Private Advisory, Healthcare & Public Sector

When the program has to
work on day one.

Strategic Innovations Consulting is a boutique advisory firm. We lead the programs that cannot fail, enterprise imaging, EHR, municipal ERP, cloud and agile transformation, and multi-site rollouts, and we staff them with people who arrive ready to deliver.

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Practice

Program,
change,
and talent
under one discipline.

Most firms sell you a slice. We hold the spine of the entire program, the governance that keeps it moving, the change work that makes it land, and the specialized talent that makes it real.

Our work is concentrated in two worlds where the cost of failure is absolute: healthcare information technology and state and local government. Day-one readiness isn't a marketing phrase for us. It's the standard we're measured against.

i. PMO, Governance & Change Management Portfolio governance, cadence, executive reporting, communications, training curriculum, and adoption measurement. We make change work an operational workstream, not an afterthought.
ii. Clinical & Healthcare IT Senior delivery across EHR and clinical applications, enterprise imaging, clinical operations and informatics, and specialized platforms including Epic, Cerner, NextGen, Ubiquity, and Agfa.
iii. Public Sector & Enterprise Systems Municipal ERP, tax and appraisal, finance and HR platform implementation and optimization, including iasWorld, Munis, Workday, Salesforce, and ServiceNow.
iv. Cloud, Agile & Modernization Cloud migration and delivery across AWS and Azure, agile transformation and coaching, DevOps enablement, and application modernization for complex enterprise estates.
v. Talent Engine End-to-end recruiting, credentialing, background checks, and digital onboarding for healthcare, clinical, public-sector, and behavioral health roles. One business day response, two business days to first candidate.
vi. Delivery Accelerators Our signature toolset, human-in-the-loop instruments that compress cycle time, raise accuracy, and deliver real-time visibility into the work.
Engagements

The programs that called us in.

We don't measure a career in logos. A short list of the work our name is on.

01 Tyler Technologies PMO process restructuring & implementation support Public Sector & Tech
02 Northern Light Health Enterprise imaging rollout · multi-application delivery teams Health System
03 Optum Program leadership & specialized talent Healthcare
04 Nationwide Children's Hospital Clinical systems program support Pediatric Health
05 BerryDunn Staffing Cross-industry recruiting partnership Talent Partnership
06 Beacon Hill Staffing Cross-industry recruiting partnership Talent Partnership

Additional engagements available upon introduction.

Method

Discover. Design. Deliver. Embed.

Four phases. One signature. Every engagement runs through the same disciplined rhythm, instrumented by our Delivery Accelerators, a quiet machinery of dashboards, validation gates, credential checks, and audit trails that most clients never see, but always feel.

Phase i.

Discover

Stakeholder interviews. Governance kit. Portfolio baseline. Risk heatmap. The first thirty days.

Phase ii.

Design

Cadence hardening. Dependency maps. Cutover rehearsal. Communications and training live.

Phase iii.

Deliver

Forecast reliability rising. RAID closure rising. Live dashboards. Handover playbook drafted.

Phase iv.

Embed

Quiet handoff. Governance internalized. The program is yours again, and it holds.

Toshika Howard-Patterson, Managing Principal, Strategic Innovations Consulting
The Principal

Toshika
Howard-Patterson

Managing Principal. A seasoned delivery leader with engagements across major health systems, municipal ERP platforms, and multi-site transformations, the kind of programs where governance, change, and specialized talent have to arrive together.

Her practice is built on a conviction: that advisory work should be measured by what holds after the team leaves. She sets the delivery standard SIC is held to, owns the senior client relationship, and stays close enough to every engagement to know its real health rather than its reported one. When a program needs expertise or capacity beyond the team in place, she is the one who brings it.

"Delivered, not described. That's the only standard worth holding."
Toshika Howard-PattersonManaging Principal · SIC
The Bench

SIC is more than one name.

Engagements are led by experienced professionals chosen for the program in front of them. Behind each one stands a selective network of delivery leaders, clinical operations specialists, change managers, agile coaches, and credentialed talent, held to a single standard: delivered, not described.

SIC stays accountable for the relationship and the delivery standard. We track engagement health, surface problems early, and bring in additional specialists when a program needs expertise or capacity it does not yet have. Capable leaders are not supervised. They are backed.

When an engagement begins, the team is shaped around the program. Not the other way around.

i.

Program & PMO Leadership

Senior PMs and program directors, portfolio governance, executive reporting, and cadence hardening.

ii.

Clinical & Healthcare IT

Clinical informatics, enterprise imaging, and delivery across Epic, Cerner, NextGen, Ubiquity, and Agfa.

iii.

Public Sector Systems

Municipal ERP, tax and appraisal, finance and HR platforms, including iasWorld, Munis, and Workday.

iv.

Cloud, Agile & Modernization

AWS and Azure delivery, agile transformation and coaching, DevOps enablement, and application modernization.

v.

Change, Training & Adoption

Organizational change leadership, communications strategy, curriculum design, and adoption measurement.

vi.

Clinical Operations & Behavioral Health

Care operations, clinical program support, and credentialed behavioral health specialists for specialized deployments.

Each engagement is staffed by selection, not availability. The team is introduced by name once the fit is clear.

Inquiries

We respond personally, and quickly.

SIC works with a small number of clients at any one time. If you're leading a program that cannot fail and would like an introductory conversation, write to us directly. Every inquiry reaches the Principal.

We read every inquiry from a client organization. We do not respond to vendor, agency, or recruitment outreach.

Response

Within one business day.

Scheduling

Via our calendar once the fit is clear.