Public Health Systems · Digital Reporting · Advisory
Strengthening national health systems with interoperable digital infrastructure.
HMC helps ministries, national laboratories, and public health partners modernize reporting systems, reduce data latency, and strengthen surveillance decision-making through interoperable digital infrastructure and strategic advisory services.
Health systems do not struggle because teams are not working. They struggle when critical information has to move across disconnected tools, limited connectivity, fragmented workflows, and multiple levels of authority.
When reporting slows down, national teams lose time. Signals arrive later, resources are harder to target, and decision-makers act with an incomplete view of what is happening on the ground.
HMC helps close this gap by strengthening the infrastructure, workflows, and advisory systems that keep public health data moving from local reporting to national action.
About HMC
Built for real-world implementation
HMC Health Management Consulting is a public health systems consultancy and digital innovation firm.
We partner with national authorities across the Caribbean and Latin America to strengthen how public health information moves from frontline facilities to national surveillance directorates, enabling timely action, informed policy, and improved population health outcomes.
Our solutions are designed for sustainability beyond project cycles: interoperable by design, built for low-connectivity environments, and aligned with government-led digital transformation priorities.
Core Capabilities
Core capabilities for stronger health systems
We design infrastructure that improves how health systems function, focusing on open, interoperable solutions rather than isolated applications.
Digital Health Infrastructure
Interoperable reporting platform design and development
Offline-first tools for low-connectivity environments
Open-source data governance, secure architecture, and cybersecurity advisory
Who this is for
Ministries of health modernizing national reporting infrastructure
National reference laboratories integrating diagnostic data flows
National surveillance directorates and epidemiology units
Public health institutes managing notifiable-disease reporting
Programs coordinating multi-level reporting across regions
Institutional & Strategic Advisory
Digital health transformation roadmaps
Technical assistance for ministries of health and national laboratories
Alignment with national regulatory frameworks and policy priorities
Who this is for
Ministries of health setting digital transformation strategy
National laboratories planning capacity and governance
Public institutions aligning systems with regulatory frameworks
Data Quality & Validation
Data quality assessment and routine data quality audits (RDQA)
Validation rules with completeness and consistency checks
Verification workflows that build confidence in reported data
Who this is for
Surveillance directorates and programs accountable for data accuracy
National laboratories and health information units
Donors and partners that require data quality assurance
Our work
Initiatives underway
Projects HMC is developing today, alongside national authorities and sector partners.
Launching 2026–2027
Leptospirosis Prevalence Study
A two-phase, multisectoral study launching in 2026–2027 across four high-priority health regions: Duarte, Santiago, Hato Mayor and San Juan.
A One Health approach
Environmental, animal and human testing together, because leptospirosis risk sits at the intersection of all three. It gives a fuller picture of transmission than human testing alone.
Two phases
Field sampling combined with laboratory analysis, to estimate prevalence and identify the environmental and animal reservoirs that drive human exposure.
What it will produce
Evidence national authorities can use to plan prevention, target surveillance and coordinate the environmental, veterinary and public health responses leptospirosis requires.
In Active Development
Surveillance Bridge Application
A decentralized, offline-first synchronization tool, in active development, built to remove data latency from national surveillance networks.
The problem it addresses
Reporting depends on continuous connectivity that peripheral facilities do not have. When the connection fails, data stalls, and detection and response slow with it.
The technical approach
Data is captured at the point of care and reconciled with the national pipeline as connectivity allows, through automatic background synchronization. No report is lost to a dropped network.
Target users
Rural and peripheral clinics, district reporting officers, and the national surveillance networks that depend on complete, timely data from across the system.
How We Work
From disconnected reporting to timely public health action.
Every engagement starts by understanding the system as it is, then strengthening the workflows, infrastructure, and decision pathways that help data move.
01
We listen
We start inside the system: its facilities, workflows, constraints, and realities.
02
We map the gaps
We identify where reports slow down, where data fragments, and where visibility is lost.
03
We strengthen the connection
We design interoperable, government-partnered solutions built to last beyond a project cycle.
04
The system responds
Data moves. Decisions arrive in time. Capacity stays after we leave.
The how is where our work lives. And it is different for every system.
HMC is led by professionals with deep experience across public health systems strengthening, epidemiological surveillance, strategic information, donor compliance, and digital health implementation in the Caribbean and Latin America.
