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Clinical and Crisis

Subheading needed

At TBD Solutions, we provide national IT consulting and managed services for behavioral health providers, health and human services organizations, and mission-driven nonprofits. Our work focuses on helping organizations manage risk, use data effectively, and align technology with operational and compliance needs — especially in HIPAA-regulated environments.

With over 100 years of combined experience, our team delivers practical, strategic IT leadership that improves outcomes, strengthens security, and supports long-term sustainability.

How We Help

  • Data plays a critical role in healthcare delivery, funding, and outcomes — but only when it’s accurate, secure, and usable. We provide data analytics consulting services designed for regulated and resource-constrained organizations, including:

    • Statistical analysis to identify trends, risks, and opportunities

    • Data visualization & storytelling for leadership, boards, and funders

    • Data modeling & applied research to support planning and forecasting

    • Outcomes & performance metrics aligned with program and compliance goals

    Our analytics services help organizations make informed, defensible decisions while protecting sensitive health information.

    • We help organizations build stable, secure, and scalable technology environments that support both day-to-day operations and long-term strategy.

    • Our technology consulting services include:

      • IT infrastructure consulting, including Microsoft 365 and Azure support

      • IT assessments & remediation to identify gaps, risks, and inefficiencies

      • Artificial intelligence integration to improve workflows and insight

      • Cybersecurity & risk mitigation for HIPAA-regulated systems and data

    • We translate technical complexity into clear guidance for executive and program leadership.

  • Selecting and implementing new systems can introduce significant operational and compliance risk. We provide independent, vendor-neutral support throughout the full lifecycle:

    • System evaluation & selection based on functional and compliance needs

    • RFP & RFQ procurement support to ensure informed, defensible decisions

    • Vendor and solution management to maintain accountability

    • Implementation & project management to reduce disruption and ensure adoption

    Our approach ensures technology investments deliver value without compromising security or care delivery.

  • For organizations handling protected health information, proactive auditing and governance are essential. Our IT auditing and compliance services include:

    • License & subscription reviews to reduce cost and compliance risk

    • Policy review & development aligned with HIPAA and best practices

    • HIPAA IT assessments for administrative, technical, and physical safeguards

    • SIEM setup & monitoring to enhance threat detection and response

    We focus on actionable improvements — not check-the-box compliance.

  • People are a critical part of your security and compliance posture. We provide targeted technology and compliance training for leadership, staff, and technical teams, including:

    • Project management training

    • Microsoft 365 training for secure, effective use

    • Security awareness & anti-phishing training

    • HIPAA training (initial and refresher courses)

    Training is customized to your environment, policies, and risk profile.

  • Many healthcare and nonprofit organizations need experienced IT leadership without the cost of a full-time executive. Our Virtual CIO (vCIO) services provide:

    • Short- or long-term IT leadership

    • Personnel and technology evaluations

    • Policy & procedure development

    • Strategic technology planning and roadmapping

    We partner with executive teams to align technology decisions with compliance, funding, and mission goals.

  • We support organizations with predictable, reliable IT operations while reducing internal burden. Our services include:

    • Managed IT services and proactive monitoring

    • Support workflow optimization

    • Coordination with internal teams or trusted service providers

    • Issue prevention and performance improvement

    This ensures continuity of care, stable systems, and controlled costs.

Planting A Seedling

Our Solutions in the Real World

Community Gardening Effort

Solutions

Explore

Data Analytics & Reporting Solutions

We collaborated with the client’s data team to design reporting database tables and develop interactive dashboards. This included technical consultation to ensure reporting solutions aligned with strategic goals and training sessions tailored to staff roles.


Impact: Improved decision-making through actionable insights and streamlined reporting processes.

IT Consultative Services for System Integration

Provided consultative services on technology needs, system interoperability, and infrastructure improvements. Offered recommendations to enhance workflow and client-facing systems.


Impact: Increased operational efficiency and reduced technology friction across departments.

Feature Strategic IT Planning & Policy Review

Partnered with a community organization to develop an IT strategic and annual plan and review IT policies for best practices and HIPAA compliance.

Impact: Strengthened security posture and aligned IT governance with regulatory standards.

Our Approach

Bird's Eye View Meeting Table

Our Assessment
Process

We use a clear, collaborative approach designed for HIPAA-regulated, mission-driven organizations. Our process reduces risk, aligns technology with your goals, and delivers practical results.

Discover

We learn your mission, goals, and current technology environment, including workflows, systems, and compliance requirements.

Assess

We evaluate infrastructure, security, data use, and policies to identify risks, gaps, and improvement opportunities.

Plan

We deliver clear, prioritized recommendations and an IT roadmap aligned with compliance, operations, and resources.

Implement & Optimize

We support implementation, vendor coordination, and ongoing optimization to ensure long-term success.

Why Choose Us

Deep experience with behavioral health and human services environments

Strong focus on HIPAA compliance and risk mitigation

Vendor-neutral, strategic guidance

Clear communication for executive, clinical, and operational leaders​

Work With Us

Contact us

Preferred Method of Contact
Email
Phone

Who You Will Work With

Clinical Consultant

Matthew St. Pierre, MS, LCPC

Matt is a collaborative problem solver and values-driven leader with over 15 years of experience in the behavioral health field. He has supported individuals across diverse service settings—including crisis intervention, inpatient, outpatient, residential, and community-based care.  Today, Matt leverages his direct service background to support organizations in developing programming and curricula for trainings, events, publications, and technical assistance. Passionate about advancing innovative, person-centered approaches, he is dedicated to strengthening systems of care and empowering the professionals who serve within them.

Clinical Consultant

Mallory Bouwman, LMSW, CAADC

Mallory is an organizational expert and supportive problem-solver. With a master’s degree in social work from the University of Michigan, she has dedicated her career to serving people experiencing mental health and substance use crises. Mallory is zealous about establishing and improving processes, implementing evidence-based best practices, and building programs that demonstrate effectiveness in meaningful and measurable ways. Authentic compassion, unconditional positive regard, and synergistic collaboration have been the pillars of both her clinical approach and leadership style.

Organization and Policy Consultant

Gina Costa,LMHC, MCAP

Gina is passionate about fostering success in both people and programs. Bringing over 30 years of behavioral health experience, Gina has served in senior executive leadership roles including Vice President, Executive Director, and Chief Clinical and Quality Officer. She has successfully led major initiatives, including developing specialized crisis services, implementing Certified Community Behavioral Health Clinics (CCBHCs), and integrating behavioral and physical health programs. As a transformative leader, Gina excels in combining clinical expertise with operational strategy to drive clinical excellence, secure grants, and advocate for meaningful change in the behavioral health field.

Clinical Consultant

Tess Parker, LMSW

Tess is empathetic and values developing meaningful connections with persons served, customers, and the community. With her master's degree in social work from the University of Denver, Tess has dedicated her career to supporting individuals experiencing mental health emergencies in both outpatient and residential settings. Drawing from her experience as a clinical therapist and behavioral health director, Tess is also a skilled writer, training facilitator, and public speaker. She believes that authenticity and vulnerability are at the heart of human connection, forming the foundation of her clinical and consultative approach.

Clinical Consultant

Myranda Green, LLMSW

Myranda is a dynamic facilitator dedicated to serving people and building strong relationships. She holds a master's degree in social work from Western Michigan University and has extensive experience in developing and managing crisis service systems. Myranda's clinical expertise is complemented by her natural leadership, networking, and presentation skills. Driven by a passion for helping others achieve recovery, she is committed to overcoming any barriers to make this possible.

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