Senior technology leadership without a full-time hire.
Most healthcare businesses need someone who can evaluate vendors, plan integrations, manage implementations, and set an AI strategy. They do not need a $250K executive. BrevHealth provides fractional CTO support designed for healthcare operations.
What is a fractional CTO?
A fractional CTO is a senior technology executive who works with your organization part-time, typically on a monthly retainer, instead of as a full-time hire. For healthcare organizations, a fractional CTO owns the technology roadmap, evaluates EHR/PM/RCM vendors, sets AI strategy, plans integrations, oversees implementations, and reviews security practices. It delivers the judgment of an experienced CTO at a fraction of the $250K+ cost of a full-time executive.
When You Need This
You are choosing a new EHR or PM system and nobody on your team has evaluated enterprise software before. You are fielding pitches from five AI vendors and cannot tell which one fits your workflow. Your systems are disconnected and you do not know whether to integrate, replace, or automate. You are opening a new location and need a technology plan. Your billing vendor is underperforming and you need someone technical to evaluate alternatives.
These are technology leadership decisions. They require someone who understands healthcare workflows, system architecture, vendor ecosystems, implementation realities, and operational constraints. That is what a fractional CTO provides.
What Fractional CTO Support Includes
A roadmap you can execute
A prioritized 6–12 month plan for what to build, buy, integrate, and automate, with someone accountable for delivery.
Technology Roadmap
A prioritized plan for what to build, buy, integrate, and automate over the next 6–12 months.
Vendor Evaluation
Structured vendor comparison based on workflow fit, integration depth, security, pricing, and implementation burden.
AI Strategy
A practical plan for where AI fits, what guardrails are needed, and how to pilot responsibly.
Integration Planning
Assessment of how your EHR, PM, RCM, CRM, phone, and reporting systems should connect.
Implementation Oversight
Project management for technology deployments, keeping vendors accountable and timelines on track.
Security & Access Review
Baseline review of data handling, access controls, vendor terms, and HIPAA-aware practices.
Technical Team Coordination
Managing internal staff, external vendors, and contractors working on technology initiatives.
Common questions
A full-time healthcare CTO typically costs $250K+ per year in salary alone, before equity and benefits. A fractional CTO works on a monthly retainer scoped to the hours and decisions you actually need, usually a fraction of that cost, and can scale up during major projects like a system migration and down during steady-state operations.
An IT consultant is typically engaged for a specific project and delivers recommendations or a specific system. A fractional CTO is accountable for technology leadership over time: owning the roadmap, making build-versus-buy calls, managing vendors, and being answerable for outcomes. It is the same accountability a full-time CTO carries, on a part-time basis.
The common triggers: choosing or replacing an EHR or PM system, evaluating competing AI vendors, planning integrations across disconnected systems, opening new locations, or an underperforming billing vendor that nobody internal can technically evaluate. If technology decisions are stalling because no one owns them, that is the signal.
Yes. Coordinating internal staff, managed service providers, software vendors, and contractors is a core part of the role: setting priorities, holding vendors to commitments, and keeping implementations on schedule.
Need technology leadership without a full-time CTO?
Book a Fractional CTO Consultation. 30 minutes to discuss your technology challenges and priorities.
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