FOR HEALTH SYSTEM LEADERS

Independent technology advisory from someone who built the vendor playbooks.

Andy Strunk spent 19 years inside Google Health, Verily, and UpToDate learning how technology vendors sell to health systems. Now he helps health system leaders decode vendor claims, design cross-functional needs assessments, and prove technology ROI to boards - grounded in 5 years of direct health system operations experience.

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Previously
Google Health  |  Verily (Alphabet)  |  UpToDate (Wolters Kluwer)  |  Salesforce Health Cloud
Inside
Alameda Health System  |  Stanford Healthcare  |  University of Wisconsin Health

The challenge health systems face with technology

72%
of health systems broke even or lost money on AI investments
16
tools evaluated per year, but only 2-3 signed - a 75-87% rejection rate that signals a broken evaluation process
88%
using AI, but only 18% with mature governance to manage it safely

Most health systems evaluate technology based on vendor presentations rather than structured internal needs assessments. The result: investments that don't connect to how you get paid, pilots that stall without clear expansion criteria, and boards that lose confidence in innovation spending. These are solvable problems - but they require someone who understands both sides of the table.

How we help health system leaders

Cross-Functional Needs Assessment

Define what you actually need before any vendor enters the room.

We go across clinical, financial, and operational teams to synthesize what your organization actually needs into a demand-driven technology investment thesis. This produces a buy/partner/build framework that ensures every technology evaluation starts from your priorities - not from a vendor pitch deck.

Financial Impact: Eliminates misaligned investments by filtering technology requests through structured needs analysis before they enter the evaluation pipeline. Reduces the 75-87% rejection rate that wastes C-suite evaluation time.

Built 12 IDN buyer personas at Google Health mapping 9 C-suite roles. Pivoted an IDN's AI investment from vendor features to CHF reduction as the measurable outcome after cross-functional needs analysis.

CEO | CIO | CMIO

Vendor Intelligence & Evaluation

Decode vendor claims from insider experience.

We built vendor sales playbooks, ROI models, and competitive positioning at Google Health, Verily, and Salesforce. We know where vendors inflate accuracy claims, how they structure pricing to optimize their revenue instead of your TCO, and which implementation timeline promises are aspirational.

Financial Impact: Stress-tests vendor ROI models against real-world assumptions. Identifies hidden costs - integration, migration, training, change management - that vendors strategically omit.

Built ROI models across Google Health ($1B market), Verily (FDA SaMD), and multiple health system engagements. Trained 108 Salesforce AEs and equipped 50+ Google Cloud sellers.

CIO | CMIO | CFO

AI Evaluation & Readiness

Clinical AI evaluation grounded in operational reality, not vendor demos.

We evaluate clinical AI tools for operational fit, governance readiness, and deployment realism. With experience in Outbound Product Management for Google Cloud's MedLM/Med-Gemini AI portfolio, we understand how AI products are positioned versus how they actually perform.

Financial Impact: Prevents the shadow AI crisis (86% of organizations, growing) that creates security, liability, and quality risk. Structures AI investments around measurable clinical and financial outcomes from day one.

Outbound PM for Google Cloud AI Portfolio (MedLM/Med-Gemini). Leveraged clinical AI evaluation framework for FDA SaMD at Verily.

CMIO | CIO | CEO

Technology ROI Advisory

Board-ready investment narratives that connect technology value to how you get paid.

We build the financial models and board presentations that translate clinical and operational technology value into terms CFOs and board members trust. This includes mapping technology investments to specific reimbursable activities and modeling total cost of ownership that vendors won't provide.

Financial Impact: Connects every technology investment to margin, reimbursement, or cost avoidance. Addresses the #1 barrier to adoption: 48% of hospital executives cite unclear ROI.

Designed dual-reimbursement model (FFS + VBC) for a clinical AI platform. Contributed to JAMIA-published research demonstrating 53% sepsis mortality reduction.

CFO | CEO | BOARD

Implementation Acceleration & Change Management

Technology only works when people adopt it. We make sure they do.

We embed with health system quality, clinical, and financial teams post-sale to define use cases, design impact studies, and drive adoption that sticks. Our Five Pillars of Human-Centered Change Management treat adoption as a structural challenge, not a training problem.

Financial Impact: Addresses the root cause of the 70% technology underperformance rate. Every implementation plan includes change management as a visible line item with measurable ROI.

Published 20-page change management white paper with interviews. Compressed deployment from 6 months to 1 month at Verily (83% reduction).

CIO | CMIO | CNO

Innovation Portfolio & Pilot Design

Convert pilot purgatory into structured evaluation with clear expansion criteria.

Most health system pilots are designed to demonstrate a product, not to validate operational fit and financial return. We design stage-gate evaluation processes that define success criteria before day one and build the decision frameworks that determine whether a pilot graduates to enterprise deployment.

Financial Impact: Converts the 80-85% pilot stall rate into a managed portfolio with clear investment criteria. Prevents the accumulation of 200-500 concurrent pilots with no exit criteria.

Orchestrated multi-vendor pilot combining SaaS, robotics, and telepharmacy into one unified solution at an academic medical center. Evaluated 100+ early-stage companies.

CINO | CEO | CIO

Why health systems trust Accretive Edge

1
19 years building the vendor playbooks. Career across Google Health, Verily, Salesforce Health Cloud, UpToDate, Swisslog Healthcare, and multiple digital health ventures - building the ROI models, sales enablement, and competitive positioning that vendors use on health systems.
2
5 years of direct health system operations. Alameda Health System/Highland Hospital (safety net), Stanford Healthcare (academic medical center, Epic implementation), University of Wisconsin Health (integrated academic medicine).
3
Embedded inside IDNs, IPAs, and ACOs - even during vendor roles. Operated inside an IDN to design cross-functional needs assessments, inside an IPA/medical group to define FHIR interoperability strategy, and inside 4 major IDNs to translate technical capabilities into health system business cases.
4
Published research and peer-validated frameworks. 18-page white paper on how health systems buy (33 citations). 20-page change management white paper (4 expert interviews). AI adoption framework published in Healthcare Business Today. JAMIA-published research on 53% sepsis mortality reduction.
5
Cross-platform vendor intelligence. Built sales playbooks at Google, trained 108 Salesforce Account Executives, navigated FDA at Verily. Not one company's perspective - pattern recognition across three of the biggest technology companies targeting health systems.

What leaders say

"Andy brings a rare combination of vendor-side expertise and genuine understanding of health system operations. He doesn't just advise - he embeds, he listens, and he delivers results that connect to how we actually operate."

Lou Capponi, DO, MMM, CPE, FACP
Past Chief Medical Information Officer, Cleveland Clinic and SCL Health (now Intermountain Health), and NYC Health + Hospitals

Ready to make more confident technology decisions?

Whether you're evaluating your first AI investment or rationalizing a portfolio of 200 tools, we start with what you actually need.