NURSE-LED HEALTHCARE ALIGNMENT CONSULTING
HTAM™: The Healthcare Alignment Operating System
A nurse-designed, research-based model that finds where your clinicians, leaders, and technology are out of sync and closes each gap before it becomes a failed go-live or another RN resignation.
For CNOs, CNIOs, CIOs, and CFOs at hospitals, health systems, and long-term care organizations.
90-Minute Alignment Assessment · $1,500 introductory Zoom rate through December 31, 2026 · Written report + leadership debrief · Fee credited toward your engagement if you sign within 30 days
Led by Dr. Sophia Brown, PhD, DBA, RN, FHIMSS, FACHE, PMP · 35+ years in clinical nursing · 25+ years in health IT implementation
Clinical lead on barcode medication administration, blood transfusion, and clinical documentation implementations · Guided long-term care facilities from paper to electronic records · Author, Nursing Informatics Made Simple · Published in Applied Clinical Informatics
Where would you like to start?
Everything at SIS comes back to one idea: alignment, between leaders and teams, strategy and execution, people and technology. Choose the path that sounds most like you.
CONSULTING
“I lead a healthcare organization, and something isn’t working.”
Stalled go-lives, workarounds, burnout, turnover. HTAM™ and CTAM™ consulting finds where people, process, and technology are out of sync, and fixes it.
LEADERSHIP · DR. SOPHIA LEADS
“I want to grow as a leader, or grow my team.”
Executive and nurse leader coaching, team workshops, and keynotes that build leaders people want to follow.
INTEGRATION SERVICES
“I’m a health tech or consulting firm serving healthcare.”
Partner with SIS to add clinical integration and adoption support to your projects, so your implementations actually stick.
SHOP & INSIGHTS
“I want a practical tool I can use this week.”
Guides, toolkits, and courses for nurse leaders and managers, plus free articles in Insights.
Not sure where you fit? Take the free 3-minute Risk Score or book a free 30-minute discovery call, and we’ll point you in the right direction.
THE PROBLEM
Your teams are working as islands.
Clinical teams know where the workflow breaks. Technology teams know what the system can do. Leadership sets the strategy. Too often, these groups never really talk.
So nurses get handed systems they never helped design. They build workarounds. They get labeled "resistant to change." And the technology you paid for never delivers its return.
That isn't a people problem. It's an alignment problem, and it can be measured and fixed.
Most hospitals treat failed go-lives, workarounds, and nurse turnover as three separate problems. HTAM™ treats them as one: misalignment between the people who set strategy, the people who build the systems, and the people who use them at the bedside.
When clinicians and technology aren't aligned, you pay for it.
$60,090
Average cost to replace one bedside RN
$5.19M
Average hospital loss to RN turnover in 2025
$295,000
What each 1% change in RN turnover costs or saves the average hospital per year
Source: 2026 NSI National Health Care Retention & RN Staffing Report.
HOW WE WORK
Islands to Alignment™: one system, from diagnosis to adoption
1. Assess
Start with the free Risk Score, then a 90-minute HTAM™ assessment that diagnoses where you're misaligned and what it's costing you.
2. Align
HTAM™ and CTAM™ close the gaps across operations, leadership, culture, and technology.
3. Integrate
We bring in the right implementation specialists and stay accountable for adoption.
4. Sustain
Fractional CNIO/CIO leadership and leadership development keep results in place.
Two frameworks. One goal: alignment.
Both models grew out of Dr. Brown's doctoral research on strategic change and 25 years of leading clinical system implementations.
HTAM™
Healthcare Transformation Alignment Model
For organization-wide transformation. HTAM™ builds top-down and bottom-up communication so frontline knowledge shapes strategic planning. It assesses alignment across operations, leadership, culture, and technology, and targets a fix to each gap it finds.
CTAM™
Clinical Technology Alignment Model
For technology selection, implementation, and optimization. CTAM™ brings clinicians into the conversation early, so their workflows and judgment are built into the solution, not bolted on after go-live.
COMING SOON · TWO BOOKS
The HTAM™ and CTAM™ Books
The Healthcare Alignment Operating System (HTAM™): Dr. Brown’s research-based framework for leading transformation that sticks.
Clinical Technology Alignment: The CTAM™ Framework: a five-phase method for technology clinicians actually use.
MEET THE FOUNDER
A nurse first. An informatics leader second.
PhD · DBA · RN · FHIMSS · FACHE · PMP
Dr. Sophia Brown spent more than three decades at the bedside before she ever led a system implementation. As a hospital system implementer, she represented the clinical side on barcode medication administration, blood transfusion, and clinical documentation projects: gathering frontline pain points, observing workflows, and translating them into changes the technology team could build.
She also guided long-term care facilities from paper to electronic records. That experience, plus her PhD and DBA research, became HTAM™ and CTAM™.
Author, Nursing Informatics Made Simple (2 editions) · Published in Applied Clinical Informatics · Sr. Contributing Faculty, Walden University · Clinical Committee Chair, ACHE New Jersey
How aligned is your organization?
Book a 90-Minute Alignment Assessment and get a written report showing where misalignment is putting your people, patients, and budget at risk.