Executive Director
Dr. Karina Hernández A.
MD · Health Economist
Medical Doctor and Health Economist with over 15 years in global health systems strengthening, health financing, and epidemic preparedness, including leadership of Global Health Security and HIV programming portfolios.
Full background
Dr. Karina Hernández A. is a Medical Doctor and Health Economist with over 15 years of experience in global health systems strengthening, health financing, and epidemic preparedness. She has directed multi-million-dollar portfolios in Global Health Security and HIV programming, working alongside ministries of health, multilateral donors, and national institutions.
Her work spans health financing strategy, program design, and the operational leadership required to translate policy into measurable population health outcomes. At HMC she sets the strategic direction of the practice and leads engagements with national authorities.
Health systems strengthening
Health financing
Epidemic preparedness
Private sector engagement
Deputy Director
Dr. Elvis Báez
Epidemiologist · Public Health Specialist
Public health specialist and epidemiologist with senior experience across FHI 360, UNICEF, and USAID programs, focused on epidemiological surveillance, early warning mechanisms, and health project management.
Full background
Dr. Elvis Báez is a public health specialist and epidemiologist with senior experience across FHI 360, UNICEF, and USAID. He specializes in epidemiological surveillance, early warning mechanisms, and health project management under USAID/USG regulations.
His expertise covers the design of surveillance workflows, the harmonization of reporting indicators, and the practical work of moving accurate data from peripheral facilities to national directorates. At HMC he leads technical delivery across surveillance and reporting engagements.
International development leader with nearly a decade of experience across USAID and Peace Corps programs, focused on strategic information, monitoring and evaluation, and donor compliance.
Full background
Abel de la Cruz is an international development leader with nearly a decade of experience within USAID and the Peace Corps. He specializes in strategic information, monitoring & evaluation, and federal acquisition compliance.
He brings rigor to the operational and administrative foundations of HMC’s work, ensuring that engagements are well-governed, compliant, and accountable. At HMC he oversees administration, M&E frameworks, and partner reporting.
HMC Health Management Consulting is a public health systems consultancy and digital innovation firm. We help ministries of health, national laboratories, and public health partners strengthen how health information moves from frontline facilities to national surveillance directorates, using interoperable digital infrastructure, surveillance and notification systems, and strategic advisory.
Which countries and regions does HMC serve?
We work with national authorities across the Dominican Republic, the wider Caribbean and Latin America, and with partners in the United States.
What services does HMC offer?
Four core capabilities: Digital Health Infrastructure (interoperable, offline-first reporting platforms and secure architecture), Surveillance & Reporting Systems (workflow redesign, indicator harmonization, and real-time data), Institutional & Strategic Advisory (digital transformation roadmaps, technical advisory, and regulatory alignment), and Data Quality & Validation (data quality assessment, validation rules, and verification workflows).
Who does HMC typically work with?
Ministries of health, national reference laboratories, surveillance directorates and epidemiology units, public health institutes, and programs coordinating multi-level reporting across regions.
Are HMC’s solutions built for low-connectivity environments?
Yes. Our infrastructure is interoperable by design and engineered for low-connectivity settings, including offline-first tools that keep data flowing from rural and peripheral facilities and synchronize automatically once a connection is available.
What is the Surveillance Bridge Application?
Surveillance Bridge is an offline-first application HMC is developing to remove data latency from national surveillance networks. It captures data at the point of care and synchronizes automatically with the national pipeline as connectivity allows, so reporting continues in facilities that do not have a reliable connection.
What is a Routine Data Quality Audit (RDQA)?
An RDQA checks whether reported health data is complete, consistent and traceable back to source records. HMC runs these audits and puts in place the validation rules and verification workflows that keep the numbers reliable between audits, so institutions can act on their data with confidence.
Does HMC work outside the Dominican Republic?
Yes. HMC works with national authorities across the Dominican Republic, the wider Caribbean and Latin America, and with partners in the United States.
How can we start working with HMC?
Tell us what you are working to improve, whether that is surveillance reporting, digital infrastructure, or strategic direction. Reach us through the contact form on this site and we will respond within two business days.
Start a Conversation
Let’s strengthen your public health systems.
Tell us what you are working to improve, whether surveillance reporting, digital infrastructure, or strategic direction, and we will follow up within two business days.