I help healthcare leaders build clarity, alignment, and operational discipline
and I honor both business and clinical / cultural imperatives that drive exceptional care
Services
Strategic Planning & Goal-Setting Frameworks
Redesign your planning process and goal-setting systems (OKRs, KPIs, or hybrid frameworks) to drive alignment, focus, and accountability. I don't just facilitate planning sessions - I rebuild how your organization sets direction, tracks progress, and makes decisions.
Real example: At UVM Health Network, I helped leadership reduce system goals by 45% year over year, designed their first system-wide resource planning process across six hospitals, and advised development of an internal OKR tracking tool that saved $60K annually while improving visibility and execution.
Who this serves: Organizations with too many competing priorities, unclear strategy, or federated structures needing better coordination
Organizational Health Assessment
Diagnose what's really happening when you know something's wrong but can't pinpoint it. Through stakeholder interviews, data analysis, and pattern recognition, I surface the real issues - not just symptoms - and create clarity about what needs fixing and why.
Real example: As COO of a multi-site waste management company (similar operational complexity to multi-site healthcare), I conducted a comprehensive alignment assessment that revealed communication breakdowns and leadership gaps. I set up chain of command, established routine communications, and advised the CEO on critical personnel decisions - including turning around two underperforming business lines by replacing leadership and implementing new operational systems.
You get an executive-ready assessment with specific, prioritized recommendations and a roadmap for moving forward. This is often the starting point: diagnostic clarity fast, then decide whether to implement changes independently or partner with me for execution support.
Who this serves: Organizations facing persistent challenges, declining performance, or leadership transitions who need objective assessment before investing in solutions
Integration & Operational Alignment
Navigate post-merger integration, multi-site coordination, or federated structures needing to operate as one coordinated system. Integration fails when organizations can't distinguish between what requires system-wide coordination versus what can be handled locally - so I help leadership teams create that clarity while building trust and shared ownership of priorities.
Real example: At UVM Health Network, I designed and facilitated their first-ever system-wide alignment workshops to help historically independent hospitals get aligned on a focused list of system goals. I created frameworks defining what truly requires cross-hospital coordination versus local execution, then led senior leadership through prioritization, resource planning, and voting processes that built genuine buy-in. The result: clear distinction between system priorities, partner priorities, and shared service work - with realistic resource plans and collective ownership across the network.
This work addresses the fundamental challenge of federated healthcare: how do you coordinate across multiple entities without losing local autonomy, and how do you decide what actually needs system-wide alignment versus what can stay local?
Who this serves: Newly integrated health systems, regional hospital networks moving from independent entities to coordinated networks, multi-site organizations struggling to distinguish system-wide priorities from local goals
Operational Turnaround
Fix underperforming departments or operations through data-driven analysis, process redesign, and hands-on leadership support. I combine financial rigor with human-centered change management - using margin analysis, performance benchmarking, and workflow redesign while building team capability to sustain improvements.
Real example:
Finance turnaround: Walked into a Series A mental health startup where the finance function had lost compliance and was creating material risk. I restored financial controls, cleaned up the balance sheet, implemented procurement systems, and turned a liability into a functional operation.
Margin improvement and business line turnaround: Advised CEO on terminating underperforming leadership and personally led the operational rebuild, implementing new systems and coaching teams to improve performance. Improved operating margins by 4% through pricing strategy, process improvements, and performance management systems.
Who this serves: Organizations with departments facing financial pressure, performance gaps, compliance risk, or quality concerns requiring rapid stabilization and sustainable improvement
Executive Advisory Partnership
Be your strategic thought partner and leadership coach as you navigate complex decisions and organizational change. This is the work where my combination of business rigor and human insight creates the most value.
Real example: As Chief of Staff to the CEO of a Series A mental health startup, I was the trusted advisor who brought unvarnished truth from the team, helped navigate cultural conflict, advised on strategic decisions, and supported weekly team communications. When that CEO needed to make difficult calls - from financial strategy to personnel decisions - I helped him think clearly and lead effectively.
As an M&A advisor to PE-backed healthcare platforms, I've counseled CEOs through complex deals - not just the numbers, but the people, the dynamics, the unspokens. I helped the CEO of Caravel Autism Health close a proprietary acquisition I sourced by guiding him through relationships and negotiations that wouldn't have happened through traditional channels.
How we work: Monthly or semi-monthly half-day strategic sessions, weekly check-ins, and real-time support when challenges emerge. You get someone who knows your context deeply, can move between "here's what the data says" and "here's how to bring your team along," and won't just tell you what you want to hear.
Who this serves: CEOs, COOs, and senior leaders facing transformation, integration, turnaround, or strategic shifts who need more than analysis - they need a trusted partner
What Else I Bring
My M&A and finance background means I can evaluate acquisition opportunities, build financial models, and advise on resource allocation and capital structure when strategy requires it.
My entrepreneurship experience - I bootstrapped Flyway Wellness, bringing yoga services to behavioral health clinics across two states with VC and PE-backed platform clients - means I understand both growth strategy and the operational realities of building something from scratch. This is particularly valuable for behavioral health organizations scaling new programs or health systems launching new service lines.
My life as a grounded rural New Englander and endurance athlete means I understand what it takes to keep going when things get hard, and I bring that same resilience and steady presence to the organizations I serve.
Speaking & Workshops
I speak on strategic execution, change leadership, and building mission-driven organizations that honor both business imperatives and care delivery values. Available for healthcare conferences, leadership retreats, board sessions, and team offsites.
Topics include: Leading through change, self leadership, building alignment in complex organizations, making hard decisions with confidence, and bridging the gap between financial reality and mission integrity.
Not Sure Where to Start?
Most leaders I work with aren't sure exactly what they need when we first talk - they have a sense of what they want to change and know something isn't working as well as it should.
I’d love to meet you. Let's have a conversation about what you're facing. I'll help you think through what makes most sense for you right now.
Investment & Engagement
Most engagements range from 3-12 months depending on scope and complexity. Organizations typically invest $50-$300K for project-based work, or $10-$15K monthly for ongoing advisory relationships.
Every situation is different. Let's talk about what you're facing and design an approach that fits your needs and budget.
“Betsy was one of the people I relied on most at HealthRhythms. She could listen through the most meandering conversations and surface the one or two things that actually needed attention, and she always did it in a way that felt respectful and steady. Betsy earned trust everywhere — not by trying to impress anyone, but by showing up consistently, listening deeply, and saying what needed to be said, even when it wasn’t the easiest thing to hear. I also greatly appreciated how open she was to new ideas and how naturally she brought people together during difficult or ambiguous moments. Her judgment, calm presence, and ability to align very different personalities made a real difference in how we worked. Betsy was a true partner in every sense.”
— John Nicol, Ph.D., Digital Health Specialist, FDA (formerly VP of Engineering, HealthRhythms)
