Field notes from inside the work.
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The vendor relationship starts before you sign.
Most vendor problems aren't really vendor problems. They're selection problems and expectation problems. What it actually takes to design a vendor relationship before you sign, and how to reset it when it drifts.
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Fractional Chief of Staff vs. consultant vs. COO: when each one fits.
A clear breakdown of when a fractional Chief of Staff is the right hire versus a consultant or a COO. Written for owner-led and PE-backed healthcare leaders deciding what role to fill next.
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Where the AI productivity gain actually lives.
Most AI rollouts disappoint because the team bought a tool before they picked a problem. Where the gain actually comes from: what you ask AI to do, how you ask it, and how to build a team that can run with it.
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Why SOPs fail in multisite healthcare (and what actually works).
Most SOP projects in multi-location healthcare practices produce documents nobody uses. A different approach: build documentation from how the work actually happens, not from how people remember doing it.
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