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Services

Seven practices. One team. Every one of them measured.

Engage us for a single practice or let the fractional executive bring the rest in as your needs dictate. Scope, deliverables, and service levels are written down before work starts, and reported against every month.

01 · Retained leadership

Fractional CIO / CTO

A seasoned technology executive, embedded in your leadership team for a defined number of days per month, accountable for the outcomes a full-time CIO or CTO would own.

What the role covers

  • Technology strategy and a multi-year roadmap tied to the business plan, not to vendor release cycles.
  • Budget ownership: capital and operating plans, total-cost-of-ownership analysis, and the discipline to say no.
  • Vendor governance — selection, negotiation, contract and SLA management, and renewal defense.
  • Board and executive reporting: risk, posture, spend, and progress in language a board can act on.
  • Organizational design: hiring, structuring, and mentoring the internal team, or governing the MSP that fills that role.
  • Security, privacy, and compliance accountability at the executive level, including regulator and auditor interface.
  • Crisis leadership when the incident is big enough to need an executive in the room.

How it is structured

Retained engagements from two days a month to two days a week. Interim and transitional arrangements — covering a departure, leading a search, or bridging a merger — are also available. Every engagement starts with a ninety-day assessment and plan that you keep regardless of what happens next.

02 · Operations

Managed Infrastructure & Operations

We design, migrate, and run the infrastructure your business stands on — and we publish the service levels so you can check our work.

What we operate

  • Server, storage, and virtualization platforms, on-premises and hosted.
  • Network, firewall, and connectivity, including multi-site and remote-workforce architectures.
  • Identity and access: directory services, single sign-on, privileged access, and lifecycle automation.
  • Backup, replication, and disaster recovery — with recovery actually tested, on a schedule, with results reported.
  • Monitoring, patching, capacity management, and the 24×7 operational cadence behind them.
  • Service desk and escalation engineering, either as your IT function or as the tier your MSP escalates to.

Any industry

Infrastructure does not have industrial boundaries. The same platforms, the same failure modes, and the same operational discipline apply to a medical group, a law firm, a manufacturer, a distributor, or a nonprofit. What changes is the regulatory overlay and the cost of a bad day — and we calibrate the service to both.

03 · Specialty practice

Healthcare IT & Compliance

Technology leadership and operations for organizations where HIPAA, patient safety, and revenue cycle all depend on the systems running correctly.

Scope

  • HIPAA Security Rule and Privacy Rule programs: risk analysis, policies, training, incident response, breach assessment, and Office for Civil Rights audit readiness.
  • Fractional Privacy Officer and Security Officer roles with named accountability.
  • Business associate governance — inventory, agreements, and the vendor due diligence behind them.
  • EHR, practice management, and revenue-cycle platform operations, upgrades, and migrations.
  • Interoperability: interface engines, HIE connectivity, HL7 and FHIR integration, and payer-provider data exchange.
  • Clinical and operational data platforms — warehouses, reporting, quality measures, and population-health analytics.

The full healthcare practice →

04 · Platforms

Data & Application Management

The databases, integrations, and line-of-business applications that turn infrastructure into a working organization.

Scope

  • Database administration and platform operations: SQL Server, PostgreSQL, MySQL, and the cloud-managed equivalents.
  • Application lifecycle ownership — vendor coordination, upgrade planning, environment management, and release governance.
  • Integration architecture: APIs, interface engines, message queues, and file-based exchange that is monitored rather than assumed.
  • Data governance, retention, archival, and the legal-hold and e-discovery obligations that come with them.
  • Reporting and analytics platforms, from operational dashboards to enterprise warehouses.

05 · Transformation

Cloud & Infrastructure Modernization

Migration and modernization planned around your workloads and your cost model — not around a cloud provider’s sales quota.

Scope

  • Workload assessment and placement: what moves, what stays, what retires, and what it will actually cost.
  • Migration execution across Microsoft Azure, Amazon Web Services, Microsoft 365, and hybrid designs.
  • Landing-zone and governance design: identity, networking, policy, cost controls, and compliance baselines.
  • Datacenter consolidation and exit, including the colocation and contract untangling that comes with it.
  • Post-migration optimization — right-sizing, reserved capacity, and a monthly bill that is scrutinized line by line.

06 · Risk

Security & Risk

Security leadership integrated with infrastructure and compliance, so the controls are real, operated, and evidenced — not a slide.

Scope

  • Security program leadership aligned to NIST CSF, HIPAA, and the frameworks your customers and insurers ask about.
  • Risk assessment and remediation roadmaps with owners, dates, and budget.
  • Control operations: endpoint protection, email security, MFA and conditional access, logging, and vulnerability management.
  • Incident response planning, tabletop exercises, and leadership during a live incident.
  • Third-party and vendor risk, cyber-insurance questionnaire support, and customer security due-diligence response.

07 · Measurement

MFid Performance Measurement

Our proprietary method for scoring how much of what was promised was actually delivered — on the KPIs that matter to you. One number from 0 to 1, with every gap itemized and every input published.

Where clients use it

  • Vendor and SLA verification — score a renewal before you sign it, and take the itemized gaps into the negotiation.
  • KPI performance optimization — pick the five to ten indicators your workflow depends on, measure them against their targets, and remediate in the order the score dictates.
  • Platform and purchase decisions — compare candidates on measured fidelity to their own datasheets rather than on feature lists.
  • Internal accountability — publish a score for your own IT function or MSP, as we do for ourselves on the status page.

How an engagement runs

A one-hour intake built around ten questions produces a claims inventory, a signed KPI list, and a measurement plan. We then measure independently over a window that includes your worst day, and deliver the score, the itemized gaps, and the remediation priorities. Standalone engagements are fixed-scope; within a fractional or managed engagement, MFid becomes the monthly scorecard.

Not sure which practice you need?

That is normal, and it is what the discovery call is for. Tell us the problem; we will tell you the smallest engagement that solves it.

Book a Discovery Call
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