You make the vision. I build the machine and fix what breaks.
I'm a fractional COO for multi-site clinics and healthcare operators doing $1M to $100M. I build the systems, install the AI agents that run them, and hand you a business that doesn't need me in the room.
Example of a client board after handoff.
You built something that works. Now it only works when you're there.
You're opening a new location and nobody owns operations.
Growth is outrunning your systems, and your front desk feels it first.
You need COO-level leadership without a $250K salary.
A major project, an EHR migration or a rollout, has stalled.
A seat at your leadership table, a few days a week.
I run operations alongside you, on retainer. You get the output of a full-time COO and keep the payroll.
An operating rhythm
KPIs, weekly scorecards, and meetings that end in decisions. You see every location's numbers without asking.
SOPs your team follows
Written, trained, and checked. New hires ramp in weeks.
Agents doing the repetitive work
Call handling, intake, scheduling follow-up, reminders, and reporting. Your staff gets hours back every week.
Hiring and accountability
The right people in the right seats, each with a number they own.
Talent waste is the most expensive line that isn't on your P&L.
Skilled people spend a day a week copying data, chasing forms, and answering the same calls. I find that waste, hand it to AI and automation, and give the day back to your people for the work that needs a human.
The systems keep running after I step back.
Most consultants leave you with a binder. I build the process into software: AI agents that answer and book, automations that chase paperwork, dashboards that update themselves. You own all of it. Your team runs it.
AI voice agent answers every call, books, and reschedules, 24/7.
Forms, insurance details, and reminders sent and chased without staff touching them.
Your KPI scorecard builds itself every Monday morning.
No-shows, lapsed patients, and unpaid balances get worked automatically.
My healthcare work runs under Rescue Health Partners.
Rescue Health Partners is the healthcare practice of MTI Global Group. Same operator, same framework, built for clinics, practice groups, and the investors behind them. Fractional COO leadership, AI agents, and project rescue, shaped around patient flow, payers, and compliance.
Multi-site clinics and practice groups
Fractional COO leadership for $1M to $100M operators
Healthcare private equity
Portfolio risk briefs and operator support
Troubled healthcare projects
EHR migrations, rollouts, and integrations back on track
Assess. Align. Action. Affirm.
The same four-step framework on every engagement, so you always know where we are and what's next.
Assess
I diagnose how the business actually runs.
- Operations diagnostic
- Bottleneck and cost map
- AI opportunity list
Align
We agree on priorities and who owns what.
- 90-day operating plan
- KPI scorecard
- Clear owners per outcome
Action
I build and install alongside your team.
- SOPs written and trained
- AI agents deployed
- Weekly leadership rhythm
Affirm
We lock in the results and hand off.
- Results against baseline
- Team runs the system
- Ongoing retainer, optional
When a project is in trouble, start here.
Project Rescue & Recovery
Late, over budget, or losing the team's confidence. I run a fast diagnostic, find the root cause, and lead the recovery hands-on. It's the Rescue My Project™ method, used on 150+ projects.
Talk about a troubled projectBook a 30-minute operations review.
Tell me how the business runs today. You'll leave the call with the 3 things slowing you down and what I'd fix first. No pitch deck.
Brian Munroe
30+ years leading operations and recovering projects across healthcare, finance, technology, and government. PMP, Six Sigma Green Belt, Cornell executive leadership. Author of the Rescue My Project™ method and My AI Makes Me More Human.