset.png</image:loc>
      <image:title>Careers</image:title>
      <image:caption>If someone were to tell you that modern healthcare is changing, and your first inclination would be to respond in the affirmative with a segue into a basic discussion on The Affordable Care Act, you may want to have a seat. The shift is much deeper. It’s the result of reimbursement changes by payers and CMS, the relative consistency in the upper echelons of the halls of healthcare, and a grouping of regulatory bodies who have kept the needle moving steadily forward regardless of administration changes in the past three decades. In a nutshell, it comes down to payment for value, not volume. Able to demonstrate positive impacts to patient outcomes and HCOs are in the clear. Struggle to do so and they’ll need to hope for the best. In short order, organizations who are unable to prove their mettle through advanced population health workflows and analytics will encounter major impacts to bottom lines and precipitate the ongoing trend of mergers and acquisitions by those ahead of the curve (or those simply savvy enough to leverage their size for better bargaining position). As one may extrapolate, the HIT landscape is rapidly undulating to keep pace as metaphorically steepening roads to improved outcomes demand whole data ecosystems capable of revealing progress through advanced analytics. It’s an uphill challenge for even the most advanced thinkers in the field. Putting it all into practice for clinicians is no small feat either – but it’s a critical component in order to close the gaps and iterate again, and again, and again.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1566425276889-35CLOMDFJ20F0ZE8WPPE/be_the_change.jpg</image:loc>
      <image:title>Careers</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1566425697095-ZM5721OUFNZXI2ILHD8L/how_we_work.jpg</image:loc>
      <image:title>Careers</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1566425293016-SO9GRXU79TT8R7F6OH2M/boy_beach.jpg</image:loc>
      <image:title>Careers</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1566425304570-ZVMJMS9D5OWO5QGV14RA/ownership_equity.jpg</image:loc>
      <image:title>Careers</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1566425315736-6XQUA6I79PZ004BT5O62/current_opps.jpg</image:loc>
      <image:title>Careers</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1566803258022-8O9SK4QNQWX8MYAP17I6/image-asset.png</image:loc>
      <image:title>Careers</image:title>
      <image:caption>To get to the top, we all have to Downshift, and Downshift Consulting has its sights set on personification of the shift to value in the Epic HIT world. We are where the world’s foremost healthcare systems come for help, so that they too can Be the Change. That is, before they are brought the change. We’re seeking the right people to help us with the journey ahead. Apart from exemplary experience and expertise requirements, you might be right if: · You want freedom, you want autonomy, and you are extraordinarily disciplined. · You think a lot about making work, work for you. · You believe in yourself. · You are socially mindful, driven at your core to leave a positive mark on this world. Our culture is genuine and transparent, our company is blooming. You have a unique opportunity to channel the experiences you’ve worked so hard for into something bigger and better than anything to this point. Are you ready for the next curve in the road? You know what you need to do… Downshift, &amp; Be the Change.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1566792514398-7U1Y09ZI5WD6IU516NZX/how_we_work_updated_1.png</image:loc>
      <image:title>Careers</image:title>
      <image:caption>Experience is the foundation of our confidence. We have great foresight because we pause, reflect on, and capture hindsight. We take the long-view. When we get the answer, we hang up the phone. We have chops when it comes to deconstruction of problems and interacting with multiple stakeholders to resolve them. We are flexible to our clients’ needs. We help our clients define their success – because there is ours.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1566792796715-UVDC9QH7JUTUSSSH6EB0/how_we_work_updated_2b.png</image:loc>
      <image:title>Careers</image:title>
      <image:caption>We go fast with mindful urgency. We excite our co-workers to achieve. We are balanced; our calm is contagious. We tell the truth even when it hurts; we bill only what we work. We are supportive and empathetic in our language, particularly when written. We thrive on helping others grow. We go first: we say hello, we offer help, we build bridges.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1629052297687-Z0DQXJ1SKB2T7TR362VA/downshiftlogo-noconsulting_300x300.jpg</image:loc>
      <image:title>Careers - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.downshiftconsulting.com/expert-analytics-leader</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2019-08-26</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1559935376183-M1FE6JMY90DDMPG1JRKR/gear_knowledge_share_edited.jpg</image:loc>
