A workflow that keeps failing
A workflow repeatedly fails despite competent people.
Healthcare business and systems diagnostic
When a Healthcare Organization Has a Problem, Everyone Often Sees a Different Piece of It.
Operations may see workflow. Finance may see cost. Clinicians may see care delivery. Technology may see the system. Leadership may see performance. The true failure can live between those viewpoints.
Bring me one healthcare business, operations, organizational, technology, workflow, or systems problem. In a focused 60 to 90 minute session, I will help you test the competing explanations, find what does not fit, and identify what deserves attention next.
$495. One problem. One focused session. One concise written assessment.
Not sure whether your problem fits? Tell me about it first. I’ll tell you whether I think this diagnostic is an appropriate next step before you spend anything.
Healthcare operational problems this is designed to clarify
This is for you if competent people see the same healthcare problem differently.
Rising costs without agreement
Costs are rising but nobody agrees why.
Technology without the expected result
A technology implementation is not producing the expected operational result.
Different departments, different explanations
Different departments give different explanations for the same failure.
The source of the problem is unclear
Leadership cannot tell whether the problem is process, incentives, staffing, technology, or organizational design.
These are examples of healthcare business, operational, organizational, technology, workflow, and systems problems. This Diagnostic does not address medical diagnosis, patient care, treatment, or clinical decisions.
Outside judgment and synthesis
What I will do with you
You bring me the workflow, departments, technology, incentives, staffing context, operational facts, competing explanations, and the decision you are facing. I will ask questions, test assumptions, look for contradictions and hidden dependencies, and try to identify where the organizational or operational failure is actually being created or sustained.
After the session, I will send you a concise written assessment covering:
- 1What I think is most likely going wrong
- 2The primary bottleneck or failure point
- 3What does not fit or still needs to be verified
- 4The risks that deserve attention first
- 5The next actions I would prioritize
- 6Whether the problem appears to need specialist or larger implementation work
A guided pre-session intake
You do not need to build a perfect case file.
Before the 60 to 90 minute session, you will complete a structured intake and may provide up to five key supporting items. The purpose is to help me understand the background before we meet so the live session can focus on the actual problem rather than basic fact gathering.
Don’t worry about knowing exactly what to send. Start with the facts you have. I’ll guide you.
You do not need to diagnose your own problem before meeting me. The intake is designed to help me understand the situation even if you are not sure what matters yet.
Workflow or process description
A current description of the workflow or process involved.
Relevant operating or financial KPIs
The operating or financial measures that best show what is happening.
Organization and staffing structure
An org chart or concise staffing structure for the teams involved.
Recent problem or incident summary
A short summary or timeline of the recurring problem or relevant incident.
Prior recommendations and competing explanations
A prior recommendation, technology plan, implementation report, or other material showing the competing explanations.
If you do not have all five, that is fine. Send what you have. Do not delay trying to create perfect information.
Do not send medical records, protected health information, patient identifiers, confidential legal files, passwords, card data, or other highly sensitive material through the initial intake.
If material beyond this bounded review is needed, I may ask for one or two additional items later or recommend a larger engagement.
A concrete written deliverable
What your written assessment looks like
What I think is actually happening
The explanation that best fits the information available.
Why I think that
The facts, contradictions, dependencies, or assumptions driving that conclusion.
What still doesn't fit
Important unanswered questions and things that still need verification.
What I would do next
The actions I would prioritize, and what I would deliberately not spend time or money on yet.
Why Sonny
Why bring the problem to me?
My working life has repeatedly put me in situations where the important question was not “Who is the specialist?” but “What is actually happening?”
Emergency medicine trained me to make decisions with incomplete information, competing explanations, time pressure, and real consequences. I now apply the same discipline to difficult problems across business, commercial real estate, organizations, AI, workflows, and systems.
Review the method first
Want to see how I think before hiring me?
Review my public Difficult Problems work to see how I examine competing explanations, test assumptions, identify what does not fit, and decide what deserves attention next before you purchase anything.
Rapid Systems Integrity Diagnostic
$495
One-time fixed fee
- 1Structured pre-session intake and review of your key facts and supporting material.
- 260 to 90 minute diagnostic session
- 3Concise written assessment
- 4Primary bottleneck / failure point
- 5Important unresolved questions
- 6Prioritized next actions
Not sure whether your problem fits? Tell me about it first. I’ll tell you whether I think this diagnostic is an appropriate next step before you spend anything.
Larger implementation or advisory work is separate. You are not committing to anything beyond this diagnostic.
A finished first engagement
What happens after you buy
- 1You complete the secure $495 checkout.
- 2You receive the structured intake and scheduling instructions.
- 3You give me a concise description of the problem and the information needed for the session.
- 4We spend 60 to 90 minutes working through it together.
- 5I send you the written assessment and prioritized next steps.
Payment is processed securely by Stripe.
A useful boundary
When this is not the right first step
- 1The question involves medical diagnosis, patient-specific care, medical treatment, or clinical advice.
- 2You need emergency patient care, legal advice, regulatory advice, financial advice, or another regulated professional service.
- 3You already know exactly what the operational problem is and simply need a specialist or implementation team to execute the solution.
- 4You want a guaranteed operational, financial, technology, organizational, or clinical outcome.
If you are unsure, discuss the problem first.
This engagement addresses healthcare business, operations, organizations, technology, workflows, and systems. It is not medical diagnosis, patient care, medical treatment, clinical advice, or legal representation. It does not create a physician-patient or attorney-client relationship, and it does not guarantee a particular outcome.
Do not submit protected health information, medical records, patient identifiers, confidential legal files, passwords, card data, or highly sensitive material through the initial purchase or intake flow.
If the cost of fixing the wrong part of a healthcare system is more than $495, this is a sensible place to start.
Bring me one healthcare business, operational, organizational, technology, workflow, or systems problem. I will help you determine what deserves attention next.
Not sure whether your problem fits? Tell me about it first. I’ll tell you whether I think this diagnostic is an appropriate next step before you spend anything.