I help you solve problems faster and lead lasting change

Services

Strategic Planning & Goal-Setting

The Problem: Too many priorities. Unclear strategy. Weak accountability.

What I Do: Redesign your planning process and goal-setting systems (OKRs, KPIs, MBOs) to drive alignment and focus.

Recent Results:

  • Reduced system goals by 45% (UVM Health Network)

  • Designed first system-wide resource planning process

  • Saved $60K annually with internal tracking tool

Best for: Organizations with competing priorities, unclear strategy, or federated structures needing coordination

Organizational Health Assessment

The Problem: Something's wrong. Performance is slipping. Conflicts keep returning. People are leaving. You can't pinpoint the root cause.

What I Do: Diagnose what's really happening through stakeholder interviews and analysis. I surface the real problems and create prioritized recommendations and a roadmap forward.

Results:

  • Diagnosed overly complex org chart; worked with executive team to streamline reporting structure, improving accountability and decision-making speed (Wasted)

  • Identified critical skills gap in sales and marketing; recommended full-time hire that improved inbound sales performance (Wasted)

  • Identified absence of market segmentation framework; recommended and introduced customer segmentation approach that enabled targeted sales (Wasted)

  • Surfaced field operational safety and efficiency gaps; designed metrics, dashboards and communication systems to address them (Wasted)

Best For: Organizations facing persistent challenges, declining performance, or leadership transitions who need objective clarity before investing in solutions; boards or new executives who need to understand what they've inherited

Operational Turnaround

The Problem: A service line, department, or operation is underperforming (margins are weak, quality is inconsistent, or compliance risk is rising).

What I Do: Stabilize and improve performance through data-driven analysis, process redesign, and compassionate change management. I combine margin analysis and workflow optimization with team engagement.

Results: 

  • Improved net margin by 4% through operational improvements and pricing redesign (Wasted) 

  • Transformed finance function from compliance risk to proper controls by cleaning up the balance sheet, securing bank access, implementing procurement policies (HealthRhythms) 

  • Created new quote-to-invoice process, improving AR and financial statement accuracy (Wasted)

Best For: Operations facing financial pressure, performance gaps, compliance risk, or quality concerns that require rapid stabilization and sustainable improvement

Executive Advisory

The Problem: You're navigating complex transformation, integration, or turnaround. You need more than tactical help. You need a thought partner who understands the business and the human dynamics.

What I Do: Serve as your strategic thought partner and leadership advisor. Monthly or semi-monthly working sessions, weekly check-ins, and real-time support as challenges emerge. I help you prepare for high-stakes decisions, craft communications that land, navigate team dynamics, and lead through conflict and ambiguity.

Results: 

  • Strategic counsel to CEO through Series A growth, market expansion, executive hiring, and team scaling (HealthRhythms)

  • Strategic counsel through health system planning transformation (UVM Health) 

  • Leadership guidance through workforce restructuring and operational turnaround (Wasted)

Best For: CEOs, COOs, and senior leaders facing transformation, integration, turnaround, or strategic shifts who need a trusted partner embedded in their leadership team, not just a consultant who leaves after recommendations.

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Speaking & Workshops

I speak about leadership and change. How the work of leading with love and leading yourself with honesty, security, and care transforms what's possible.

Not Sure Where to Start?

Most leaders I work with aren't sure exactly what they need when we first talk, but they know something isn't working as well as it should and have a sense of what they want to change.

I’d love to hear what’s on your mind and have a conversation to help you think it through.

Investment & Engagement

My engagements typically range from 3-12 months depending on scope and complexity. Every situation is different. Let's talk about your situation, and we can design an approach that fits your needs and budget.

Schedule an complimentary call

“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)

Testimonials