      <image:title>Expert Analytics Leader</image:title>
    </image:image>
  </url>
  <url>
    <loc>https://www.downshiftconsulting.com/interoperability-data-engineer</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2021-03-12</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1559935376183-M1FE6JMY90DDMPG1JRKR/gear_knowledge_share_edited.jpg</image:loc>
      <image:title>Epic Interoperability &amp; Data Engineer</image:title>
    </image:image>
  </url>
  <url>
    <loc>https://www.downshiftconsulting.com/analytics-tableau-pm</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2019-08-26</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1559935376183-M1FE6JMY90DDMPG1JRKR/gear_knowledge_share_edited.jpg</image:loc>
      <image:title>Analytics &amp; Tableau PM</image:title>
    </image:image>
  </url>
  <url>
    <loc>https://www.downshiftconsulting.com/clinical-transformation-leader</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2019-08-26</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1559935376183-M1FE6JMY90DDMPG1JRKR/gear_knowledge_share_edited.jpg</image:loc>
      <image:title>Clinical Transformation Leader</image:title>
    </image:image>
  </url>
  <url>
    <loc>https://www.downshiftconsulting.com/valuebased-pharmacy-pm</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2019-08-26</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1559935376183-M1FE6JMY90DDMPG1JRKR/gear_knowledge_share_edited.jpg</image:loc>
      <image:title>Value-Based Pharmacy PM</image:title>
    </image:image>
  </url>
  <url>
    <loc>https://www.downshiftconsulting.com/breast-cancer-awareness</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2019-10-01</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1569894315616-H6ZQ8Q27V9U6V7TGBHIU/breast-cancer-awareness-logo+copy.jpg</image:loc>
      <image:title>Breast Cancer Awareness</image:title>
    </image:image>
  </url>
  <url>
    <loc>https://www.downshiftconsulting.com/datalink</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2021-09-03</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1592399175973-ZNV5BNPBOKCWE184RT0T/datalink3.jpg</image:loc>
      <image:title>Datalink</image:title>
      <image:caption>Integrate data with Epic Datalink</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.downshiftconsulting.com/mobile-care-integration</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2021-09-03</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1630697039869-BWUMXA8NVQTGWV5R85WL/carecompanion.jpg</image:loc>
      <image:title>Mobile Care Integration</image:title>
      <image:caption>epic care companion</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.downshiftconsulting.com/remote-patient-monitoring</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2023-10-21</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1630699272865-1Y5MVVJB7JCQT2IXBZC5/homemonitoring.jpg</image:loc>
      <image:title>Remote Monitoring</image:title>
      <image:caption>epic remote monitoring, RPM, and patient-entered data, epic health trends</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.downshiftconsulting.com/sdoh-community-resources</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2021-09-03</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/1630701357515-DG0UPFVEPMHXM563RWER/sdoh_communityresources.jpg</image:loc>
      <image:title>SDOH &amp; Community Resources</image:title>
      <image:caption>epic SDOH and community resources</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.downshiftconsulting.com/healthspan-frameworks</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2023-10-21</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/f4f0e7be-c39d-4162-b499-cfecb146cee6/healthspan.jpg</image:loc>
      <image:title>Health Span Frameworks</image:title>
      <image:caption>medicine 3.0, peter attia, dave chokshi, health span</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.downshiftconsulting.com/risk-adjustment</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2023-10-21</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/e1629fe6-c873-4bce-9e93-2c23c0d8247f/riskadjustment.jpg</image:loc>
      <image:title>Strategic Risk Adjustment</image:title>
      <image:caption>CMS-HCC, HHS-HCC, Risk Adjustment, Medicare Advantage</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.downshiftconsulting.com/measure-mapping</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2023-10-24</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5a4e54b8ace864a4b107bcb9/49c3d398-5896-42d4-8fb5-55f389fbbde2/mapping.jpg</image:loc>
      <image:title>Mapping for Measures</image:title>
      <image:caption>HEDIS Measures, NCQA, Supplemental Data, Epic Payer Platform, Interoperability</image:caption>
    </image:image>
  </url>
</urlset>

