Ascendant Health Advisory

ASCENDANT HEALTH ADVISORY

Strategic direction.
Operational expertise.

Independent strategic and operational advice for healthcare leaders setting direction, making complex decisions and improving care.

Independent. Thorough. Trusted.

Discuss your priorities
Nancy Desrosiers, founder of Ascendant Health Advisory
Nancy DesrosiersFounder & Healthcare Executive

A CLEAR PURPOSE

Strategic advice and operational support
for the future of healthcare.

Healthcare leaders must plan for the future while responding to the demands of care today. Ascendant Health Advisory helps boards and executive teams set strategic direction, assess options and strengthen governance, while supporting the operational planning and implementation needed to deliver on those decisions.

HOW I CAN HELP

Strategic perspective.
Practical operational support.

Support at both the strategic and operational level, from long-term direction and executive decisions to service delivery and implementation.

01

Strategy and system planning

Support to develop strategic plans, assess future service needs and evaluate options for models of care. Align organizational priorities with population needs, available resources and the wider health system.

02

Governance and executive advisory

Independent counsel for boards and executive teams on complex decisions, risk, accountability and leadership transitions. Support with business cases, stakeholder alignment and translating strategic priorities into clear direction.

03

Quality, safety and accreditation

Drawing on more than a decade as an Accreditation Canada surveyor, I support organizations with accreditation readiness, quality framework implementation and risk assessments.

I help implement IHI’s Whole System Quality approach, integrating quality planning, quality control and quality improvement, alongside quality assurance and governance oversight.

I also lead structured reviews and support remediation planning, with stakeholder engagement and appropriate clinical expertise.

04

Clinical operations

Support to assess service delivery, access and patient flow, workforce needs and operational performance. Develop practical improvement plans that connect organizational strategy with the needs of patients and teams.

05

Health system transformation

Advice on transformation strategy, organizational change and digital modernization. Clarify the intended outcomes, assess readiness and support implementation with attention to governance and the people affected.

ABOUT NANCY

A health system leader.
A partner in your work.

I’m Nancy Desrosiers, RN, EMBA, founder of Ascendant Health Advisory.

I bring 23 years of executive leadership at both the strategic and operational level, leading complex, multi-site health systems that serve geographically diverse patient populations.

My experience spans primary care, acute care, community services and end-of-life care, as well as mental health and substance use and correctional health within the judicial system of care. I have also led access and patient flow, laboratory and diagnostic imaging services, workforce management, quality and professional practice, and digital transformation.

My leadership is grounded in equity, diversity and inclusion and Indigenous partnership, with a commitment to culturally safe care. I bring compassionate leadership toward a common purpose, Nutsamaht (we are one). I place patients and families at the centre of decisions and work alongside leaders and teams to translate strategic priorities into practical improvements.

I have served as an Accreditation Canada surveyor for more than a decade, with experience in provincial and international surveys. I support organizations with accreditation readiness and the implementation of quality frameworks, including IHI’s Whole System Quality approach to quality planning, quality control and quality improvement. My advisory work also includes quality assurance, governance oversight and risk assessments.

Throughout my executive leadership career, I have maintained my registered nurse licence and remained connected to clinical practice in emergency departments and operating rooms. This clinical perspective keeps my advisory work grounded in the realities of delivering care.

Through Ascendant Health Advisory, I support organizations at both the strategic and operational level. I help leaders shape long-term direction, evaluate complex decisions and strengthen governance, while working with teams on the planning and implementation that improve care.

THE WAY I WORK

Clear strategic direction.
A workable path to implementation.

Independent

An objective perspective that respects the complexity of your organization and the decisions you face.

Thorough

Careful attention to evidence, people’s experience and the clinical expertise needed to understand the issue.

Trusted

Clear communication and a collaborative approach, with recommendations grounded in the realities of your work.

LET’S CONNECT

What is your organization
working through?

Let’s discuss your strategic priorities, operational challenges and where independent advisory support could help.