Operations and handoffs
A workflow repeatedly fails despite competent people, or responsibility becomes unclear between teams.
Healthcare Operations and Systems
Healthcare problems often live between departments.
Operations may see workflow, finance may see cost, clinicians may see care delivery, technology may see the system, and leadership may see performance. The true failure can live between those viewpoints.
The situations
Problems this work can help clarify
Cost and performance
Costs are rising, targets are being missed, and different departments disagree about the cause.
Technology implementation
A system or AI project is technically functioning but is not producing the expected operational result.
Organization and incentives
Staffing, incentives, governance, or decision rights may be working against the stated objective.
Competing explanations
Leadership cannot tell whether the problem is process, incentives, staffing, technology, or organizational design.
Rapid Systems Integrity Diagnostic
Bring me one difficult healthcare operations or systems problem.
The Rapid Systems Integrity Diagnostic is a fixed-scope, $495 one-time engagement. It organizes the facts, tests competing explanations, and gives you a written assessment of what appears to be happening, what does not fit, and what to prioritize next.
Not sure whether your problem fits? Tell me about it first. I will tell you whether I think this diagnostic is an appropriate next step before you spend anything.
Scope
Clear boundaries
This work concerns healthcare business, operations, organizations, technology, workflows, and systems. It is not medical diagnosis, patient care, treatment, clinical advice, legal advice, or a substitute for an appropriate licensed professional. Do not send medical records or protected health information through the initial contact form.
Related public work
See the wider context
Institutional Systems
Analysis of rules, incentives, automation, professional judgment, and organizational drift.
Healthcare and Institutional Systems
Public Difficult Problems and research connected to healthcare systems.
Research
Published work on healthcare regulation, enforcement, medical coding, and institutional design.