Healthcare Automation Consulting
Six Questions Deep. Transforming
healthcare operations.
6QD partners with healthcare organizations to automate revenue cycle operations, build resilient digital workforces, and navigate the intersection of technology and operational excellence.
Serving organizations including
Lost annually to U.S. claims denials
Reduction in denial touches with RPA
Patient records breached in 2023
Of health systems at Stage 1 or 2
What We Do
From strategy to execution — across the full automation spectrum.
We do not sell software. We build operating models grounded in clinical reality, financial accountability, and organizational discipline.
Explore Services01
Revenue Cycle Automation
Deploy intelligent bots across eligibility, prior auth, denials, and remittance posting — reducing cost-to-collect while accelerating cash flow.
Learn more02
Revenue Cycle Transformation
Redesign the underlying operating model — processes, teams, and governance — to sustain performance improvement and build lasting revenue cycle capability.
Learn more03
Digital Workforce Design
Design the operating model for human-digital collaboration — from CoE governance to workforce transformation and change management.
Learn moreThe 6QD Difference
Healthcare automation is not a technology problem. It is an operating model problem.
Most automation initiatives stall because organizations deploy technology against broken processes, without the governance, talent, or change management needed to sustain and scale.
6QD brings a fundamentally different approach: we start with the operating model, then design technology around it. Every engagement is anchored in process clarity, data quality, and organizational readiness — not just tools.
Our ApproachWe redesign broken processes before automating them
Vendor-agnostic — we work with your existing stack
Designed for sustainability — not quick wins that create long-term dependencies
Grounded in healthcare operations, not generic automation playbooks
Clinical, operational, and financial alignment from engagement day one

Meet Our Founder
Valerie Barckhoff
Founder & CEO
Valerie has spent more than 30 years helping hospitals navigate complexity, transform revenue cycle operations, and adopt new technologies with clarity and confidence. Her career spans every corner of the healthcare ecosystem.
She founded 6QD with a simple belief: Hospitals don't need more noise. They need better thinking.
6QD Framework
The Automation Maturity Model
Four stages that define where healthcare organizations stand on the automation curve — and the strategic path to advance.
Stage 1
Awareness
10–17 pts
Stage 2
Emerging
18–27 pts
Stage 3
Scaling
28–35 pts
Stage 4
Integrated Digital Workforce
36–40 pts
Stage 1
Awareness
Stage 2
Emerging
Stage 3
Scaling
Stage 4
Integrated Digital Workforce
You're recognizing the opportunity. Now it's time to act on it.
Early pilots are proving value — but fragmentation is your biggest risk.
Scaling intelligently — the next horizon is integration and intelligence.
You're operating at the frontier. The question now is: what's next?
The 6QD Automation Maturity Assessment is a free, 12-question diagnostic that benchmarks your organization and delivers a personalized strategic roadmap.
Begin AssessmentPerspectives
Featured Insights
Free Diagnostic
Where does your organization stand on the automation maturity curve?
The 6QD Automation Maturity Assessment takes 8 minutes and delivers a personalized stage diagnosis, strategic reflection, and a recommended next step — at no cost.
10 questions · 6 minutes · No email required to view results