Fractional CMIO & Executive Advisory
Executive physician-informatics leadership for hospitals and systems that need experienced guidance without waiting for a permanent hire or creating a full-time position.
Explore this service →Consulting services
Clinical, informatics, data, and executive expertise for decisions that cannot remain theoretical.
J Butler MD Consulting supports organizations facing EHR transitions, AI and data decisions, governance gaps, clinical workflow challenges, research-infrastructure needs, product questions, and high-stakes implementation work.
The service areas are distinct, but they are intentionally connected. Most meaningful healthcare problems cross more than one layer: strategy, clinical operations, data, technology, governance, adoption, and sustainability.
Service areas
Clinical Informatics & EHR Transformation
End-to-end advisory and implementation support for governance, clinical workflow, content, readiness, adoption, go-live, optimization, and cross-platform transformation.
Explore this service →Healthcare AI, Data Strategy & Governance
A disciplined path from AI interest to prioritized use cases, governed data, defensible evaluation, safe implementation, and measurable operational value.
Explore this service →Rural, Tribal & Safety-Net Health Strategy
Technology and data strategies grounded in community authority, constrained resources, organizational resilience, and sustainable local capacity.
Explore this service →Research, Grant & Learning Health System Informatics
Informatics leadership that connects research questions, implementation context, data flows, governance, measurement, and continuous-learning operations.
Explore this service →Health Technology Clinical Advisory
Clinical strategy, workflow review, integration planning, product requirements, pilot design, and adoption guidance for companies building healthcare technology.
Explore this service →Expert Review & Expert Witness Services
Independent, technically informed physician review for matters involving EHRs, clinical informatics, workflow, governance, data, decision support, and implementation.
Explore this service →Speaking, Workshops & Executive Education
Executive-level learning designed to clarify decisions, build shared language, and turn complex informatics issues into practical organizational action.
Explore this service →How an engagement begins
1
Define the decision
Clarify what leadership must decide, what is at risk, and what evidence or alignment is missing.
2
Establish scope and stakeholders
Identify the clinical, operational, technical, governance, and community perspectives required to do the work responsibly.
3
Choose the right engagement model
Select fractional leadership, an advisory retainer, a fixed-scope assessment, project leadership, independent review, or an educational engagement.
4
Deliver usable outputs
Produce decision briefs, governance structures, roadmaps, requirements, implementation plans, evaluation frameworks, and working sessions designed for action.
Not sure which service category fits?
A focused initial conversation can clarify the real decision, the appropriate scope, and whether J Butler MD Consulting is the right fit.