Roshira Insights

Illuminating the path to better access to care.

Roshira Insights helps hospitals and health systems improve patient access, capacity management, patient flow, and transfer center operations — connecting clinical operations, technology, data, and real-world implementation into practical, sustainable change.

Dr. Jessica Crum, Founder and Principal Advisor of Roshira Insights
Dr. Jessica Crum Founder & Principal Advisor, Roshira Insights About Jessica
30%Systemwide transfer growth achieved through centralized operations and standardized access workflows
90%+Transfer completion sustained by year-end, with 94% completion among eligible transfers
>40%Reduction in transfer cancellations through workflow redesign, transparency, and operational standardization
31%Fewer calls per transfer, reducing unnecessary handoffs and creating a more efficient process

The challenge

A bed on a dashboard isn’t the same as a bed a patient can reach.

Health systems are balancing workforce pressure, financial constraints, rising demand, and growing technological complexity. When workflows are fragmented or accountability is unclear, delays occur even when everyone is working hard.

Patient flow is more than a bed-counting exercise. Staffing, diagnostics, discharge readiness, transportation, physician decisions, and post-acute options all determine whether capacity is genuinely available. Roshira Insights builds the clinically led operating models — shared measures, standard work, and clear decision rights — that turn information into action.

How we help

Two ways to work with Roshira Insights

Every engagement is customized to where an organization is operationally — not a one-size-fits-all model.

Consulting & Advisory

Hands-on advisory for organizations working to strengthen access, capacity, and flow.

  • Operational Assessments
  • Patient Flow Analysis
  • Access-to-Care Strategy
  • Capacity Management
  • Transfer Center Operations
  • Executive Advisory & Retainer Consulting

Speaking, Training & Education

National speaking and practical education for leadership and frontline teams.

  • Keynotes & Conference Presentations
  • Panels & Webinars
  • Corporate & Leadership Workshops
  • Healthcare Operations Training
  • Customized Educational Programs

Our methodology

The Roshira Path

A clinically grounded framework for creating change that lasts — from first assessment to sustained operational performance.

I.

Assess

Understand the operational reality: patient journey, barriers, data, workflows, technology, variation, and organizational context.

II.

Plan

Develop practical strategies, operating models, standard work, priorities, technology and EHR recommendations, measures, and a prioritized roadmap.

III.

Implement & Sustain

Support execution, education, adoption, measurement, governance, and sustainable operational change.

Measurable impact

Results that hold up under scrutiny

33% Increase in completed transfers, with a 13-point improvement in overall completion rate
31% / 80% Reduction in calls required per completed transfer, and in abandoned calls, through workflow redesign
17→14 min Improvement in median dirty-to-assigned bed turnaround across two major hospitals
Dr. Jessica Crum, DNP, MBA, BSN, RN

About Jessica

Built from the bedside to the boardroom.

As a child, Jessica’s family sometimes traveled hours to reach specialized care unavailable close to home. That early experience shaped a career spent inside healthcare’s most complex access problems — from bedside nursing to hospital operations, transfer center leadership, and Epic-enabled transformation.

Today, as Founder & Principal Advisor of Roshira Insights, she brings nearly two decades of frontline and executive experience to organizations working to close the same gaps she spent her career closing.

Read Jessica’s Story

Mission

To illuminate the path to better access to care through compassionate strategy, clinically led operational transformation, and thoughtfully designed technology.

Vision

A future where healthcare operates as a connected ecosystem, seamlessly guiding every patient to the right care, at the right time, in the right place.

Values

  • Compassion & Humanity

    Every decision begins with the person behind the process.

  • Integrity

    Recommendations grounded in evidence, data, and experience.

  • Curiosity & Innovation

    Technology should extend human capability, never replace clinical judgment.

  • Collaboration

    Listening to the people closest to the work and building shared ownership.

  • Service & Stewardship

    Using experience and partnerships in service of patients, teams, and communities.

Dr. Jessica Crum presenting the Assess, Plan, Implement, Sustain framework at a healthcare leadership conference

National speaker

Practical strategy, delivered from experience.

