Six disciplines.
One governing
framework.

Integration Assessment

Before anything can be fixed, everything has to be named. The Integration Assessment is a structured inventory of every vendor, system, interface, and workflow in your environment. It is the foundation every other service builds on.

What it covers

• Full vendor map: EHR, LIS, clearinghouse, reference lab, practice management, and ancillary systems
• Interface-by-interface documentation: message types, transport protocol, direction, frequency, and current owner
• Workflow tracing from order entry through result delivery across all care settings
• Identification of undocumented workarounds, manual steps, and shared credentials
• Ownership assignment for every active and inactive connection

What you receive

• A complete integration inventory document with named owners and interface status
• A workflow map showing the full order-to-result path with failure points annotated
• A prioritized finding list with remediation complexity scoring
• An executive summary suitable for leadership review and vendor accountability meetings

Interface Rescue

An integration was working. Now it is not. Results are missing, orders are failing, and two vendors are each pointing at the other. Interface Rescue traces the break to its source, restores the flow, and produces documentation that removes all ambiguity about ownership going forward.

Common scenarios

• HL7 v2 feed failing silently after a vendor update or upgrade
• Results routing to the wrong provider, wrong location, or nowhere at all
• Order transmission dropping intermittently with no error visible to end users
• AOE fields not populating, causing downstream rejection at the reference lab
• Post-implementation failures after an EHR or LIS go-live

What we do

• Message-level trace through every segment, field, and transport layer involved
• Vendor coordination with specific technical asks and written escalation trails
• Break-fix documentation that captures root cause, fix applied, and recurrence prevention
• Owner assignment and monitoring guidance so the interface does not silently fail again

Compendium and AOE Governance

A laboratory compendium is not a spreadsheet. It is a live, load-bearing part of your clinical operation. Mapping errors, naming inconsistencies, and AOE field misconfigurations produce incorrect orders, rejected specimens, and delayed results. This service builds the governance model that keeps your test directory aligned across every connected system.

What we address

• Test code mapping between EHR, LIS, and reference lab compendiums
• AOE field configuration, required-field logic, and downstream rejection patterns
• Naming conventions across order entry, resulted values, and interface messages
• Compendium drift caused by vendor updates that overwrite local configuration
• Onboarding workflow for adding new tests or reference lab relationships

What you receive

• A governed test compendium with cross-system code mapping documented
• AOE configuration audit with corrections and a validation checklist
• A change management process for future compendium additions and updates
• A named owner and review cadence so drift does not recur

Vendor Management

Every vendor in your clinical environment has a support structure designed to protect their own timeline and liability. Without a counterpart who understands the technical details and keeps a written record, accountability disappears. We build the structure that holds vendors answerable to your outcomes.

What we do

• Build and maintain the vendor accountability matrix for all active integration partners
• Own escalation paths for open tickets with clear technical asks and documented responses
• Prepare for vendor negotiations with contract and SLA review from a health IT perspective
• Coordinate multi-vendor issues where each party claims it belongs to another
• Evaluate vendor proposals and implementation plans before you commit

Who this is for

Organizations with two or more active vendor relationships where no internal staff member has the technical background to manage them with specificity. Particularly valuable when preparing for a new EHR or LIS implementation, renegotiating contracts, or responding to a vendor acquisition that changes support structures.

Go-Live Support

A system go-live without dedicated interface oversight is a planned crisis. Vendors hand off to each other, tests run without clinical context, and problems that surface on cutover day take months to fully resolve. Go-Live Support puts a dedicated integration specialist in the process before, during, and immediately after the transition.

Pre-go-live

• Interface validation plan with test cases covering every message type and workflow
• Environment-by-environment testing with sign-off criteria before production cutover
• Cutover day checklist with named owners and a rollback decision point defined in advance

Go-live and post-live

• Live monitoring of critical interfaces during and immediately after cutover
• Real-time vendor coordination for any issues that surface on day one
• Post-live validation across all integrated systems with a written closure report
• 30-day stabilization support with a defined handoff to internal operations

Fractional CIO Advisory

Senior health IT leadership without the full-time cost. A Fractional CIO engagement gives your organization the strategy, vendor oversight, and governance structure that grows with a practice or laboratory but rarely justifies a dedicated executive at smaller scale.

What a Fractional CIO engagement covers

• IT roadmap development aligned to clinical operations and organizational growth
• Vendor relationship oversight and contract review across all technology partners
• Cybersecurity posture review and policy framework with actionable remediation
• Board and leadership communication on technology risk, investment, and governance
• Staff guidance on system use, documentation standards, and change management

Engagement structure

Fractional CIO engagements are structured as monthly retainers with a defined scope of hours and deliverables. Engagements typically begin with a 60-day assessment phase before transitioning to ongoing advisory work. The scope is reviewed quarterly and adjusted as the organization's needs evolve.