Results

What changed, and how we know.

Each case covers the situation, the work by stage and thread, and the result.

Clients are not named. MD Anderson was Tyler’s employer, not a client.

01 · Academic medical center

Enterprise strategy execution at an academic medical center

StrategyExecutionData

Situation

MD Anderson Cancer Center needed its institutional strategic plan to turn into funded, governed, trackable work across a large organization.

What we did

  • Strategy: Built the enterprise strategy execution framework: strategies, operational priorities, cornerstones, and enterprise risk management. Served as Operational Priorities Director for the Operational Priorities Program, whose executive sponsor was former FDA Commissioner Stephen Hahn.
  • Execution: Designed the funding, governance, and implementation framework for a $17M portfolio. Built implementation infrastructure for the strategic plan: a web-based project management tool and executive milestone reporting. Coached 6–7 program managers in a matrixed structure.
  • Data: Executive milestone reporting across every project in the plan.

Result

65 projects and 500+ team members working on one system, with executive milestone reporting. Delivery included politically charged projects such as closing a research site and improving access across 20+ outpatient clinics.

02 · Emergency medicine

Ambient AI adoption for 200+ emergency department providers

ChangeDataAI

Situation

Emergency department providers had ambient AI documentation available and needed to use it in daily practice.

What we did

  • Change: Provider training and workflow redesign.
  • AI: Governance for the ambient AI rollout.
  • Data: Utilization measurement.

Result

Ambient AI adoption directed across 200+ emergency department providers.

03 · Rural hospitals

ICD-10 across 50+ rural hospitals

ExecutionChange

Situation

Rural hospitals had to make the ICD-10 coding transition with small teams, and they needed one coordinated approach across many sites.

What we did

  • Execution: As project director, built the project management infrastructure for the nation’s largest rural ICD-10 initiative.
  • Change: Took the participating hospitals through the transition.

Result

50+ rural hospitals in five states taken through the ICD-10 transition.

04 · Community health centers

Front-door analytics for a multi-site FQHC network

DataStrategy

Situation

A multi-site FQHC network in Georgia needed clearer numbers on access, scheduling, and capacity to make operating and budget decisions.

What we did

  • Data: Built Power BI dashboards and scheduling, encounter, no-show, and access analytics.
  • Strategy: Modeled telehealth capacity and made recommendations. Completed a multi-year budget analysis.

Result

Leadership got dashboards, telehealth capacity recommendations, and a multi-year budget analysis.

05 · AI safety

Security test of a voice AI scheduling agent

AIStrategy

Situation

A healthcare organization was piloting a voice AI agent to handle patient scheduling.

What we did

  • AI: Security-tested the agent before wider rollout.
  • Strategy: Turned the findings into a go/no-go recommendation.

Result

Found prompt injection and persona bypass vulnerabilities, and recommended pausing the pilot.

06 · Research

A national audit of rural hospital websites

DataAI

Situation

Patients use critical access hospital websites to find care. A compromised site can quietly serve spam or malicious code under a hospital’s name.

What we did

  • Data: Scanned every U.S. critical access hospital website for injected malicious content.
  • Verification: Checked every flag by hand against archive history, so no site was called compromised on the scanner’s word alone.

Result

1,382 hospitals, 45 states, and 44,524 pages scanned. Hand verification cut 16 flags to 4 confirmed compromises.

Want results like these in your organization?