Lemonaid Logic  ·  Fractional Chief AI Operations Officer

AI only works when what's underneath it works.

A Fractional Chief AI Operations Officer embedded inside your practice, fixing the operational foundation first, then making AI land on something solid.

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Senior AI operations leadership. Without the full-time executive cost.

An fCAIO, Fractional Chief AI Operations Officer, is a senior operations function that operates inside your practice without the cost of a full-time executive hire. Your fCAIO runs a structured monthly engagement, owns the operational roadmap, and ensures that every AI investment is built on a foundation that can actually support it.

What the vendors won't tell you

AI vendors will tell you their platform integrates with your EHR in days. What they won't tell you is that your workflows have to be documented, your staff has to be aligned, and your data has to be clean before any of that matters.

That is the work that happens before the vendor arrives. Practices that skip it end up with costly tools nobody uses, implementation timelines that stretch for months, and staff who quietly go back to doing things the old way. The vendor blames the practice. The practice blames the tool. Neither one is wrong.

Lemonaid Logic is the work that makes the vendor's promise possible. We come in before the contract is signed, fix the operational foundation, and make sure that when the tool arrives, it lands on something solid.

What most AI implementations do

They arrive with a tool. They configure it. They train the staff. The staff goes back to doing what they were doing. The tool gets used inconsistently, then abandoned. The vendor blames the practice. The practice blames the tool. The investment is lost.

What an fCAIO does differently

We fix the operations first. Disconnected systems, undocumented workflows, institutional knowledge living in one person's head. Those problems get solved before a single new tool is introduced. Then AI lands on something that can hold it.

A structured operating system built around your practice.

Every fCAIO engagement runs on the same four-week cadence. Your practice gets embedded AI operations leadership, accountable, structured, and designed to transfer capability to your team over time.

Week 1
Executive Alignment
KPI review, patient flow data, revenue cycle metrics. 90-day roadmap adjusted. Priority decisions made with leadership, not presented to them after the fact.
Week 2
Department Activation
Deep work inside specific departments. Front desk, billing, clinical ops, referral management. Workflow gaps identified and documented where they actually live.
Week 3
Implementation Sprint
SOP development. Workflow redesign. Vendor contract review. AI tool assessment against HIPAA requirements. Staff briefing preparation, not just announcements.
Week 4
Training and Reporting
Staff training session. Monthly impact report with real numbers. Revenue leakage identified. Compliance posture updated. Next month pre-loaded before this one closes.

Choose the level your practice needs right now.

Every engagement begins with the Diagnostic. From there, your practice selects the monthly support tier that matches your goals and your timeline.

Entry Point
The Diagnostic
$2,500
One-time engagement
  • 90-minute deep assessment session
  • Written findings report
  • Priority action roadmap
  • Three specific recommendations
  • Delivered within 5 business days
Book a Diagnostic
Monthly Retainer
AI Readiness Foundation
$4,500
Per month
  • Full four-week monthly cadence
  • 90-day operational roadmap
  • Workflow documentation
  • HIPAA compliance framework
  • Executive alignment sessions
Get started
Full Transformation
Healthcare AI Transformation
$12,000
Per month
  • Everything in Activation
  • Multi-department rollout
  • Embedded monthly presence
  • Organization-wide AI readiness
  • Accelerated initiative velocity
Get started

Your practice's people should be doing the work, not working around broken systems.

If your team is spending their clinical time compensating for broken systems instead of delivering care, the problem isn't AI readiness. It's operations. We fix that first.

Book a discovery call