Operate · Keep it working
Keep the system useful after launch.
I keep the operating loop healthy, fix what drifts, review what the team is seeing, and make one focused improvement at a time as the business changes.
Monthly · 3-month minimum
$1,500–$3,000 per month
One principal · Scope agreed in writing
Who it’s for
When this is the right step.
For a business running a system TKO built, or one TKO has taken over, that wants it maintained, measured, and improved rather than left to drift.
- A build is live and you want it to keep working.
- The business changes faster than anyone updates the system.
- You want one person accountable for keeping the workflow useful as the business changes.
Outputs
What you get.
- Monitoring and fixes
- A monthly metric review against the baseline
- A monthly improvement allowance agreed in writing; larger changes receive a separate scope
- A quarterly review of what is limiting the business now
- A documented review of failures, approval controls, and inquiry handoffs
Boundaries
The fine print, up front.
Stated before any contract, so scope and expectations are clear.
- Covers systems TKO built or has formally taken over.
- Improvement work is capped each month. Larger changes are scoped as a new build.
- Cancel with 30 days' notice after the minimum term.
- Not a help desk for unrelated IT.
What comes next: When the quarterly review finds a new constraint worth fixing, it becomes the next build. If you need senior operating help beyond the system, a fractional arrangement can be discussed.
Typical work
What this usually involves.
Why not just maintain it ourselves?+
You can—you own it. Most teams find the system slowly drifts from how the business actually runs. This keeps someone accountable for closing that gap.
What determines the monthly price?+
The supported systems, monitoring cadence, monthly hours, and response expectations agreed in writing. This is not continuous on-call coverage.
The other steps
Start with the smallest step that answers the question.
One principal · Priced up front
Tell me what's stuck.
Bring one healthcare mandate, platform transition, or client workflow that needs a clear path to delivery. In 30 minutes, I will talk through the decisions, systems, and dependencies with you, then identify the right scope and next step.