2026-05-20
Despite decades of effort and a proliferation of standards, getting health systems to talk to each other remains stubbornly difficult. Here's why—and what it will take to change.
2026-04-10
The hype around AI in healthcare is real, but so is the graveyard of pilots that never scaled. A practical framework for evaluating where AI genuinely helps.
2026-03-15
ARBs are well-intentioned and often necessary. They also become bottlenecks, politics forums, and waterfall checkpoints. Here's how to think about when they help and when to redesign them.
2026-02-28
DDD's real value isn't the patterns—it's the shared language it creates between technical and business teams. Most organizations use only half of it.
2026-01-20
The most common consulting mistake is moving to recommendations before the problem is fully understood. A structured approach to diagnosis saves time and produces better outcomes.
2025-12-05
The best consulting relationships are built on candor, not deference. What it means to serve a client well when the client is also your evaluator.