Pivot
Health
Care
Consulting
Inc.

Pivot Health Care Consulting Inc.Pivot Health Care Consulting Inc.Pivot Health Care Consulting Inc.

Pivot
Health
Care
Consulting
Inc.

Pivot Health Care Consulting Inc.Pivot Health Care Consulting Inc.Pivot Health Care Consulting Inc.
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About Pivot Health Care Consulting

Close-up of a black compass showing cardinal directions.

Our Mission

Our Expertise

Our Expertise

Pivot Health Care is built on a simple principle: Exceptional patient experience begins with robust support for the individuals delivering care. Our mission is to provide real-world clinical expertise, health care training based on evidence, and practical advisory services to health care organizations, professionals, and media creators wh

Pivot Health Care is built on a simple principle: Exceptional patient experience begins with robust support for the individuals delivering care. Our mission is to provide real-world clinical expertise, health care training based on evidence, and practical advisory services to health care organizations, professionals, and media creators who strive to portray health care with authenticity and skill. We are dedicated to enhancing communication, improving workflows, and empowering teams to deliver care that is compassionate, safe, and consistent.

A doctor performs an ultrasound on a pregnant woman's belly in a medical clinic.

Our Expertise

Our Expertise

Our Expertise

With decades of combined frontline, leadership, academic, and consulting experience, Pivot Health Care brings the clinical expertise you can trust. Our team has worked in high-acuity environments, educates the next generation of clinicians, and coordinates complex operations while designing health care training programs that strengthen co

With decades of combined frontline, leadership, academic, and consulting experience, Pivot Health Care brings the clinical expertise you can trust. Our team has worked in high-acuity environments, educates the next generation of clinicians, and coordinates complex operations while designing health care training programs that strengthen communication, teamwork, and patient-centered care. Whether we’re supporting hospitals, coaching individual providers, or advising film and television productions, we apply the same standard: practical, credible, clinically grounded insight that enhances the patient experience.

Arrow stuck in the bullseye of a target.

Our Approach

Our Expertise

Our Approach

We take a hands-on, scenario-driven approach to improving patient experience in health care. Our work combines operational assessment, frontline coaching, and health care training through scenario-based learning, utilizing realistic interaction models, custom scripts, and experiential teaching methods. We collaborate closely with clients 

We take a hands-on, scenario-driven approach to improving patient experience in health care. Our work combines operational assessment, frontline coaching, and health care training through scenario-based learning, utilizing realistic interaction models, custom scripts, and experiential teaching methods. We collaborate closely with clients to understand their environment, identify opportunities, and co-create sustainable improvements. Every solution is underpinned by real clinical expertise and designed to make an immediate impact on the people delivering and receiving care.

About Health Care Consulting at Pivot

Krystal Oswin-Buchanan, RN, BScN - Nursing Educator, Clinical Specialist, Medical Legal Consultant, Author and Doctoral Candidate

Krystal brings over 18 years of nursing experience across emergency care, obstetrics, NICU, pediatrics, and community settings, showcasing her clinical expertise. As a long-standing Nursing Faculty member and Program Coordinator at Georgian College, she has led curriculum development for multiple programs, guided internationally educated nurses through health care training and transition-to-practice pathways, and contributed as a published textbook author and expert reviewer in Canadian nursing education. 


Her clinical leadership experience includes roles in labour and delivery, emergency nursing, neonatal resuscitation instruction (NRP), fetal health surveillance education, and interim educator positions supporting OBS, pediatrics, and ER teams. With a passion for mentorship, psychological safety, and skill development, Krystal's approach enhances patient experience and frontline coaching. She combines academic rigor with frontline credibility and is deeply committed to improving outcomes for both patients and the clinicians who care for them.

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Alexander Buchanan, M.Ed., ACP — Paramedic and Nursing Educator, Clinical Specialist & Operational Optimization Consultant

Expertise: Advanced care paramedicine, emergency operations, leadership, flow coordination, union & labor relations, teaching, coaching, and simulation-based education.


Alex is an Advanced Care Paramedic with more than 22 years of experience serving the community across emergency response, advanced prehospital care, international medical transport, community paramedicine, and operational leadership. His clinical expertise shines through his role as a Paramedic Superintendent and Emergency Department Flow Coordinator, where he has coordinated complex clinical operations, strengthened patient flow, and supported multidisciplinary teams through data-driven decision-making.


Alongside his frontline practice, Alex is a Professor at Seneca College and Georgian College, teaching in nursing and paramedicine programs with a focus on health care training, leadership, human resource management, clinical reasoning, and skills development. He holds a Master’s in Education with a specialization in Leadership and is certified in LEAN Six Sigma Green Belt methodology, PALS instruction, and neonatal resuscitation.


His strong foundation in operationalization, analytics, training, mediation, and emergency services coordination makes him especially effective in improving workflows, coaching frontline teams, and enhancing the patient experience through scenario-based learning—and advising film and television productions requiring accurate emergency care representation.

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