About

A consultancy built around one habit: check it, then check it again

Our story

Formed to do the work properly

RAAM Consulting & Solutions was formed in Toronto to give organizations one accountable partner for the whole of a technology problem: working out what the business needs, designing and building it, and supporting it afterwards.

It was founded by someone who came up inside hospital systems, where a careless change is a clinical risk. That teaches habits that stick: test everything, write it down as you go, never treat a demo as a tested system, and never let a go-live date matter more than a rollback plan.

We bring those habits to every project. And because RAAM is small, the person who scopes your project is the same person in the room at go-live.

Who you will work with

The person accountable for your engagement

Roberto Nieto, Founder and Principal Consultant of RAAM Consulting & Solutions
Roberto NietoFounder & Principal Consultant
13years in hospital systems
10years working in Epic
5years as an independent consultant
6Epic certifications, plus PMP and Lean Six Sigma

Roberto has spent thirteen years in hospital systems across Ontario: eight inside hospital IT, then five as an independent consultant. Ten of those years have been in Epic, mostly building clinical applications and supporting go-lives, in organizations of up to 4,000 users.

His deepest experience is in Beacon, Epic's oncology application, and he has led consultant teams on Beacon, Research and Orders projects. When you work with RAAM, he's the person who scopes the work and the person in the room at go-live.

Epic certifications

BeaconOncology
AmbulatoryOutpatient clinics
OrdersOrder sets, panels, ordering
OpTimeSurgery and the operating room
AnesthesiaPerioperative anesthesia
ResearchClinical research and trials

Also certified: Project Management Professional (PMP) · Lean Six Sigma. Bachelor of Commerce, Business Technology Management, Toronto Metropolitan University.

Recent roles

  • Lead consultant, Beacon and Ambulatory, including training newly certified analysts until they could build on their own.
  • Consultant team lead, Beacon and Research.
  • Consultant team lead, Orders.
Full track record, by organization

Choosing a firm

When to hire us, and when to hire a large firm

You're probably also talking to firms many times our size. Here's a plain comparison, because you'll work it out anyway.

Hire the large firm when

  • The program spans several countries, or needs hundreds of people at once.
  • Your board wants a well-known name on the work. That's a legitimate requirement.
  • You need services we don't offer, such as audit, tax, legal, or mergers and acquisitions.
  • The procurement rules effectively require a firm of that size.

Hire us when

  • You want the person who scopes the work to be the person who does it.
  • The problem is specific and technical, and depth matters more than headcount.
  • You want someone who will tell you if the project should be smaller.
  • You want to reach the decision-maker the same day.

We've worked alongside large firms on hospital projects, and they do some things very well. What they usually can't do is keep the same senior person on your project from scoping to go-live. That's what we offer.

What we commit to

Three promises you can hold us to

Proven methods

We use LEAN, Agile and structured project management because they produce better work.

Your goals first

We're paid to move your business forward. If a smaller project is the right answer, we'll say so.

Clear communication

Plain language, quick answers and no jargon. Consulting is a relationship business, and we treat it that way.

Diversity, Equity & Inclusion

How we build teams

When a project needs more people, we bring together analysts and consultants from a range of backgrounds, including people whose route into technology wasn't the usual one.

Organizations aren't uniform, and teams that understand the people they serve build better systems. We choose people on their skills and experience, using a fair and consistent process.