Plan it. Build it. Run it.
Hand it back.
Operational, strategy, and technology consulting for clinical practice. The point of good consulting is that you don't need us anymore.
How we work.
Four steps. No deck-ware. Every engagement passes through them in order — from a 90-minute sprint to a 12-month network engagement.
Plan
One or two days on-site, watching how the work actually moves through your practice. We talk to the people who do it. We map what's broken and what's working. You get an honest read in writing within two weeks — including what you should NOT pay us to fix.
Build
We design the operational layer with your team — workflows, policies, systems, and where it helps, custom automations or one of our apps. Built in your existing stack — Jane, Juvonno, OSCAR, Office 365, whichever you use. Tested with the people who'll use it before anything goes live.
Run
We're on-site through go-live. We train the team. We sit with the front desk for a week if that's what it takes. Adoption is the part most consultants skip. We don't.
Hand back
We stay close for 90 days after go-live, watching what works and what needs adjustment. Then we step back. The point of good consulting is that you don't need us anymore.
Built and led by a clinician who's worked the clinic floor, the network office, and the health authority desk.
Three kinds of practice.
Solo clinicians, group practices, and networks. Different scopes, same method — build the operational layer, then step back.
You're one clinician with a packed schedule and a paperwork pile that grows on Sundays. The systems work — sort of — but everything depends on you remembering to do it.
- Half-day consult: an honest read on the top three things to fix, and the order to fix them in
- Installations of apps and automations from /apps that fit your workflow
- Specific deep-dives — billing audit, schedule audit, documentation review
Engagements run 1–4 weeks typically.
Book a 30-min consultYou have multiple clinicians, shared admin, and a stack of systems that don't talk. Onboarding new staff means repeating the same explanations five times. You know what good looks like — you just don't have time to build it.
- Operational layer design — workflows, policies, systems
- Stack consolidation — when EMR + scheduling + billing don't talk
- Custom internal automations built on your existing tools
- Documentation and onboarding playbooks
Engagements run 1–3 months typically.
Book a 30-min consultYou're running a network, division, or clinical program. You need operational depth without another permanent hire. The work doesn't fit cleanly inside any one practice — it's about the layer above.
- Fractional operational leadership (1–2 days / week)
- Program design and outcome evaluation
- Cross-clinic policy and workflow design
- Steady oversight when a project needs it
Engagements run 6–18 months typically.
Book a 30-min consultFour ways to engage.
From a 90-minute install to fractional leadership for a network. Pick the smallest tier that fits.
90-minute working session. We install one thing for your clinic and have it running within the week.
- 90-min working session — on-site if local, video call otherwise
- One install: a TOSC app for your team, a free automation from the library, or a custom workflow built on what you already have
- Short loom walkthrough so the team can use it without you
- Typically working within the week
Half-day on-site (or virtual). Written diagnostic on what to fix first, ranked by ROI.
- Half-day observing how the work actually moves through your practice
- Tech stack assessment — we work alongside your EMR; we don't replace it
- Revenue and time leakage analysis
- Written report on the top fixes in priority order, with estimated time and dollar value
- Including a section on what you should NOT pay anyone to fix
- 30-day follow-up call
Standing monthly engagement. One improvement shipped each month, plus access between deliveries.
- One operational improvement shipped each month — workflow, automation, app rollout, or process redesign
- Monthly metrics review with a real dashboard (not vanity numbers)
- Direct line to your TOSC consultant — text, email, or call (not a ticket queue)
- Quarterly strategy session
- First crack at new TOSC apps in beta — Performa beta access included
- Pause month-to-month any time on the monthly plan
Fractional operational leadership for networks, PCNs, divisions of family practice, and multi-site clinics.
- 1–2 days / week of fractional ops leadership across the network
- Cross-clinic policy and workflow design
- Multi-clinic rollouts of TOSC apps and custom automations
- Custom program dashboards (the metrics your board actually wants)
- Quarterly strategy reviews with network leadership
- Direct working relationship — not a junior consultant
- Reviewed quarterly; 30-day notice on either side
Before the call.
The eight questions we get asked most. If yours isn't here, ask it on the call.
Do you build EMR integrations?
No. We work alongside your EMR — using its exports, imports, and built-in features. We don't build custom code that talks to Jane's, Juvonno's, or other EMR APIs. If integration is what you need, we'll say so up front so you can find the right partner.
How fast can you start?
Setup Sprint can usually be scheduled within 1–2 weeks, delivered Monday-to-Friday of the booked week. Ops Audit is typically 2–3 weeks out. Growth Partner starts at the beginning of a calendar month. Enterprise / PCN takes 4–6 weeks of mutual scoping before we sign.
Do you work with practices outside BC?
Mostly BC — that's where our regulatory knowledge is deepest (PIPA, MSP, ICBC, WSBC, PCNs). We've taken on Alberta and Ontario engagements where the work was a fit. We don't currently take US engagements.
What if the Ops Audit finds we don't need help?
We'll tell you. The Audit always includes a section on what you should NOT pay anyone to fix. We'd rather lose the next engagement than charge for work that isn't needed.
Do you do clinical decision support, EMR replacement, or patient-facing apps?
No. We're operational, strategy, and technology — for clinical practice, not for clinical care itself. Those are outside our circle of competence and outside our regulatory comfort.
Where does our patient data go when we use TOSC's apps?
Nowhere. Patient data stays in the practitioner's browser. The AI runs on infrastructure we control, in Canada — never on third-party cloud AI services. PIPA-BC and PIPEDA aligned. Full posture on /trust.
What does “we step back when it’s stable” actually mean?
Setup Sprint and Ops Audit are delivered and done. Growth Partner you can pause month-to-month any time. Enterprise / PCN reviews quarterly with 30-day notice on either side. We don't lock anyone in.
What's different about TOSC vs. a typical consulting firm?
Three things. (1) Clinician background — we know what the front desk and the exam room actually feel like. (2) A small library of apps we built ourselves, so when an app solves the problem we don't bill consulting hours to rebuild it. (3) We tell you what you shouldn't pay us for. Most consulting firms scope work as widely as possible; we scope as narrowly as helpful.
Ready to talk?
Thirty minutes. No deck. We listen first, then either suggest a path forward or tell you it's not a fit.