Most of healthcare IT consulting is sold around two moments: the strategy deck and the go-live. Everything in between is execution. It’s where programs actually succeed or fail.
A health system buys into a strategy. The architecture is approved. Then the architects leave. The PMs rotate. The vendors stay accountable to the loudest voice in the meeting, not what was originally designed. Six months in, the program looks nothing like the deck that sold it. Twelve months in, things start getting scoped back, cancelled, or handed to another consultancy.
Harlow & Co. is built to stay. I work with health systems on the architecture, integration, and delivery of complex IT programs across Epic, unified communications, identity governance, and the integration work between them. The work happens in meetings, COEs, build oversight, vendor escalations, and on the floor before, during, and after go-live.
Engagements come in three shapes. Short ones for strategy reviews, architecture decisions, and vendor selection. Long ones for owning a workstream from design through delivery. Ongoing ones for fractional architecture as systems build toward bigger work.
I take on a small number of new programs each year.
Jeremy Harlow
Principal, Harlow & Co.
