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.
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. Every engagement is led personally, staffed deliberately, and closed with a playbook the client can run themselves.
Toshika leads every engagement personally. Behind her stands a deliberately small roster of delivery leaders, clinical operations specialists, change managers, agile coaches, and credentialed talent, each held to the same standard: delivered, not described.
When an engagement begins, the bench 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 deliberately. The bench 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@sicadvisors.comWithin one business day.
Via our calendar once the fit is clear.