Debra Punch, MBA, RN, CDN
Debra Punch is Founder and President of Alliance Management, LLC, an End Stage Renal Disease (ESRD) consulting firm. Alliance Management, LLC, founded in the year 2000, specializes in Mock Department of Public Health (DPH) inspections, new facility start-ups and administrative recommendations for improving the quality of care and financial performance.
Debra's wide ranging experience includes large integrated hospital healthcare systems, independent dialysis corporations and renal management projects. Her expert familiarity with federal and state regulatory requirements takes Debra all over the country in her consulting role.
Ms. Punch is a nephrology nurse who is a featured speaker and has published several articles for ESRD trade publications. Ms. Punch has served on the California Dialysis Council (CDC) Board of Director’s since 1990 and has served as the President-Treasurer for the council. She has been the CDC’s Chairperson for the PCT State Exam since 2008. Ms. Punch was the grant recipient for the American Nephrology Nurses Association for the “Nurse in Washington” program and has served on the Quality Committee for National Renal Administrators Association since 2007.
We begin by assessing the current working environment.
We develop goals and plans for achieving those strategic outcomes.
Following our strategic goals, we set-up clear and organized processes.
A collaborative process, with achievable outcomes.
These are just a few of the questions we get frequently.
Please let us know if other questions come up for you. You are welcome to us our Contact Form below.
There is no set timeline that has been established by state or federal licensing.
Each project is a unique situation and timeline. Currently in California, the average timeline is 2 years from construction to state licensing.
Yes, Alliance Management has vast experience with post DPH inspections.
Alliance Management works with staff to improve compliance, processes and writing the response report.
Alliance Management has an hourly fee for consulting time and established set pricing for support material services, ie., manuals. For more information, send us a message.
Alliance Management, LLC realizes that each project is unique.
The services listed below are the popular and most requested dialysis services.
Please feel free to discuss with us other renal projects.
Dialysis Facility Services
DPH & CMS 855 Applications
Policy & Procedure Manuals
When You Have Questions, We Have Answers. Let us know what your individual concerns are and we will respond in a timely manner. If It’s Important To You, It’s Important To Us!