Consulting Services

Comprehensive & Tailored SMA Implementation

SMA Catalyst offers a range of services designed to meet healthcare organizations at every stage of their Shared Medical Appointment (SMA) journey.

Whether you're exploring SMA for the first time, ready to launch your first SMA, or looking to optimize and scale existing SMA, there is a consulting service package that fits your needs. Dr. Jacob Mirsky leverages 7+ years of experience to help clients navigate the various steps of SMA implementation - from brainstorming to process improvement to scaling - and everything in between. Client success stems from Dr. Mirsky’s experience leading the largest Lifestyle Medicine SMA program in the country at Massachusetts General Hospital / Harvard Medical School and consulting with over 20 client organizations and companies since 2022.

5 Unique Consulting Services

Open blank notebook with lined pages and a black pencil resting diagonally across the pages, placed on a wooden surface.

1. SMA IMPLEMENTATION PLAN

3 months | Virtual Meetings + Written Deliverables

For organizations exploring or planning their first SMA, which can include:

  • Initial Assessment 

    • Comprehensive practice evaluation

    • Patient population analysis

    • Provider and staff readiness assessment

    • Preliminary feasibility study

    • Identification of ideal SMA candidates

  • Custom Implementation Roadmap

    • Detailed 90-day implementation timeline

    • Resource requirements and budget planning

    • Success metrics and KPIs

    • Billing & Compliance Guidance

    • Documentation requirements review

    • Revenue projection modeling

  • Written Deliverables:

    • Implementation roadmap (detailed project plan)



A train traveling across a stone arch bridge over a forested landscape.

2. SMA EXPANSION SUPPORT

3 months | Virtual Meetings + Written Deliverables

For organizations with existing SMA ready to expand, which can include:

  • Workflow Optimization

    • Current SMA operations review and recommendations

    • Detailed visit structure and improvements

    • Patient identification and outreach strategies

    • Billing and reimbursement optimization to maximize revenue

  • Staff Training

    • Live provider training sessions (in-person or virtual) 

    • Group facilitation best practices 

  • Expansion Planning

    • Identification of new and/or expanded SMA opportunities

    • Specialty-specific adaptations

    • Financial modeling for sustainable growth

  • Ongoing Consulting Retainer (Optional)


A modern conference room with a wooden oval table surrounded by six brown leather chairs with black metal frames. On the table, there is a small plant in a glass pot and a closed notebook. The back wall features white paint and a large, abstract blue and green painting. The room has large glass doors and windows, with sheer gray curtains, and a view of an office space beyond.

4. HALF-DAY CHARRETTE

For organizations with individualized SMA service needs, which can include:

  • Intensive workshop to develop a vision for SMA

  • Executive summary document with strategic “next steps” for development, implementation, and scaling

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5. CLINICAL ADVISOR

For organizations with individualized SMA service needs, which can include:

  • Guidance on clinical, operational, and administrative strategy for company success

  • Support of business development plans and revenue modeling


3. CUSTOM SOLUTIONS FOR EVERY NEED

For organizations with individualized SMA service needs, which can include:

  • SMA Readiness Assessment - "Not sure if SMA is right for you? Get a focused evaluation."

  • Staff Training Only - "Have your plan but need expert training?" 

  • Program Troubleshooting - "SMA programming not performing as expected?"

Client Testimonials

Lifestyle Medicine Consulting LLC + SMA Catalyst

Health System

“Dr. Mirsky provides tremendous value to teams seeking to implement group medical visits. He is incredibly thoughtful and thorough in his approach. He translates his knowledge and skills into actionable insights for clinical teams. We are so grateful for the support he provided to us!”

Kristi Artz MD, FACLM, CCMS

Vice President, University Hospitals Connor Whole Health (2025)

Specialty Practice 

“Dr. Mirsky took the time to understand our program structure and goals to help us create a shared medical appointment (SMA) workflow that meets our unique needs. He shared his expertise while maintaining curiosity so we could create our optimal strategy. His approach was comprehensive, from high level strategy to specific workflow details, including advertising, scheduling, check-in, follow-up, etc. He also modeled what an ideal SMA should look like from a patient perspective. I highly recommend Dr. Mirsky to anyone looking to start an SMA program.”

