Who we serve
Four kinds of organizations, one model.
Strategy, execution, and change, measured with data and accelerated by AI, sized to the organization.
01 · Health systems
A fractional leader for a defined program.
You have strategy and IT teams. You need someone senior to govern a transformation agenda, or one program inside it, through to adoption. Then you need that work handed to your own people.
Especially forTwo kinds of systems
- Systems with rural hospitals or rural affiliates. Rural sites need a different approach than the flagship campus. Tyler has worked at both scales.
- Systems with a newly appointed AI or transformation chief who needs delivery capacity before the team is hired.
How: a Fractional Chief Transformation Officer, full scope or focused on ambient AI, AI adoption and governance, a transformation office or enterprise PMO, or rural strategy.
ProofSystem-scale delivery
- Directed ambient AI adoption for 200+ emergency department providers.
- Built MD Anderson Cancer Center’s strategy execution framework, including governance for a $17M portfolio.
02 · Associations & networks
Serve many hospitals at once.
State hospital associations, primary care associations, rural health associations, state offices of rural health, and rural hospital collaboratives can share one Fractional Chief Transformation Officer across their members, so each organization pays a fraction of the cost. Group coaching for several rural CEOs at once is also available.
- Built project management infrastructure for the nation’s largest rural ICD-10 initiative: 50+ hospitals in five states.
- Launched the first cohort-based AI readiness program for rural hospitals.
- Built the AI Practitioner in Rural Health (AI-PRH) certification for HomeTown Health University.
03 · Rural hospitals & CAHs
Big changes, small teams.
Rural and critical access hospital leaders carry many initiatives with few staff and a tight budget. Many are putting Rural Health Transformation Program funds to work. You can start with a Transformation Coach or Advisor and grow from there.
- Took 50+ rural hospitals in five states through the ICD-10 transition.
- Ran a national security audit of every U.S. critical access hospital website (1,382 hospitals, 45 states, 44,524 pages). Hand verification confirmed 4 compromised sites.
- Built the nation’s first AI certification for rural health practitioners.
04 · FQHCs & community health centers
See your own numbers every month.
Health center leaders need clear numbers on access, scheduling, capacity, and budget to make decisions.
- Analytics for a multi-site FQHC network in Georgia: Power BI dashboards, scheduling and encounter analytics, no-show and access analysis, telehealth capacity recommendations, and multi-year budget analysis.
- AI governance and readiness programs for rural hospitals and FQHCs.
- Former board member of a Georgia FQHC (MedLink Georgia, 2024–2025).