Approach
How we achieve your goals, together.
No black box. Three methods. Proven results.
Doug runs all three himself. Everyone else in the room is a hand-selected industry leader, there because the work needs their discipline, and senior enough to say so when it does not.
01 — Strategy
From a room full of opinions to a plan with owners and a date.
Discover
Interviews, spend, adoption
Score
Value, feasibility, risk
Sequence
First, later, never
Commit
Owners, money, measures
Now
Prove value where the data is already trusted.
Next
Build what the bigger bets depend on.
Later
The ambitious bets, once the foundation holds.
02 — Governance
One front door. Controls sized to the risk.
Idea
Anyone can raise one
Intake
Same questions, every time
Risk Tier
Impact, autonomy, reversibility
Administrative. Human in the loop.
Steward review · daysClinical workflow or sensitive data.
Council · weeksDiagnosis, triage or care at scale.
Full review · boardEight domains covered
The Coalition for Health AI framework, and ground with Joint Commission readiness.
The foundation — who decides, and with what
enables
In practice — what happens to every AI use
03 — Enablement
Four roles most teams already have, pulling in one direction.
Engineers
Pipelines and platform
Analysts
The question behind the request
Data Stewards
One metric, one meaning
Governance
Decision rights that clear the path
And a rhythm that repeats
Intake
One front door
Prioritize
Saying no, out loud
Deliver
Short cycles, checked
Review
Adoption and hours saved