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Fractional CTO for healthcare and hospitality SMEs

I help SME owners in healthcare and hospitality run a technology transformation. The work is to adopt AI and DevOps practices so the organization delivers value to clients faster, keeps the people who do the work, and grows new revenue without losing the revenue it already has.

The engagement is one sequence, called L.A.S.T DevOps. Ten weeks produce a current-state map, an assessment, a strategy, and a roadmap. After that, oversight runs in 90-day blocks until the engineering lead can hold the line without me.

What you are already looking at

• An EHR, billing, or clinical workflow change that has no single owner the board can ask.
• A PMS, POS, or channel decision sitting with the general manager, with a vendor already in the building.
• A roadmap the leadership team believes, and a floor that runs a different process.
• An engineering group that is busy, while the patient or guest path is not getting faster.

Who this is for

An owner, a general manager, or an engineering lead at an SME that already operates: a clinic, a practice, a small hospital group, a hotel, or a small group of properties. There is a live operation to stand next to, and a systems estate people already use.

Hire a full-time CTO when you need a person in the building every day, managing the team directly. Hire a development shop when someone has already specified the product and the remaining work is to build it.

The ten weeks

Each step has a fixed length and a document. The next step starts from that document. The full sequence is on the method page.

1. Learn — 2 weeks. Shadow the real operation and map one value stream. Outcome: a board-ready current-state report. Future-state design waits.
2. Assess — 2 weeks. Gap and risk review of at most three workloads. Outcome: a board-ready assessment with a debt register and the build-versus-buy decisions already in front of you.
3. Strategy — 4 weeks. A decision memo the board and engineering leadership can both hold. Outcome: a diagnosis, a guiding policy, and at most three bets, in order.
4. Translate — 2 weeks. Those bets become a roadmap engineering can run. Outcome: Now, Next, and Later, with one owner, a budget band, and dependencies on every Now card.
5. DevOps — ongoing, 90-day blocks. One weekday a week of executive oversight so implementation stays on the strategy. The engineering lead runs the team.

Healthcare and hospitality use the same sequence. The estate changes. See healthcare and hospitality.

After the roadmap

DevOps is the same engagement, continued. Each block has a written reset, a monthly outcome a guest or patient can feel, and a one-page note at day 90. The note says whether to continue, move to the next system, or stop.

How the weeks, the room, and the decision rights work is on the engagement page. I am Oleksandr Snihovyi.

Book a discovery call

The call is to decide whether this engagement fits. The answer can be no.