Focus area
Full scope
Typically bought byA CEO or COO without a transformation leader.
Tyler leadsYour whole transformation agenda, across all three stages and both threads.
ProofAll of the focus areas below.
Fractional Chief Transformation Officer
A transformation leader for your agenda, or for one program.
Your teams know your organization. Tyler adds senior transformation leadership for your agenda, or for one program, and hands it off to your team.
Who this is for
You own the agenda. You don’t have the capacity.
You already have strategy and IT teams. What you don’t have is a senior person whose full attention is on getting one transformation agenda delivered and adopted.
- 01
“We have more initiatives than anyone can govern.”
Chief Transformation Officers and COOs with a crowded portfolio and no system to run it. Transformation Office / Enterprise PMO
- 02
“Our new AI chief needs a team we haven’t hired yet.”
A newly appointed Chief AI or Data & AI Officer who needs delivery capacity now. AI Adoption & Governance
- 03
“The ambient AI tool is live. Providers aren’t using it.”
CMIOs and digital leaders running an ambient documentation rollout. Ambient AI
- 04
“Our rural sites can’t run the flagship’s playbook.”
Chief Strategy Officers and VPs of rural or regional operations in systems with rural hospitals or affiliates. Rural Strategy & RHTP
01 · How it works
Scoped, part-time, and built to hand off.
- Role
- Tyler serves as your part-time Chief Transformation Officer and owns outcomes alongside your leadership, across all three stages and both threads of the model.
- Scope
- Full scope, or one focus area that can expand later.
- Time
- A set number of days per week, typically 1–2.
- Term
- Typically 6–12 months; 12 months for full scope.
- Agreement
- A statement of work, with 60–90 days’ notice to end.
- Start
- A 30-day diagnostic.
- End
- A handoff to your internal team.
02 · The 30-day diagnostic
Every engagement starts with a baseline.
The first 30 days answer three questions before any plan is set. The diagnostic sets the baseline that later progress is measured against.
Portfolio
What is in flight, who owns it, and what it is meant to deliver.
Data
What you can measure today, and what you can’t.
AI readiness
Which AI tools are in use or under review, and how they are governed.
03 · Full or focused
Hire the full role, or start with one focus area.
These are focus areas within one role, not separate products. Many clients start with one and expand.
Focus area
Ambient AI
Typically bought byA CMIO, Chief AI or Digital Officer, or ED or hospitalist group leadership.
Tyler leadsProvider training, workflow redesign, governance, and utilization measurement for an ambient documentation rollout (DAX, Abridge, Ambience, or similar).
Proof
- Directed ambient AI adoption for 200+ emergency department providers.
Focus area
AI Adoption & Governance
Typically bought byA newly appointed Chief AI or Data & AI Officer who needs delivery capacity before the team is hired.
Tyler leadsYour AI governance structure, an intake and vetting process for new tools, an adoption plan, workforce enablement, and adoption metrics.
Proof
- Directed ambient AI adoption for 200+ emergency department providers.
- AI governance and readiness programs for rural hospitals and FQHCs.
- Security-tested a voice AI scheduling agent, found prompt injection and persona bypass vulnerabilities, and recommended pausing the pilot.
- Microsoft Certified: Agentic AI Business Solutions Architect (AB-100, Expert) and Microsoft Certified Trainer.
Focus area
Transformation Office / Enterprise PMO
Typically bought byA COO, Chief Strategy Officer, or Chief Transformation Officer.
Tyler leadsStanding up a strategy execution framework, portfolio governance, stage gates, dashboards, and executive reporting, then handing them off to your staff.
Proof
- Built MD Anderson Cancer Center’s strategy execution framework.
- Designed the funding, governance, and implementation framework for a $17M portfolio.
- 65 projects and 500+ team members on one project management system with executive milestone reporting.
- Portfolio Management Professional (PfMP).
Focus area
Rural Strategy & RHTP
Typically bought bySystems with rural hospitals or affiliates; associations and networks; hospitals with Rural Health Transformation Program subawards.
Tyler leadsRural portfolio strategy, delivery and reporting for initiatives funded through the Rural Health Transformation Program, and AI and technology adoption across rural sites.
Proof
- Took 50+ rural hospitals in five states through ICD-10.
- Launched the first cohort-based AI readiness program for rural hospitals.
- Built the AI Practitioner in Rural Health (AI-PRH) certification.
04 · Getting started
From first conversation to statement of work.
A first conversation
You describe what you’re trying to change and where it’s stuck. Tyler tells you whether a fractional role fits, and which scope makes sense.
A short proposal
Scope (full or focused), days per week, term, and what the diagnostic will cover.
A statement of work
It sets out:
- Scope: full, or the focus area(s)
- Time commitment and term
- What the 30-day diagnostic delivers
- How progress will be measured and reported
- The governance cadence: who Tyler reports to, and how often
- The handoff plan to your internal team
- Notice to end (60–90 days)
One program, or the whole agenda.
Start with a conversation about what you’re trying to change.