# Marty Koepke > Healthcare informatics leader. Builder. Domain translator. Marty Koepke is a healthcare informatics leader and strategic consultant with 15+ years of experience delivering measurable impact across one of the nation's largest nonprofit health systems — 140+ hospitals, 2,200+ ambulatory care sites, and 25,000+ clinicians. She is the founder of Practical Informatics LLC and the creator of the PULSE Framework. ## Measurable Impact - **$135M annual revenue potential** through AI ambient listening implementation across 3,600 providers - **$26M+ annual labor savings** through check-in and rooming workflow optimization (933K+ hours recaptured) - **42% improvement** in Medicare Annual Wellness visit completion ($1.3–1.6M revenue increase) - **17% improvement** in depression screening compliance (33,000+ additional screenings annually) ## The PULSE Framework PULSE is Marty's five-phase methodology for technology implementation — especially AI — that starts with observation, not assumptions. Developed through 15 years of healthcare implementations, it ensures truth before solutions and adoption before rollout. **P — Problem:** Define what's actually broken and for whom. Capture in plain language, set scope boundaries, classify risk tier, align leadership on desired outcome. **U — Understand:** Observe the work as it actually happens. Map workflows, document workarounds, classify issues as People, Process, or Platform. Truth before solutions. **L — Landscape:** Define the desired state and map every gap. Build measurable success criteria, validate root causes, produce prioritized recommendations. **S — Solve:** Close the gap with concrete action plans across three lanes — People, Process, and Platform. Validate through testing and confirm readiness before go-live. **E — Enable:** Drive adoption and sustain outcomes. Design training, build feedback loops, track 30/60/90-day results, monitor for drift, and close the loop. ### Core Principles - **Truth before solutions** — Observe reality first, not assumptions - **People and Process before Platform** — 50–70% of "technology problems" are actually people or process problems - **Technology is always the last decision** — Most projects fail because the problem was never clearly defined - **Adoption is the product** — A solution not adopted is not a solution - **Governance is embedded, not bolted on** — Built into every phase transition ## Credentials - Master of Healthcare Administration (MHA) - Lean Six Sigma Green Belt (pursuing Black Belt) - SAFe 6.0 Agilist - Certified Scrum Master - Epic Clinical Informaticist ## Book **Between the Clicks: The Hidden Work of Healthcare Informatics** A guide for those stepping into informatics — not a textbook, but a mentor and roadmap for understanding the human side of healthcare technology. Available at: https://a.co/d/fJo6U1q ## Applications Built ### GovernIQ Enterprise EHR governance workflow system with AI-powered workload assessment, command palette navigation, conversational intake wizards, and automatic workflow triggers delivering 80% time savings in governance processes. Tags: React 18, TypeScript, Supabase, AI Insights ### Activiteez Activity management platform for senior living facilities with multi-building support, 174 activity templates, three-tier consumption tracking, automatic inventory deduction, and event roster management. Tags: React 18, TypeScript, Supabase, Vite ### Sophia (EHR Governance Assistant) AI-powered governance assistant with visual step-by-step process navigation and conversational AI that answers complex governance questions in plain language. Demo: https://sophiav2.vercel.app/ Tags: React, AI Integration, Process Design ### VytalPath Academy AI-powered healthcare training platform for career changers with 1,000+ medical terms, intelligent terminology learning, step-by-step workflows, HIPAA modules, and smart search. Demo: https://vytalpathdemo.vercel.app/ Tags: React, TypeScript, Supabase, AI Learning ## Experience Summary Marty's career spans clinical operations (4 years in ICU critical care) and healthcare informatics (15+ years). She specializes in: - AI implementation strategy and readiness assessment - EHR optimization and integration (Epic) - Current/future state workflow design - Root cause analysis and process transformation - Change management and adoption - Third-party application integration - Standards development and governance - Training content development - AI-enabled application development (React, TypeScript, Supabase) ## Contact - Website: https://martykoepke.com - Business: https://www.practicalinformatics.com - Email: marty.koepke@practicalinformatics.com - LinkedIn: https://www.linkedin.com/in/marty-koepke/ - Book a Call: https://tally.so/r/9qNRM5