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Marty Koepke

Twenty years inside enterprise systems. Now an applied AI consultancy.

For fifteen-plus years I've worked inside enterprise health systems — watching brilliant people get buried under workflows and technology that weren't designed for the way they actually work. The tools vary — electronic health records, clinical workflows, regulatory systems — but the diagnosis is always the same.

What I learned, over those years, is that almost no organization has actually mapped where its own time goes. We feel like we're drowning, blame ourselves, work longer hours, and don't step back to ask if the work is organized right in the first place. That's true in a health system. It's true in a winery, a contractor's shop, an accounting practice, a small law firm.

What's changed in the last couple of years is what's possible to do about it. AI didn't make the pattern — the pattern's been there forever. But AI made a lot of the fixes much easier, if you know what to fix in the first place. Most of the “AI for small business” content out there skips that question. I don't.

I want to help business owners avoid spending their best hours on work that shouldn't take this long. I'm based in Mokelumne Hill, California, and I serve small and mid-sized businesses across the United States. We all have gifts. Mine is standing between people and the technology they need to use — and making sure AI gets implemented intelligently, when it actually fits.

Principles

How I work

Process before tools

Most “AI problems” are actually process problems wearing a costume. I look at how the work flows before I recommend any technology — sometimes the answer is AI, sometimes it's a smarter process and no AI at all.

AI only where it belongs

AI is a tool, not a religion. I use it where it's genuinely the right answer, and I'll tell you plainly when it isn't.

Complementary, not substitutive

Your professional judgment stays yours. Your domain expertise stays yours. I bring AI, software, and process design — and leave the substantive decisions where they belong: with you.

Plain language, every time

No jargon, no buzzwords, no hundred-page reports nobody reads. If I can't explain a recommendation to you in plain English, it isn't a recommendation worth making.

Background

Enterprise-scale informatics. Applied AI consultancy.

System Clinical Informaticist at CommonSpirit Health, working across 2,500+ ambulatory care facilities. Author of Between the Clicks: The Hidden Work of Healthcare Informatics. Twenty years in healthcare, fifteen-plus driving enterprise-wide digital transformation across multiple states and EHR platforms.

$26M+
Annual labor savings

Notable RPA · 350+ clinics

14.7%
Documentation time cut

Abridge AI · 222 providers

42%
Medicare AWV lift

$1.3M revenue increase

20yr
Informatics experience

Enterprise + applied AI

Credentials

Master of Health AdministrationLean Six Sigma Black BeltLean Six Sigma Green BeltSAFe 6.0 AgilistCertified Scrum MasterEpic Clinical Informaticist

For Marty's healthcare informatics work, speaking, and writing, visit martykoepke.com.

A few things I've built

Part of doing the thinking is being able to build the fix. These are working systems I designed and shipped myself — tap a card for details and to launch the demo.

Ready to see what AI knows about your business?

A free 20-minute conversation is the first step. No pitch, no pressure — just a real conversation about your business and what an AI Visibility Index might surface for you.