Guides
Written for the problem, not for the algorithm.
Each guide addresses one expensive executive problem, states a point of view, separates evidence from inference, and says where AI helps and where it adds risk. Fewer guides, each worth forwarding.
Problem cluster
Stalled healthcare transformation
A funded program has stopped producing visible progress and leadership cannot agree on why.
Featured
Why Healthcare Transformation Programs Stall
Large healthcare programs rarely fail at the workstream level. They stall at the boundaries between workstreams, and status reporting is designed not to show it.
Read guideProblem cluster
AI readiness for healthcare workflows
An AI investment is being proposed and leadership cannot tell whether the workflow underneath it is ready.
What AI-Assisted Delivery Compresses, and What It Cannot
Ten months of evidence from a production system built through an operator-led, AI-assisted delivery model: coordination collapsed, judgment did not.
Read guideProblem cluster
Human workarounds and human APIs
Critical operational knowledge lives in a few people, so the organization cannot operate without them.
Human APIs Become Organizational Bottlenecks
Organizations compensate for broken decision systems by making people behave like APIs. A guide to finding that dependency, sizing it, and deciding what to do about it.
Read guideContinue the buyer path
From operating problem to evidence to engagement.
Program Recovery Review
See the three-week scope, fixed fee, deliverables, and stated evidence boundary.
See scope and pricingHealthcare practice
See how transformation recovery, prior authorization, utilization management, and interoperability connect.
How TKO helpsReadiness Check
Twelve questions to answer before approving another dollar of transformation spend.
Run the checkFounder diligence
My career record, and how I work on capacity, conflicts, and confidentiality.
Meet the principal