Steven Borer MD

Medical Director, Lifestyle Medicine Program, Hartford HealthCare Heart & Vascular Institute (2024)

Solo Practice

“Dr. Mirsky has an incredibly organized, brilliant mind that lends itself to an uncanny ability to problem solve and integrate. He laid out a logic path for implementation of lifestyle medicine focused shared visits. He has a rare offering in a rare niche. If you are reading this, congratulations on finding him.”

Ryan Zaklin MD

Owner, ECS Wellness (2024)

Digital Health Startup

“What I appreciate most about working with [Dr. Jacob Mirsky] is the incredible depth of knowledge and expertise [he] brings to SMA (Shared Medical Appointment) design and implementation. Dr. Mirsky's insights into best practices have been invaluable, providing us with practical and effective strategies tailored to our specific needs. His extensive understanding of lifestyle medicine has significantly enriched our approach to patient care. I have been particularly impressed by Dr. Mirsky's dedication and commitment to our venture. He is always focused during meetings, ensuring we stayed on track and made meaningful progress. His responsiveness and prompt follow-up has also made collaboration seamless and productive. Overall, it has been a truly rewarding experience working with such a knowledgeable and committed collaborator.”

Simin Lee MD MBA

Co-Founder and CEO, Systole Health (2024)

The SMA Catalyst Approach: Partnership, Not Just Consulting

Successful SMA implementation requires more than just knowledge — it requires partnership. Here's what that means:

Exclusive Focus on SMA

Start Where You Are

Build on Your Strengths 

Focus on Practical Implementation 

Measure What Matters

Stay With You

SMA are complex enough that true expertise requires focused dedication. Successful SMA implementation touches clinical care, operations, billing, compliance, staff dynamics, and patient engagement. Organizations that treat SMA as just another service offering often struggle because they lack depth in one or more of these areas. By focusing exclusively on SMA, SMA Catalyst provides deep expertise in every aspect of implementation. Dr. Mirsky knows the common pitfalls, the billing nuances, the staff concerns, and the patient recruitment strategies that work. When you work with SMA Catalyst, you're getting specialist-level expertise, not generalist advice.

Every organization is different. Dr. Mirsky assesses your unique situation, constraints, and opportunities before recommending any approach. 

Your team knows your patients and community. Dr. Mirsky bring SMA expertise; you bring practice knowledge. Together, we create something customized and sustainable.

Theory is easy; execution is hard. Dr. Mirsky provides step-by-step guidance, templates, training, and hands-on support to ensure successful launch.

Success isn't just launching an SMA — it's creating a program that improves access, enhances care quality, satisfies patients, and brings joy back to providers.

SMA Catalyst is here to help you optimize, troubleshoot, and grow your SMA program for long-term success.

Clients

MedStar Health
FMC Health
American College of Lifestyle Medicine
Adya.Care
Tampa General Hospital
ECS Wellness

DUKE

HEALTH

Nudj Health
Evolve Health Advisors
Whole Health Partners
Systole
Wellcoaches

Is SMA Catalyst Right For Your Organization?

Best for healthcare organizations that: 

  • Are committed to improving patient access and care quality

  • Want to reduce provider burnout through innovative care models

  • Are willing to invest time and resources in implementation 

  • Value expert guidance and partnership 

  • Are ready to try something new (even if it feels uncertain)

Especially well-suited for:

  • Primary care practices (family medicine and internal medicine) 

  • Specialty practices with chronic disease populations 

  • Health systems planning multi-site programs 

  • Individual providers or small groups launching their first SMA

  • Organizations that have tried SMA before but struggled

It might not be the best fit if: 

  • You're looking for a quick-fix solution 

  • You're not willing to invest in proper training and setup 

  • You want to implement SMA without stakeholder buy-in 

  • You need immediate results (proper implementation takes 90 days+)

Interested in Consulting Services?

Ready to explore SMA?