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.

FrontlineDistrictNational
Frontline facility: a clinic submits its report Frontline facility: a clinic submits its report Frontline facility: a clinic submits its report Frontline facility: a clinic submits its report District level: reports are consolidated District level: reports are consolidated National hub: data arrives for surveillance decision-making
Interoperable Reporting Pipeline
15+ years
of leadership experience
in global health systems
4 core capabilities
from digital infrastructure
to strategic advisory
Caribbean & Latin America
focused on
national health systems
Leadership experience across
The Operational Reality

Every delay matters

from frontline data to national decisions.

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.

Data to decision window Response window: the time available to act, which narrows as data moves RESPONSE WINDOW Risk increases as decisions are delayed Risk increases Frontline report: submitted on day one Frontline report Signal delayed: the report slows while moving through system levels Signal delayed National decision: arrives as the response window is closing National decision TIME →
HMC team reviewing a national surveillance dashboard and laboratory workflow in a public health lab
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
  • Surveillance directorates consolidating fragmented reporting tools

Surveillance & Reporting Systems

  • Emergency and routine reporting workflow redesign
  • Indicator harmonization and real-time data optimization
  • Frontline-to-national reporting workflow improvement

Who this is for

  • 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.

  1. 01

    We listen

    We start inside the system: its facilities, workflows, constraints, and realities.

  2. 02

    We map the gaps

    We identify where reports slow down, where data fragments, and where visibility is lost.

  3. 03

    We strengthen the connection

    We design interoperable, government-partnered solutions built to last beyond a project cycle.

  4. 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.

Want to know more? Contact us
Leadership

Led by public health systems practitioners

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.

Dr. Karina Hernández A., Executive Director at HMC
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
Dr. Elvis Báez, Deputy Director at HMC
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.

  • Epidemiological surveillance
  • Early warning mechanisms
  • Health project management
  • Local partner capacity building and training
LinkedIn
Abel de la Cruz, Administrator at HMC
Administrator
Abel de la Cruz
International Development · M&E

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.

  • Strategic information
  • Monitoring & evaluation
  • Donor compliance
  • Community engagement
LinkedIn
Insights

What we learn working inside the systems

Practice notes on surveillance, reporting and data quality. Written from inside these systems, not about them.

FAQ

Frequently asked questions

What does HMC do?

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.

Strengthen your public health systems with HMC.

Do not include patient data. If you need to share clinical information, contact us and we will set up a secure channel.