Independent healthcare operations & AI advisory
We take the weight out of healthcare operations.
Canadian healthcare loses 42.7 million clinician-hours a year to administration — capacity your organization is already paying for. For clinics, allied health groups, PCNs, and health systems: we find where the operation leaks, prove what it costs, and install the fix. Measured, or not billed.
Independent · Built in British Columbia · Paid work backed by a measured-result guarantee
Where a clinic usually leaks — estimated ranges
$50K–$270K a year in unfilled appointments.
1–3 staff hours lost to manual triage, daily.
Chart backlogs, overtime, and turnover risk.
Sent, then untracked — until a patient calls.
The case for action
of physician capacity Canadian healthcare organizations lose to administration every year — 9.1 hours per physician, per week.
CMA–CFIB joint report, 2026
of those hours are unnecessary — work that could be eliminated, delegated, or automated at the organizational level.
CMA–CFIB joint report, 2026
of capacity per clinician, per year — multiplied across every clinician your organization runs.
CMA–CFIB joint report, 2026
The Operating Review.
One method, every engagement. Three phases, and you keep a named artifact from each — whether or not you ever hire us again.
See
We find where time, cost, and data leak, quantified against your own numbers. Most of it is hiding in plain sight.
You keep: the Leak Ledger
Decide
The two or three moves worth making, with cost and return attached — including “do nothing” and “use free help” where that is the honest answer.
You keep: the Decision Memo
Move
We advise the roadmap, or build the fix alongside your systems and hand it over. Re-measured at 60 days.
You keep: the Install & Measure plan
Follow one clinic day.
Four moments where time and revenue quietly leave the building — and what we install to stop each one.
The gap the waitlist can't see
A cancellation opens a slot. The waitlist has patients who want it. Nothing connects the two, so the slot expires — billable time gone for good, a little of it every single day.
Cost: $50K–$270K a year
SMS reminders plus a gap-filler that spots openings and fills them from your own waitlist, automatically.
The Setup · 1–2 weeks
Figures are estimated ranges for BC family practices, not client data. Your numbers get measured, not assumed — that is what the free assessment is for.
What we do.
Three capabilities, each delivered as advice, a build, or both — for medical and allied health clinics, PCNs and Divisions, and health authorities.
Workflow & admin operations
The fax queue, the inbox, the forms, the MOA workload. We redesign the operational layer beside your EMR and automate the mechanical parts, so judgment stays human and sorting stops being a career.
AI adoption & documentation
Which AI actually pays off, deployed the way a provincial rollout taught us: privacy verified for BC, templates rebuilt, the team trained, and the result measured — never adopted because it is trending.
Access, scheduling & referrals
Empty slots filled from your own waitlist, no-shows cut with reminders that work, and every outbound referral tracked to an answer — before the patient has to chase it.
What we don’t do: billing and fee-code optimization, EMR replacement, software sales, or anything inside the patient record.
An operator, not a vendor.
No other independent advisory in BC pairs provincial-scale AI governance with clinic-floor delivery — and none puts its fee behind the result. Big firms bring juniors and vendor alliances. Software companies bring software. Free programs bring coaching. We bring the fix, installed, and a number that has to move.
Independent
No software to push and no vendor kickbacks. The only agenda is your result.
We build, not just advise
Most advisors stop at the slide deck. We deliver the workflows and automation we recommend.
Run by an operator
Years inside BC healthcare operations and informatics, from primary care networks to regional health programs.
Co-led BC’s provincial AI documentation rollout — four health authorities, roughly 4,000 clinicians.
Has operated across
Deloitte · IQVIA · Gates Foundation · The Global Fund · PHSA · Fraser Health · Providence Health Care
Led by Himanshu Khetarpal.
Clinician turned operator: global consulting with Deloitte and IQVIA, a $1.5B health-system transformation, and BC’s provincial AI rollout. One person accountable to you, end to end.
Meet HimanshuFrom the notes.
All essaysFind out where the weight is.
Book a call, or start with the free assessment. You will leave with a clear read on the moves worth making first.
Paid engagements carry a measurement plan agreed at signing — if the metric doesn’t move, you don’t pay.