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Three senior advisors. One implementation path.
CTO-level architecture, Salesforce Agentforce expertise, and healthcare operations and change management — without junior consultants, bloated teams, or theater. Every engagement is led by a partner.
We are not here to produce an AI strategy deck that dies in committee. We help you choose, govern, integrate, and operationalize AI systems that can survive production traffic, compliance scrutiny, and board questions.
WHAT WE DO
Named for the outcome you need, not our org chart.
01
Fractional CTO Services
Senior technology leadership on retainer. Architecture, hiring, AI, and board reporting, without the cost or commitment of a full-time hire.
02
Deploy Salesforce Agentforce
Architecture, implementation, and AI agent governance for orgs already running on Salesforce — with data readiness, identity, permissions, and change management included, not bolted on.
03
Get AI Into Production
From prompt prototype to production system, with the right model selection, observability, rate limit handling, and cost controls in place from day one. Not just a demo that breaks at scale.
04
Healthcare IT Consulting
Healthcare IT consulting and advisory for health systems, health tech startups, payers, and life sciences organizations. EHR strategy, HIPAA-aware AI deployment, Salesforce Health Cloud, and the clinical change management that determines whether a technology initiative actually lands.
Who we work with
Best for
Funded startups, SMBs, healthcare organizations, nonprofits, and Salesforce-heavy teams that already believe AI matters but need senior judgment to implement it safely, without enterprise consulting overhead.
Not for
Companies looking for generic chatbot demos, low-cost staff augmentation, or strategy decks without implementation accountability.
CAPABILITY PROOF
What the first 90 days looks like.
A fixed-scope engagement that ends with something running in your stack, not a slide deck. Targets we hold ourselves to:
FREE ASSESSMENTS
Where are you stuck?
Each assessment takes minutes, scores your current position, and emails you a personalized report. Pick the one that matches where you are right now.
AI Governance Gap Assessment
"We need AI governance before this gets risky." For boards and C-suite.
Instant download · no quiz required
AI Stack Readiness Assessment
"We need to know if our AI architecture will hold up at scale." For technical founders.
Instant download · no quiz required
Salesforce Agentforce Readiness Assessment
Most Salesforce orgs are not as ready for Agentforce as they look in a demo. This assessment tells you exactly where the gaps are before you start building, so you're not troubleshooting in production.
Instant download · no quiz required
Healthcare AI Adoption Scorecard
"We are a healthcare org and need HIPAA-aware AI." For health system leaders.
Instant download · no quiz required
AI Production Readiness Assessment
"We have an AI pilot but cannot get it into production." For engineering and product.
Instant download · no quiz required
Latest Insights
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Clinical AI governance solutions for health systems come in two forms: software platforms that monitor, detect bias, and maintain audit trails across deployed AI systems, and advisory firms that design the governance frameworks those platforms will operationalize. Most health systems serious about scaling AI need both, but the sequence matters — governance software monitors decisions you have already made, and organizations that deploy monitoring tools before defining their policies end up with data they do not know how to act on. This post covers five software and platform options (Ferrum Health, Credo AI, Arthur AI, Arize AI, Fiddler AI) and three advisory options (Tristella Advisors, Deloitte, Accenture), with evaluation criteria specific to clinical AI: FDA SaMD lifecycle alignment, EHR and FHIR compatibility, clinical population bias monitoring, audit trail depth, and human oversight workflow design.
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Healthcare IT strategy consulting is a distinct discipline from implementation or staffing: it is the work of deciding what to build, buy, prioritize, and govern across a multi-year technology horizon. In 2026, that work is inseparable from AI strategy, and the firms that do it well come at it differently. Some bring tier-1 management consulting rigor (McKinsey, Oliver Wyman); some bring Big 4 advisory breadth with an integrated path to implementation (Deloitte); some embed their advisory in proprietary analytics platforms (Health Catalyst); and some bring market intelligence and forecasting that positions technology decisions in the context of projected demand (Sg2 by Vizient). This post evaluates six firms across those distinct models, describes the client profile each serves best, and gives health system and payer leaders a practical framework for matching the type of question they are asking to the type of firm built to answer it.
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Interim CTO engagements are full-time, time-boxed, and deliverable-focused, a different structure from fractional CTO coverage, and one that requires a different kind of firm to execute well. This post evaluates six firms across distinct models: boutique specialists (Tristella, Cerius), established fractional and interim C-suite networks (TechCXO, Chief Outsiders), a marketplace (Toptal), and an executive search firm with an interim placement practice (Cowen Partners). Each write-up covers what the firm is best for, what its limitations are, and which situation it actually serves well.
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