Notes
Slow essays on healthcare operations, AI adoption, and how organizations actually change. Written when there is something worth saying — not on a content calendar.
Written when there's something worth saying — not on a content calendar.
Healthcare organizations own more software than ever and run no better. Apps solve tasks; organizations fail at operating models — and the difference is the entire consulting question.
A referral without a follow-up date isn't sent — it's released into the wild. Why outbound referrals vanish, who finds out first, and the tracking layer that ends it.
Most of what a clinic loses, it loses quietly — inside jobs that feel like work. The first hour of every engagement is the same: not a workshop, not a questionnaire. We watch the work.
Clinics stall on scribes for a year over questions that take two weeks to answer: privacy fit under PIPA, which product suits the clinic, and how to roll it out without breaking the MOA loop.
Every clinic runs a fax triage system. In most, the system is one MOA's judgment and memory. Turning it into a designed workflow takes four parts — and the first one is an afternoon.
Patient data leaves the clinic the moment a clinician pastes it into a chatbot. Here's why we built our tools to never let that happen — what that costs in speed, what it pays back in trust.
More essays when they're ready. Subscribe to get them when they land.
New essays land in the TOSC newsletter — the same one TOSC started from in 2023. No marketing funnel. No content calendar. Just the writing, when it's ready.
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