First Steps
How I Work With Organizations
I apply the same systems thinking framework we use in nursing: assess the problem honestly, diagnose the root cause, intervene on the system, and evaluate real outcomes.
Assessment: Workflow Diagnostics
Map where clinical staff are held accountable for outcomes they can't control. Identify the specific workflow variables (scheduling, supplies, documentation, communication systems) creating autonomy-accountability gaps.
Diagnosis: Root Cause Analysis
"Burnout" isn't a diagnosis, it's a symptom. I identify the actual problems: scope-of-practice mismatches, broken communication systems, documentation requirements that exceed capacity, authority gaps in patient flow management.
Intervention: System Redesign
Fix the system, not the people. Redesign workflows to align decision rights with accountability. Eliminate redundant processes. Give clinical staff authority over the variables they're responsible for.
Evaluation: Outcomes Measurement
Did turnover drop? Did patient flow improve? Did workarounds disappear? If staff are still inventing fixes for broken processes, the intervention failed and we adjust.
When To Bring Me In
Before Epic (or any major EHR) go-live
Technology implementations fail when they're designed without input from the people who'll use them. I work with organizations before go-live to ensure workflows support adoption instead of creating new problems.
After expansion announcements
New facilities and service lines fail when you replicate the same workflow problems that drove turnover in the old location. I evaluate operational readiness before expansion to ensure you can actually staff what you're building.
When turnover data stops making sense
If exit interviews all say "burnout" but you can't identify what's actually broken, I map the specific operational drivers (beyond compensation) so you know what to fix.
When AI or automation projects stall
Proposed technology sounds great in vendor demos but fails in real-world clinical workflows. I assess whether the tool fits how care actually gets delivered, not just how vendors promise it works.
When post-implementation chaos persists
If your Epic (or other major system) go-live was months ago but workflows are still broken, staff are still inventing workarounds, and turnover hasn't improved, the problem isn't adoption resistance. It's that the system was designed without understanding clinical workflow reality.
Healthcare Workflow Consulting
Discovery Call
30-minute conversation to assess your operational challenges, diagnose workflow gaps, and determine whether applying nursing systems thinking to your clinical processes could improve retention and efficiency.
This call is for:
Outpatient clinic administrators
ASC operations leaders
Community hospital directors
Healthcare organizations dealing with post-implementation problems or expansion challenges
We'll discuss what you're seeing on the ground and whether my approach makes sense for your organization.