Technology decisions & roadmap
Evaluating and choosing the tools that run the practice (website, billing, practice-management) before you commit to one.
Fractional CTO · Independent healthcare clinics
The technology decisions that come with launching and growing a practice (website, billing, practice-management software, and everything after) shouldn't fall entirely on you. That's the gap I fill.
Real experience running technology decisions for an independent clinic, plus 30 years in engineering and technology leadership, without a full-time hire you don't need.
Launching a clinic means picking a website, a billing platform, and practice-management software before you've even seen your first patient, usually with no time to evaluate any of it properly. Those early choices tend to run the practice for years, good or bad.
As the practice grows, the tools sized for one provider stop holding up, and there's rarely anyone besides the founder making that call. I've done exactly this: picked the first tool stack at launch, then stayed on through the decisions that come with growing past it.
A part-time technology partner, focused on the decisions that actually move the practice forward.
Evaluating and choosing the tools that run the practice (website, billing, practice-management) before you commit to one.
Getting a new clinic's technology stack right from day one, instead of patching it together under time pressure.
Catching what the launch-stage tools won't handle once the practice adds staff and patients.
Email, Workspace, and the day-to-day technology ownership that otherwise falls on the founder.
Launch through growth
Client: An independent clinic, launched by a provider leaving a larger health system.
Problem: A new practice needed a website, billing platform, and practice-management software chosen fast, with no one in-house able to evaluate them.
Action: Picked and set up the initial tool stack, then stayed on as the practice grew, evaluating new platforms, managing infrastructure, and making the calls the founder didn't have time for.
Result: Still the person the clinic calls before making a technology decision.
I got into this work partly for personal reasons. My mother was paralyzed in a car accident at 77 and later developed dementia. Our family went through the full spectrum: assisted living, remodeling a house for accessibility, daily home care. It's part of why healthcare, broadly, is where I've chosen to focus this practice, and why aging-in-place and assistive technology specifically stay a standing interest of mine, even outside the clinics I work with day to day.
Day to day, the work looks more ordinary. I'm the person an independent clinic calls before making a technology decision: the website, the billing platform, the practice-management software, the infrastructure underneath. That's on top of 30 years in engineering and technology leadership, across companies of every size.
What I don't do: clinical or regulatory expertise. I'm not the person for HIPAA questions or compliance strategy, just the technology decisions underneath the practice.
Typically a set number of hours per month as a part-time technology partner, evaluating tools, setting direction, and owning the decisions you don't have time to research yourself. Scope and cadence are shaped to what you actually need.
A contractor executes tasks you define. I set the direction, make the calls on what to use and how it fits together, and take responsibility for whether it actually works for the practice. That's the CTO layer, not the execution layer.
No, that's not my background, and I'd rather point you to someone who actually specializes in it. My focus is the technology decisions and systems underneath the practice, not clinical or regulatory matters.
Independent, solo or small-team practices, generally up to around ten providers. If you're part of a larger health system with its own IT department, you probably don't need this.
A 30-minute call. No pitch, just a real conversation about what's going on with your practice's technology and where it's stuck.
30 minutes, your time zone. No pitch, just a real conversation.