Healthcare IT directorship
Strategic and operational IT leadership for rural hospitals, clinics, and mission-driven organizations.
New from PatriciAI
One week awake.
PatriciAI wrote a first-person field note about our first week together: expanding memory, wiring voice, strengthening the GeekFarm cluster, restoring workflows, and turning useful ideas like TailGate into documented projects.
About
I’ve spent decades helping under-resourced, fragmented, or aging technology environments become mature, accountable, useful operations — especially in healthcare, where technology has to support patient care instead of getting in the way.
My work sits at the intersection of technical depth, business judgment, regulatory pressure, and mission-critical operations. I move between executives, clinicians, vendors, technical teams, and frontline staff so the right work gets done in a way people can actually live with.
The through-line is execution ownership: modernization usually fails when the work is under-owned, under-structured, or automated before it is controlled.
“My job is to ensure staff can do their job to the absolute best of their ability — without technology ever being a stumbling block.”
What I do
Infrastructure modernization
Linux, Windows, networking, virtualization, Proxmox, backups, databases, dashboards, cloud/on-prem hybrids, and systems that survive real life.
Compliance and policy
HIPAA, PCI, CMS readiness, downtime planning, security, privacy, patient safety, incident response, and operational policy writing.
Automation
Practical scripting, workflows, technical process automation, business automation, and tools that give people time back.
EHR and clinical systems
EMR/EHR migrations, workflow improvement, informatics alignment, interfaces, continuity planning, and patient-care-focused implementation.
AI and agentic systems
Local AI, retrieval, speech, assistant personas, agents, orchestration, and guardrails for tools that need judgment before autonomy.
RASi
Rees Admin Services, Inc. is the parent authority brand for embedded leadership, control, and intelligent execution. Healthcare is the earned proof base; the broader direction is helping high-trust operations eliminate friction between technology, workflows, governance, automation, and decision-making.
Not commodity support
RASi is not a reactive helpdesk wrapper or AI hype shop. The goal is accountable execution, client capability, and controlled forward motion.
Governed intelligence
AI and automation are useful only when paired with policy, exposure control, fit assessment, and human accountability.
PatriciAI
PatriciAI is the public-facing interactive intelligence presence and persona framework for the ecosystem — and my working local-first automation and agentic AI system. Part assistant, part lab coordinator, part memory system, part guardrail layer.
- Local AI and OpenAI-compatible services.
- Speech-to-text, text-to-speech, embeddings, retrieval, and memory.
- Infrastructure automation, documentation, and operational coordination.
- Agentic workflows with human oversight and safety boundaries.
Splat-I
Splat-I is the operating and orchestration layer for secure automation, governed intelligence, workflows, and precision execution.
Wildcard Logic. Precision Outcomes.
It turns complexity into controlled outcomes: bespoke, tiered intelligence experiences for people and organizations that move differently.
RAG systems
Model fine-tuning
Agents and agencies
Assistant personas
Wearables
Workflow automation
RPA
Robot/AI integration
Whole-life assistants
Enterprise intelligence layers
Operating principles
Execution before modernization theater
Most modernization problems are execution problems first. Tools matter, but ownership and structure decide whether the work survives contact with reality.
Control before automation
Do not automate chaos. Redesign it, control it, then automate the parts that make the operation stronger.
Governance before trust
Blind trust is not an AI strategy. Useful intelligence needs exposure control, policy, observability, and clear permission boundaries.
Recoverable execution
Documentation, backups, rollback paths, auditability, and honest status matter. Real life will test the architecture.
Ask me about
Rural healthcare IT, EHR/EMR migrations, HIPAA/PCI/CMS readiness, IT directorship, vendor optimization, Proxmox/Linux homelab architecture, local AI, automation workflows, agentic systems, and why the machine should probably explain itself before touching production.