Jessica speaks nationally on patient access, enterprise capacity management, transfer and command center operations, and clinically driven operational transformation — sharing real-world strategy healthcare leaders can put to work immediately.

  • Keynotes & conference presentations
  • Panels, webinars & corporate workshops
  • Leadership and healthcare operations training
Speaking & Training Topics

As featured in

“Access is a human need, and expanding it is how we can create meaningful impact.”Jessica Crum, TradeFlock Magazine — Global Entrepreneurs to Watch in 2026

Read the feature

Let’s talk about what’s standing between your organization and better access.

Every engagement starts with a conversation — not a sales pitch. Book a discovery call or send a consulting inquiry.

Services

Roshira Insights helps healthcare organizations solve complex patient access and operational challenges by connecting clinical expertise, operations, technology, data, and real-world implementation. The work is practical, patient-centered, and designed to create measurable, sustainable improvement.

Dr. Jessica Crum reviewing operational data with a healthcare colleague

Consulting & Advisory

Hands-on advisory for access, capacity, and flow

Engagements are customized to where your organization is operationally today — not a one-size-fits-all model. No specific packages or engagement lengths are fixed in advance; every scope is evaluated individually.

Operational Assessments

A clear-eyed look at current-state workflows, ownership, staffing, handoffs, escalation pathways, technology use, and KPI visibility across transfer center, capacity, case management, nursing, and command center functions.

Patient Flow Analysis

Understanding how staffing, diagnostics, discharge readiness, transportation, physician decisions, and post-acute options interact to determine whether capacity is genuinely available.

Access-to-Care Strategy

Practical strategy for referral capture, service capability mapping, acceptance workflows, market growth, and patient retention.

Capacity Management

Bed planning, nurse-led placement models, saturation protocols, discharge milestones, and coordination across EVS, transport, and peri-operative services.

Transfer Center Operations

Centralized transfer center design and optimization — sponsorship, clinical governance, service information, decision rights, and response expectations that work together, not just centralized staff.

Care Transitions

Coordinated post-acute placement and transition strategy that reduces avoidable handoffs and supports patients moving safely between levels of care.

Process Improvement

Standard work, reduced variation, and workflow redesign that turns operational data into measurable growth, quality, and financial performance.

Executive Advisory Services

Thought partnership for health-system leaders navigating access, capacity, technology investment, and organizational change.

Retainer Consulting

Ongoing advisory support for organizations building toward long-term, sustained operational improvement.

Our methodology

The Roshira Path

Every engagement follows the same clinically grounded arc, scaled to the size and complexity of the organization.

I.

Assess

Understand the operational reality, patient journey, barriers, data, workflows, technology, variation, and organizational context.

II.

Plan

Develop practical strategies, operating models, standard work, priorities, technology and EHR recommendations, measures, and a prioritized roadmap.

III.

Implement & Sustain

Support execution, education, adoption, measurement, governance, and sustainable operational change.

Dr. Jessica Crum speaking at an AHA Hospital Capacity Management Consortium event

Speaking, Training & Education

Practical strategy, delivered from experience

Jessica speaks nationally on healthcare operations, sharing real-world lessons from leading transformation across complex health systems.

  • Keynotes
  • Conference presentations
  • Panels & webinars
  • Corporate workshops
  • Leadership training
  • Healthcare team training
  • Customized educational programs

Recent & Upcoming Speaking

  • January 2027
    Featured Speaker — Staffing the System, Not Just the Unit: Workforce Management Through Capacity Coordination
  • January 2027
    Workshop, Fri Jan 29 (12:45–2:45pm) — Designing a Comprehensive Patient Flow Strategy
  • October 2026
    Featured Speaker — Building Transfer Center Operations That Actually Move Patients
  • July 2026
    Invited Participant — Harnessing Technology Without Losing the Human Center of Care
    West Health / Huron HC65 Action Alliance, Denver
  • July 2026
    Featured Speaker — Building a Foundation for High-Performing Transfer Centers
    AHA / Hospital Capacity Management Consortium In-Person Leadership Meeting, Denver
  • May 2026
    Solo Featured Speaker — Balancing Capacity and Quality of Care in a Challenging Healthcare Landscape
    AHA / Hospital Capacity Management Consortium Webinar
  • January 2026
    Featured Speaker & Panelist — Transfer Center & Command Center Operations & KPI Development
    BRI Network, alongside leaders from Memorial Hermann and Penn State Health
  • Fall 2025
    Featured Speaker & Panelist — Transfer Center Staffing Models
    American Hospital Association / Hospital Capacity Management Consortium, The People Puzzle Symposium

