Work with us
Clear scope. Real delivery. Measured, or not billed.
Engagements take the shape the work demands, but they all start free and they all end with a number that moved. Here is what working together looks like.
Start here · Free · 30 minutes
The Triage Call.
A quick, honest read on your operational picture. We talk through your top pain — admin, billing, charting, scheduling, MOA workflow — and figure out whether one of the engagements below fits, whether something free (PSP, your Division) is the right call, or whether what you need is something else entirely. No pitch, no deck.
Three shapes an engagement takes.
Illustrations of how the work tends to land, not a menu to shop. Scope and price are set per clinic, in writing, before anything starts.
The Setup
1–2 weeks · scoped per clinicOne specific operational pain, fixed and handed over working.
We pick the single fix with the fastest payback and install it. Typical jobs: SMS no-show reminders with MOA training, fax and inbox triage automation, charting templates plus AI scribe selection, an LFP billing-leakage scan, online patient intake, or one MOA workflow rebuilt end-to-end. You get a working system at handover, not a report.
Practice Tune-Up
3–4 weeks · scoped per clinicOne focus area, rebuilt end-to-end with your team.
A deeper rebuild of a whole workflow: intake-to-chart redesign, a documentation overhaul (templates, AI scribe, MOA training, measurement), a billing optimization sprint across LFP, MSP, ICBC, and WSBC, a communication redesign, or a new service line launch. Implementation and change management included.
Multi-clinic engagement
Custom · scoped togetherThe same work, deployed across member clinics.
For PCNs, Divisions of Family Practice, multi-site groups, and clinical networks: The Setup or the Practice Tune-Up rolled out across clinics, with scope, clinic count, and timeline negotiated together. Email contact@tosc.ca with your priorities to start scoping.
Or email contact@tosc.ca with what you are working on. Every message gets read.
The guarantee
If the metric doesn’t move, you don’t pay.
Every Setup and Practice Tune-Up ships with a measurement plan agreed at signing: the baseline number, the target, and a 60-day check-in. If the metric doesn’t move, you get your money back. No interpretation, no negotiation.
Baseline
Measured together before work starts, so the starting point is never in dispute.
Target
One number the engagement exists to move, written into the scope.
60-day check-in
We measure again after the dust settles. The result decides the invoice.
An engagement, end to end
Charting was eating Sundays.
The clinic had looked at three AI scribes but couldn’t decide which one fit, whether the PHI handling was clean enough for BC, or how to roll it out without losing the MOA. Three weeks later: scribe selected and deployed for two clinicians, templates rebuilt to match the new dictation flow, the MOA trained on the corrected loop, and a 60-day measurement plan tracking time-to-completed-chart. That is a Practice Tune-Up — implementation included, not a recommendation and a vendor list.
Pick the scribe
Three options, one fit, BC-clean PHI handling
Rebuild templates
Matched to the new dictation flow
Train the team
MOA loop and clinician onboarding
Measure 60 days
Time-to-completed-chart, before and after
BC clinics may not pay full freight.
Training components of an engagement — MOA workflow training, scribe onboarding, new-system adoption — can qualify for the BC Employer Training Grant, which covers a substantial share of eligible training costs. We flag what qualifies during scoping.
Fair questions.
What does an engagement cost?
Scope and price are set per clinic, in writing, before anything starts. The Setup runs 1–2 weeks around one specific fix; the Practice Tune-Up runs 3–4 weeks around one rebuilt focus area; multi-clinic work is scoped with the network. Both clinic engagements carry the measurement guarantee — if the agreed metric doesn't move at the 60-day check-in, you get your money back.
Do you access our EMR or patient records?
No. Everything we build runs alongside your clinical systems — the fax queue, the schedule, the templates, the billing capture — never inside the patient record. Any AI involved runs on infrastructure we control, in Canada, aligned with PIPA-BC and PIPEDA.
We already get free help from PSP and our Division. Why pay?
Sometimes you shouldn't — and we will tell you that on the free Triage Call. PSP and Division supports are genuinely good at coaching and peer support. Where clinics get stuck is implementation: someone who selects the tool, builds the workflow, trains the team, and stays accountable to a measured result. That is the part we sell, and the only part worth paying for.
How does the money-back guarantee work?
Every Setup and Practice Tune-Up ships with a measurement plan agreed at signing: the baseline number, the target, and a 60-day check-in. We measure again after the dust settles. If the metric didn't move, the engagement isn't billed. No interpretation, no negotiation.
Who actually does the work?
Himanshu Khetarpal, directly — a clinician turned operator with fifteen years across clinical practice, Deloitte and IQVIA, and BC's provincial AI documentation rollout. Specialist help is brought in from a trusted network when a job calls for it, but one person stays accountable end to end.
Do you work outside British Columbia?
BC is home and where the billing, privacy, and program knowledge runs deepest. Engagements elsewhere in Canada are taken case by case — the operational patterns travel well; the fee-code specifics get re-verified per province.
Start with the free thirty minutes.
Worst case, you leave with an honest read on your operations and a pointer to the free help you already qualify for.