Clinical SaaS: fractional CTO for quality, cadence, and scale
Fractional CTO for a clinical software company—fewer defects, better availability, and delivery leadership could budget around.
Engagement as fractional CTO for a specialty clinical software company that could not keep trading quality for speed. Incidents were too frequent, maintainability was poor, and commercial timelines still had to hold.
The intervention was operational: sequence fixes that reduced defect load, improve availability and turnaround on customer-impacting work, hire and manage engineers where the bench was thin, and give executives estimates tied to reality. Feature development continued—without pretending stability could wait for “after this release.”
Predictability improved on ordinary KPIs first. When the company later moved through a change in ownership, engineering was already something leadership could describe—with processes, people, and risk in plain sight.
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