We help hospitals and health systems run better — clinically, operationally, financially.
Come talk to us. Then let us help you improve.
Two decades inside the largest federal EHR modernization in history — at Oracle Health and Cerner, delivering for the Department of Veterans Affairs. We know what breaks in healthcare operations, and how to fix it.
We work with a specific kind of leader.
If you see your organization in these, a conversation with Trevor will be worth your time. If not, we'll say so.
Hospitals & health systems
CEOs, COOs, CMIOs, CNIOs, CIOs, and VPs of Operations navigating throughput, workforce, EHR, and governance pressure at the same time.
Federal healthcare programs
Program leaders and PMOs inside VA, DoD, and federal contractors accountable for clinical operations at national scale.
Healthcare vendors & contractors
EHR, digital health, and services companies that need to sell into, deliver for, and partner credibly with health systems.
Boards & leadership teams
Governance committees and executive offsites that need a candid outside voice on healthcare operations and where to focus next.
Book Trevor for your next event.
Twenty-plus years inside healthcare operations and the largest federal EHR modernization in history. Trevor translates the hardest questions in hospital operations, clinical governance, and healthcare performance into talks that executives actually act on.
A practitioner first: Lean Six Sigma Black Belt in Healthcare, MBA, Director at Oracle Health, and a veteran of the VA Federal EHR Modernization program. He speaks from the work, not the deck — equally comfortable at a health-system board retreat, a vendor sales kickoff, or a 2,000-seat industry keynote.
Healthcare Operations
Two decades optimizing hospital and health-system operations — from EHR replacements to enterprise telehealth analytics for the VA.
Clinical & Program Governance
Structured governance that cut escalations on the VA EHR modernization by 80% and lifted resolution speed by 30%.
Performance Improvement
Lean Six Sigma Black Belt in Healthcare. KPIs, workflow redesign, and continuous improvement wired to measurable outcomes.
Healthcare Vendors & Contractors
Deep experience across the vendor side of healthcare — from Cerner and Oracle Health to federal contractors serving VA and DoD.
Health-system leadership summits · hospital board retreats · HIMSS-style industry conferences · federal healthcare program briefings · vendor sales kickoffs · clinical operations offsites.
Ideal vs. Real
Why the glossy roadmap keeps colliding with the reality of clinical workflows, staffing, and legacy systems — and the framework healthcare leaders use to close the gap.
Unhappy People
Burnout, turnover, and disengagement are P&L problems. How to rebuild clinical and operational productivity from the human layer up.
The Choices We Make
A keynote on agency, intention, and the daily decisions that compound into a career — and a life — of meaning.
Recent writing
Healthcare's Biggest Pain Points, Its Biggest Opportunities, and the Bang-for-the-Buck Fixes You Can Start Monday
A 20-year veteran of the largest federal EHR modernization in history breaks down where healthcare operations actually hurt, where the real opportunities hide, and the highest-leverage changes hospitals and health systems can make right now.
From AI Ambition to Measurable Business Value: How CCG Helps Leaders Close the Execution Gap
A strategic deep dive into how Cogent Consulting Group helps leaders turn AI ambition, governance, portfolio prioritization, and operational readiness into measurable business value.
The Cogent Readiness Index: The 5 Pillars of Business Readiness That Turn Strategy into Results
By Cogent Consulting GroupMost strategic plans die on the vine. It’s a uncomfortable truth, but a necessary one for any leader aiming for sustainable growth. We’ve all seen the cycle: The executive retreat generates a brilliant 30-page document. There’s excitement, a company-wide
Three pillars. One outcome: healthcare that works.
Every engagement starts with a frank conversation about where your operation actually is — not where the strategic plan claims it should be.
Strategic Clarity
Cut through the noise. Define what modernization, analytics, and workflow change actually mean for your patients, your staff, and your P&L.
Governance
The same structured governance we use on the largest federal EHR program in history — adapted for hospitals, health systems, and their vendors.
Operational ROI
Lean Six Sigma applied to clinical and back-office workflows. KPIs that matter, prioritization tied to margin, throughput, and outcomes.
The 90-Day Healthcare Performance Sprint
Most healthcare organizations are drowning in initiatives and starving for measurable improvement. This 90-day sprint diagnoses your operations, targets one high-impact workflow, and drives a measurable KPI lift — using the same Lean Six Sigma and governance methods proven on the VA EHR modernization.
Explore the engagement- Days 1–30Operations baseline + one target workflow selected
- Days 31–60Lean Six Sigma redesign live in one clinical or operational area
- Days 61–90Governance cadence installed, measurable KPI lift, 12-month roadmap
For people with passion and purpose.
Helping people find joy is Trevor's other life's work. The Joy Project is a collection of writing, podcasts, and tools — including the MyJoyTracker™ app — built for people who want to live deliberately.