
Fifteen years inside health systems. Now serving the neighbors who serve us.
My family moved to the foothills five years ago, and we absolutely love it. The fifteen years before that I spent inside health systems, trying to figure out why smart, hard-working people were spending half their day on busywork — or doing work completely manually — instead of doing what they were actually good at.
My background is in clinical informatics. Fifteen years helping health systems figure out where the work was getting stuck and how to make it flow better. The tools were different — electronic health records, clinical workflows, regulatory systems — but the problem was the same: smart people drowning in busywork because nobody had stopped to look at how the work actually moved.
What I learned, over those fifteen 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.
These are the people I want to serve. My neighbors. The community that helped train my two sons for futures of their own, that helped facilitate my oldest son's engagement, that cuts my hair, that feeds me their amazing food. I'm based in Mokelumne Hill, and I work with small businesses across Calaveras, Amador, and Tuolumne counties. We all have gifts. Mine is standing between end users and the technology they need to use — and I know how to leverage AI.
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.
Local first, always
I come on-site. I shake your hand. I watch the work happen. The foothills run on trust and proximity, and remote consulting can't replace that.
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
Master of Health Administration. System Clinical Informaticist at CommonSpirit Health, working across 2,500+ ambulatory care facilities. Author of Between the Clicks: The Hidden Work of Healthcare Informatics. Lean Six Sigma Green Belt (Black Belt in progress). SAFe 6.0 Agilist. Certified Scrum Master.
For my 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 where your time is going?
A free 20-minute conversation is the first step. No pitch, no pressure — just a real conversation about your business and whether the Time Back Assessment is the right next step.