Who we serve

A niche that spans the healthcare ecosystem

Hospitals & Health Systems

CEOs, COOs, CNOs, CMOs, CIOs, and operations, patient flow, transfer center, and command center leaders.

Government Agencies

Public-sector partners focused on healthcare access and system-level capacity planning.

Healthcare Startups, Technology & IT Companies

Clinically grounded use cases and operational subject-matter expertise for access, patient movement, and capacity-management solutions.

Not sure which service fits your organization?

Every engagement starts with a conversation. Tell us where you’re operationally, and we’ll help you find the right starting point.

Jessica Crum, DNP, MBA, BSN, RN

Founder & Principal Advisor, Roshira Insights — Healthcare Operations Executive & National Speaker

Dr. Jessica Crum, DNP, MBA, BSN, RN

Why Roshira exists

Built from the bedside to the boardroom.

Sometimes you understand a problem long before you know what to call it. As a child, Jessica’s family sometimes traveled for hours to reach specialized care that was unavailable close to home. She didn’t think about it then as a question of healthcare operations or system design — she simply knew that getting the right care could require time, planning, and uncertainty, and she could see what that meant for her family.

Years later, she began seeing those same challenges from inside the healthcare system. Her career grew from bedside nursing and patient flow to hospital operations, transfer center leadership, enterprise capacity management, and executive leadership spanning clinical operations, Epic applications, informatics, and technology-enabled transformation. Across each role, the scope grew broader and the systems more complex, but she never lost sight of the person at the center of it all: the patient waiting for care.

One question has run through her entire career: how do we make a complex healthcare system work better for the person who is waiting? Roshira Insights grew from that question.

Experience

Nearly two decades, built from the ground up

Jessica’s perspective was built from the bedside through healthcare executive leadership — spanning patient flow, capacity management, transfer center operations, care transitions, centralized command-center models, Epic applications, informatics, and the CCIO function.

Dr. Jessica Crum, Founder and Principal Advisor of Roshira Insights

Credentials

Degrees & affiliations

DNP MBA BSN RN
  • Doctor of Nursing Practice (DNP), Healthcare Systems Leadership — Chamberlain University
  • Master of Business Administration (MBA) — Grand Canyon University
  • Bachelor of Science in Nursing (BSN) — East Tennessee State University

Professional Affiliations

  • American Nurses Association (ANA)
  • American Hospital Association (AHA)
  • American Organization for Nursing Leadership (AONL)
  • Hospital Capacity Management Consortium (HCMC)
  • Sigma Theta Tau International Honor Society of Nursing

Mentorship & Committees

Mentor through the HCMC Exchange Network and through the American Organization for Nursing Leadership (AONL). Member, HCMC Education and Professional Development Steering Committee.

National speaker

On the road and on the stage

Dr. Jessica Crum presenting at a healthcare leadership conference
Dr. Jessica Crum presenting transfer growth data at a healthcare operations conference
Dr. Jessica Crum reviewing operational data with a healthcare colleague

Ready to talk about your organization’s access and flow challenges?

Let’s start a conversation.

Every engagement begins with a discovery call — not a sales pitch. Tell us a bit about your organization and where you’re operationally, and we’ll follow up to find the right next step.

Primary next step

Book a Discovery Call

A 30-minute conversation to understand your organization’s access, capacity, or flow challenge and whether Roshira Insights is the right fit.

Book a Discovery Call

Clicking this button opens an email directly to Jessica to set up a time.

Dr. Jessica Crum at her desk

Consulting inquiry

Send a message

Fields marked * are required.

Direct contact

Reach us directly