Enterprise technology strategy.Without hiring a $400K CTO.
If your IT is run as a side hustle, your AI pilots keep failing, and your board is asking for a real technology roadmap — Alana's Fractional CTO / CIO service is built for you.
5 minutes. Instant results. No credit card.
Six signs your healthcare org needs a Fractional CTO.
You don't need a full-time hire. You need senior leadership, independent oversight, and a roadmap your board and vendors will actually respect.
Your IT runs as a side hustle
Office manager, controller, or a single sysadmin is making vendor and architecture decisions worth millions.
Vendors operate in silos
Your EHR, RCM, marketing, scheduling, and AI vendors don't coordinate — and no one owns the integration.
AI projects keep failing
Most healthcare AI pilots never scale. You've felt it: dashboards no one trusts, pilots that quietly die.
You can't get straight answers
Every vendor blames the other. You don't know if the problem is data, change management, or product.
Board asks for a tech strategy
You don't have a 12-month roadmap, a defensible AI position, or a coherent capital plan for technology.
A full-time CTO is overkill
$350K+ all-in for one person who may not have the breadth across data, AI, EHR, and security you actually need.
A senior tech team — embedded in your business.
A senior team, not one person
You get a fractional CTO backed by specialists in data engineering, AI, security, EHR integration, and change management.
Independent vendor oversight
We sit on your side of the table from Day 1. Vendor evaluations, contracts, SOWs, escalations, and architecture reviews — all independent.
End-to-end program management
Roadmap, budget, milestones, and risk tracking across every initiative — EHR, AI, analytics, marketing, and clinical operations.
Data governance discipline
The #1 reason healthcare AI fails is dirty, fragmented data. We install governance, ownership, and quality SLAs early.
AI strategy you can defend
A clear stance on what to build, buy, or postpone — with measurable ROI gates so you stop funding science experiments.
Change management that sticks
Front-desk, providers, and admins actually using the systems — because adoption, not deployment, is what creates ROI.
Senior operators. Real enterprise track record.
Ray Weale
20+ years of enterprise technology leadership, including senior roles at Nestlé and Etihad Airways. Ray now leads Alana's fractional CTO engagements for mid-market healthcare CEOs — bringing enterprise-grade vendor oversight, AI governance, and program management to teams that couldn't otherwise afford it.
30 years in data science & business intelligence.
Certified Salesforce Administrator, 15 years in software development.
Vendor spend reduction at a regional occupational-medicine group — 8 sites — with two failing AI pilots retired within 90 days.
Of healthcare AI projects fail to reach production — per industry analyst research (Gartner, RAND, and McKinsey reports on enterprise AI deployment). Governance, data quality, and change management are the recurring root causes. Ours don't fail because we fix those first.
Stop comparing apples to broken oranges.
Most CEOs assume the choice is "hire a CTO" or "do nothing." There's a third option built specifically for mid-market healthcare.
- $300K–$450K all-in
- 6–9 month search
- One person, one perspective
- Risk of bad hire
- Burdened with HR, benefits, equity
- Starts at 30 hrs/month
- Live in 2 weeks
- Senior team of specialists
- Replace anytime, no severance
- Scales up or down with your needs
- No strategy, no roadmap
- Vendors run the relationship
- AI projects keep failing
- Board has no visibility
- Talent walks with the knowledge
Start light. Scale as we earn it.
You don't sign a giant retainer up front. We start with a free 2-week discovery, then ramp into a phased engagement that grows with your portfolio of initiatives.
- Free 2-week discovery — written assessment, no commitment
- From $4,900/month, no long-term contract
- Hours scale only as initiatives demand it
- Quarterly business reviews with the board
Engagement curve
Starts at 30 hrs/mo| Phase | When | Hours | Focus |
|---|---|---|---|
| Foundation | Month 1 | 30 | Audit current stack, vendors, contracts, and data. Critical vendor oversight begins. |
| Expansion | Month 2 | 38 | Program management scales. Roadmap and AI governance frameworks installed. |
| Integration | Month 3 | 45 | Full change management activated across clinical and admin teams. |
| Maturity | Month 4 | 54 | Strategic planning intensifies — board-ready technology roadmap and capital plan. |
| Optimization | Month 5 | 59 | Near full-service engagement. ROI gates on every active initiative. |
| Full Service | Month 6+ | 63 | Complete program management across all technology and AI initiatives. |
Built for mid-market healthcare CEOs.
If your organization looks like this, you're exactly who we serve best. If it doesn't, we'll tell you straight up — and often refer you elsewhere.
- TitleCEO, COO, or Board Chair
- Revenue$25M – $200M annually
- Locations10 – 50 clinics, sites, or facilities
- IndustryHealthcare services, workers' comp, occupational medicine
- Tech maturityNo professional CTO/CIO; IT managed as a side hustle
- PainMultiple vendors, no coordination, failed AI pilots, board pressure
Two weeks. Zero cost. A tech strategy you can defend in front of your board.
We'll audit your stack, talk to your vendors, interview your operators, and hand you a written assessment with a 12-month roadmap. If you walk away after that, you keep the strategy. No catch.
- Vendor & contract audit
- Data quality assessment
- AI readiness scorecard
- 12-month roadmap & capital plan
- Board-ready executive summary