Evan Fischell Consulting.

It shouldn't be hard.

Health systems pay too much for operational technology that takes too long, delivers less than promised, and can't be simply explained. We end that — replacing under-delivering vendor products with right-sized systems you own, delivered in weeks.

You've seen the pattern

Over budget, over schedule. Sold as a quarter; running for years.
The value never shows up. The vendor's answer is always more integration.
You already owned it. It duplicates what your core systems do — caught after the money was spent.
A platform's price for a feature's value. You needed one thing; it's now buried inside fifty.

Nobody will give you a straight answer about why it's this complicated. The honest answer: it doesn't have to be.

How it works

WKS 1–4

Set up and look under the hood. A production-grade delivery capability, securely connected to your systems — while we review the vendors you're worried about.

WK 4–6

See it working. A plan and a working prototype that does what the vendor was supposed to do. Software you can touch, not a slide deck.

THEN

Replace, or map the cleanup. Roughly two weeks to replace the first target — or a prioritized one-to-six-month roadmap. Your ambition sets the pace.

What we're not

Not another platform — we exist to reduce the number of platforms you pay for.
Not a "turnkey" solution — one size does not fit all, and with the technology available today, it doesn't have to.
Not disruption for its own sake — we work with your existing investments, and where something serves you well, we keep it.

There's an embedded agent on this page right now — the EF. in the corner. Ask it the questions you've struggled to get answered. In its own words: "Maybe I can even fix some of your problems right now, just ask."