Plan it. Build it. Run it.
Hand it back.
Operational, strategy, and technology consulting for clinical practice. The point of good consulting is that you don't need us anymore.
How we work.
Four steps. No deck-ware. Every engagement passes through them in order, from a 90-minute sprint to a 12-month network engagement.
Plan
One or two days on-site, watching how the work actually moves through your practice. We talk to the people who do it. We map what's broken and what's working. You get an honest read in writing within two weeks, including what you should NOT pay us to fix.
Build
We design the operational layer with your team: workflows, policies, systems, and where it helps, custom automations or one of our apps. Built in your existing stack (Jane, Juvonno, OSCAR, Office 365, whichever you use). Tested with the people who'll use it before anything goes live.
Run
We're on-site through go-live. We train the team. We sit with the front desk for a week if that's what it takes. Adoption is the part most consultants skip. We don't.
Hand back
We stay close for 90 days after go-live, watching what works and what needs adjustment. Then we step back. The point of good consulting is that you don't need us anymore.
Built and led by a clinician who's worked the clinic floor, the network office, and the health authority desk.
Three kinds of practice.
Solo clinicians, group practices, and networks. Different scopes, same method: build the operational layer, then step back.
You're one clinician with a packed schedule and a paperwork pile that grows on Sundays. The systems work, sort of, but everything depends on you remembering to do it.
- Half-day consult: an honest read on the top three things to fix, and the order to fix them in
- Installations of apps and automations from /apps that fit your workflow
- Specific deep-dives: billing audit, schedule audit, documentation review
Engagements run 1–4 weeks typically.
Book a 30-min consultYou have multiple clinicians, shared admin, and a stack of systems that don't talk. Onboarding new staff means repeating the same explanations five times. You know what good looks like; you just don't have time to build it.
- Operational layer design: workflows, policies, systems
- Stack consolidation when EMR, scheduling, and billing don't talk
- Custom internal automations built on your existing tools
- Documentation and onboarding playbooks
Engagements run 1–3 months typically.
Book a 30-min consultYou're running a network, division, or clinical program. You need operational depth without another permanent hire. The work doesn't fit cleanly inside any one practice; it's about the layer above.
- Fractional operational leadership (1–2 days / week)
- Program design and outcome evaluation
- Cross-clinic policy and workflow design
- Steady oversight when a project needs it
Engagements run 6–18 months typically.
Book a 30-min consultHow engagements take shape.
Most start with a free Triage Call to figure out whether a paid engagement is even the right move. From there: a single focused fix, a deeper rebuild, or — for PCNs and networks — work scoped across multiple clinics. The shapes below are illustrations of how engagements tend to land, not a menu to shop.
Triage Call
A quick read on your operational picture. We talk through your top pain — admin, billing, charting, scheduling, MOA workflow, anything else — and figure out whether one of the engagements below fits, whether something free (PSP, your Division) is the right call, or whether what you actually need is something else entirely. No pitch, no deck.
Install one specific fix, end-to-end.
- Pick one: SMS reminders, fax triage, AI scribe selection, billing-leakage scan, intake automation, form drafter, or one MOA workflow
- Working system at handover, not a report
- Tied to a measurement plan; not billed if the metric doesn't move
Rebuild one focus area end-to-end.
- Pick one focus: intake-to-chart redesign, documentation system, billing optimization, communication redesign, or new service line
- Implementation + change management + measurement included
- Tied to a measurement plan; not billed if the metrics don't move
Setup or Tune-Up, deployed across clinics.
- Same offerings, deployed across member clinics or sites
- Negotiated scope, clinic count, and timeline
- Email contact@tosc.ca with your priorities to scope
Before the call.
Click any question to expand. If yours isn't here, ask it on the call.
Do you build EMR integrations?
No. We work alongside your EMR, using its exports, imports, and built-in features. We don't build custom code that talks to Jane's, Juvonno's, or other EMR APIs. If integration is what you need, we'll say so up front so you can find the right partner.
How fast can you start?
Triage Calls usually fit within the same week. The Setup can typically be scheduled 1–2 weeks out, delivered over the booked window. Practice Tune-Ups start within 2–3 weeks of signing, depending on calendar fit. Multi-clinic engagements take 4–6 weeks of mutual scoping before we sign.
Do you work with practices outside BC?
Mostly BC; that's where our regulatory knowledge is deepest (PIPA, MSP, ICBC, WSBC, PCNs). We've taken on Alberta and Ontario engagements where the work was a fit. We don't currently take US engagements.
What if the Triage Call decides we don't actually need a paid engagement?
We tell you. If your Practice Support Program coach already covers what you need, we'll route you there. If a free TOSC tool is the right fit, we point you to it. We'd rather skip a paid engagement than start one that isn't worth the money.
Do you do clinical decision support, EMR replacement, or patient-facing apps?
No. We're operational, strategy, and technology for clinical practice, not for clinical care itself. Those are outside our circle of competence and outside our regulatory comfort.
Where does our patient data go when we use TOSC's apps?
Nowhere. Patient data stays in the practitioner's browser. The AI runs on infrastructure we control, in Canada. Never on third-party cloud AI services. PIPA-BC and PIPEDA aligned. Full posture on /trust.
What does “we step back when it's stable” actually mean?
The Setup and Practice Tune-Up are delivered and done — once the system is working and the metric has moved, we hand it off and step back. Multi-clinic engagements review quarterly with 30-day notice on either side. We don't lock anyone in.
What's different about TOSC vs. a typical consulting firm?
Three things. (1) Clinician background: we know what the front desk and the exam room actually feel like. (2) A small library of apps we built ourselves, so when an app solves the problem we don't bill consulting hours to rebuild it. (3) We tell you what you shouldn't pay us for. Most consulting firms scope work as widely as possible; we scope as narrowly as helpful.
Ready to talk?
Thirty minutes. No deck. We listen first, then either suggest a path forward or tell you it's not a fit.