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Fractional CIO | CTO | CHIO for Health IT

Senior health IT leadership on demand — strategic expertise, architectural judgment, and regulatory fluency without the full-time commitment.

The Problem Statement

Many healthcare organizations — mid-size health systems, HIEs, public health agencies, and health tech companies — face executive-level decisions around interoperability, AI adoption, and compliance but cannot justify or find a full-time senior hire.

Strategic decisions stalling without senior leadership

Organizations are navigating AI readiness, FHIR platform decisions, quality reporting mandates, and network participation timelines simultaneously. Without experienced leadership at the table, decisions get deferred, vendors drive the roadmap, and compliance gaps widen — not because the team lacks talent, but because it lacks the executive-level pattern recognition to sequence and prioritize correctly.

Roles We Fill

Each role brings a different lens to your organization's health IT challenges. We match the leadership type to the problem — not the other way around.

Fractional CHIO

Chief Health Information Officer

  • Own enterprise interoperability strategy, standards adoption, and clinical data governance
  • Lead organizational positioning on TEFCA, USCDI, and CMS compliance requirements
  • Translate clinical workflow needs into data exchange priorities for technical teams
Fractional CTO

Chief Technology Officer

  • Lead FHIR API architecture, AI infrastructure design, and integration platform decisions
  • Evaluate and select technology partners — InterSystems, Rhapsody, cloud platforms, and AI tooling
  • Architect scalable, governed data environments for clinical and operational workloads
Fractional CIO

Chief Information Officer

  • Strategic IT planning aligned with regulatory mandates, AI adoption, and quality reporting goals
  • Vendor evaluation, contract negotiation, and build-vs-buy decision framing
  • Data governance, organizational change management, and IT workforce strategy

Engagement Models

Senior leadership is not a commodity — we structure the engagement around the depth and duration your organization actually needs, not a one-size billing model.

Advisory Retainer

Strategic guidance on your cadence

Monthly retainer with defined hours for executive consultation, architecture reviews, compliance guidance, and stakeholder sessions. You set the rhythm.

Best for
  • Organizations with capable teams that need senior judgment on key decisions — not day-to-day oversight
Embedded Leadership

Part-time executive in your operating rhythm

Integrated placement — typically two to three days per week — working inside your leadership cadence, sprint cycles, and stakeholder meetings as a member of the team.

Best for
  • Organizations in active transformation — platform migrations, AI rollouts, network onboarding, or major compliance deadlines
Project-Based

Scoped leadership with defined outcomes

Defined engagement with clear deliverables, milestones, and timeline for a specific strategic or compliance objective. Starts and ends with measurable outcomes.

Best for
  • Specific initiatives — vendor selection, FHIR API launch, AI readiness assessment, compliance audit preparation, or quality reporting modernization
Start The Conversation

Tell Us About Your Challenge

There is no pricing page here — by design. Fractional leadership is scoped to what your organization actually needs, and the best first step is context, not a rate card.

  • Share your organization type and the challenge driving the need
  • Tell us which engagement model is the closest fit
  • Give us your timeline so the first conversation is already grounded