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.
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.
Every engagement we take begins at a recognizable moment. If one of these describes where you are, the conversation is worth having now rather than a quarter from now.
Your implementation partner has a plan for their scope. Governance, change, data readiness, and the decisions only your organization can make are not in it. Someone has to own that side, and it is usually assumed rather than assigned.
No single decision caused it. Each slip had a reason. But the cumulative date has moved a quarter and nobody can point to where it went.
The reporting is not wrong so much as incomplete. Executives are making decisions on a picture they privately doubt, and asking harder questions has started producing more defensive answers rather than better ones.
You know what needs to happen. The people who could do it are already on every critical path you have, and the next hire is six months from being useful.
Clinical, technical, or public-sector roles where credentialing, context, and system familiarity matter, and a ninety-day ramp is not available to you.
None of these require a crisis. The least expensive engagements we run are the ones that start before the program is visibly in trouble.
We are not a staffing catalog and not an open-ended advisory retainer. Each engagement below has a defined scope, a defined output, and a point at which it ends. Most clients start with one and expand from there.
Before the vendor arrives.
An assessment of whether your organization is genuinely prepared to start: decision rights, governance structure, data readiness, resourcing, and the internal obligations your implementation partner is assuming you will meet. Run before or immediately after contract signature.
You receive: a readiness finding, the gaps that will cost you time if unaddressed, and the owner and date for each.
An independent view of where the program actually is.
A structured review of status, governance, delivery capacity, dependencies, and risk — conducted independently of the teams reporting on them. Where reporting and reality have diverged, we say so plainly.
You receive: a current-state assessment, a prioritized path forward, and a candid read on whether the plan in place can produce the date being promised.
For programs already off course.
We take operational hold of a program that is slipping or stalled: re-baselining scope and schedule, restoring governance cadence, resolving the blocked decisions, and rebuilding the confidence of the executives and vendors who have lost it.
You receive: a stabilized program with a defensible plan, and a handover point where your team resumes control.
Senior delivery leadership, placed.
An experienced program, PMO, or transformation leader embedded in your organization for a defined term — through a leadership gap, a major implementation, or a transformation your current structure was not built to absorb. Selected for the specific program, backed by SIC throughout.
You receive: a leader who owns delivery from day one, and an organization more capable than when they arrived.
The people, and the accountability for their work.
Credentialed clinical, technical, and public-sector professionals sourced, vetted, and onboarded — either as a managed delivery team we remain accountable for, or as placed individuals joining yours. One business day to response, two to first candidate.
You receive: people who arrive ready to work, not ready to learn.
Every engagement is led by a professional selected for the program and backed by SIC’s wider network when the work calls for it. We take a small number of clients at any one time.
Start a conversation →We don't measure a career in logos. A short list of the work our name is on.
Additional engagements available upon introduction.
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.
Stakeholder interviews. Governance kit. Portfolio baseline. Risk heatmap. The first thirty days.
Cadence hardening. Dependency maps. Cutover rehearsal. Communications and training live.
Forecast reliability rising. RAID closure rising. Live dashboards. Handover playbook drafted.
Quiet handoff. Governance internalized. The program is yours again, and it holds.
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.
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.
Senior PMs and program directors, portfolio governance, executive reporting, and cadence hardening.
Clinical informatics, enterprise imaging, and delivery across Epic, Cerner, NextGen, Ubiquity, and Agfa.
Municipal ERP, tax and appraisal, finance and HR platforms, including iasWorld, Munis, and Workday.
AWS and Azure delivery, agile transformation and coaching, DevOps enablement, and application modernization.
Organizational change leadership, communications strategy, curriculum design, and adoption measurement.
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.
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.
inquiries [at] sicadvisors.comWe read every inquiry from a client organization. We do not respond to vendor, agency, or recruitment outreach.