Start empowering your healthcare teams TODAY.

Does your organization need an impact-oriented leader to…

  • provide interim executive leadership services in behavioral health or long-term care?

  • provide specialized healthcare knowledge and management services in a fractional (part-time) capacity?

  • apply analytics-driven insights and hands-on solutions to optimize healthcare operations?

How I Can Help

As a former hospital CEO I can confidently say healthcare is a people business. Leaders are faced with developing well-balanced, cohesive, results-oriented teams, which can be one of the toughest challenges facing healthcare delivery organizations. Not only must we focus on developing a high-performing leadership team, but those team members must encourage and develop our direct care staff on a daily basis so that our patients receive excellent care. If leaders are left without support during a sudden executive vacancy or a regional leader is only checking in remotely it can leave teams feeling unsupported. Unsupported leaders create a ripple effect, leading to challenges for direct care staff and, in turn, compromising patient care.

With 12+ years of executive healthcare leadership experience, I step in when organizations need expert guidance. Whether it's interim or fractional leadership, optimizing operations, or preparing for regulatory surveys, I cut through complexity, stabilize teams, and drive measurable improvements—fast.

I’ve seen the lasting negative impact of leadership gaps in healthcare - patient outcomes slip - managers lose motivation - financials become unstable - it takes a year or more for the organization to get back on track. I step in to bridge those gaps—restoring stability, energizing leadership teams, and driving sustainable success in patient care, operations, and financial performance.

What is a Fractional Healthcare Leader?

A fractional healthcare leader is an experienced executive who provides part-time leadership and strategic expertise to healthcare or non-clinical healthcare businesses. Unlike full-time executives, fractional leaders work with multiple organizations, dedicating a portion of their time to each. This arrangement allows healthcare practices or non-clinical healthcare businesses to access high-level skills and guidance without the commitment and cost of a full-time hire.

Engaging a fractional healthcare leader offers several benefits:

  • Cost-Effectiveness: Organizations gain access to seasoned professionals at a fraction of the cost associated with full-time executives. Full-time healthcare executives in the Portland Metro region earn a median annual salary of $310,000 before the cost of benefits. A fractional healthcare executive can be hired at 1/3 of the cost.

  • Flexibility: Fractional leaders provide the necessary leadership during critical growth phases, strategic pivots, or challenging times without the long-term commitment.

  • Diverse Expertise: Working with multiple organizations, fractional leaders bring a broad perspective and diverse skill set, leading to innovative solutions and strategies.

A fractional leader can be a cost-effective solution for a healthcare delivery organization, non-clinical healthcare business, or health technology startup that doesn’t have the need or simply can’t justify the cost of a full-time healthcare leader for their organization.

Cost Savings with Fractional Healthcare Exec

Source: https://www.glassdoor.com/Salaries/healthcare-executive-salary-SRCH_IM700_KO0,20.htm

Meet Libby

Healthcare Executive | Consultant | Team-Focused Leader

With over 12 years of executive healthcare leadership experience, I’ve dedicated my career to driving operational excellence, improving patient care, and navigating the complexities of healthcare management. My expertise spans hospital administration, behavioral health, outpatient services, long-term care, and digital health operations, having served in C-suite and executive roles across diverse healthcare settings. I hold a Master’s in Public Health from the University of Washington and am married to a nurse—who never lets me forget how every healthcare leadership decision impacts the frontline.

As a former CEO of a large acute-care behavioral health hospital, my team and I successfully expanded services, optimized financial performance, strengthened regulatory compliance, and improved employee retention. As the Executive Director of a large long-term care facility, my team and I increased and stabilized occupancy during the COVID-19 pandemic, reduced turnover, and spearheaded quality initiatives. Now, as the founder of Hutter Consulting, I focus on providing interim leadership, fractional executive services, and operational effectiveness strategies to healthcare delivery and health-focused organizations.

My approach blends data-driven decision-making with a people-first leadership philosophy. I specialize in:
✔ Interim Leadership – Providing hands-on leadership support during transitions.
✔ Fractional Executive Leadership - Focusing on strategic guidance, subject matter expertise, and/or hands-on leadership services.
✔ Operational Effectiveness - Optimizing resources, processes, and technologies to delivery high-quality patient care.
✔ Regulatory Survey Readiness – Ensuring compliance and operational success.

At my core, I’m passionate about helping healthcare organizations and their leaders thrive—whether that means stabilizing teams, improving processes, or guiding teams through complex regulatory challenges.

Services Offered

A fractional executive can provide part-time executive support tailored to your organization’s needs. This option can provide your business with high-level strategic healthcare leadership at a fraction of the cost. Here are a few examples:

  • Part-time VP of Clinical Services for a healthcare technology startup in need of healthcare expertise for 6 months.

  • Part-time COO of a medical group to help them with payer contracting, administrative staffing and provider recruiting.

Fractional Leadership

Interim full-time leadership services to maintain stability, enhance operations, and support employees. Here are some example situations:

  • A leader goes out on medical leave for a period of 1 to 6 months.

  • An organization has a sudden or planned leadership vacancy that should not go unstaffed while recruiting for new leader.

Interim Leadership

Regulatory Preparedness

Ensure your organization is fully prepared for regulatory surveys and inspections. We can assist with survey prep, post-survey corrective action plans, and/or re-survey prep. It’s never too late to bring in support for your survey needs. Services can include, but at not limited to the following:

  • Mock Surveys & Readiness Assessments

  • Survey Coaching for Staff and Leaders

  • Hands-On Compliance Training

  • Staff and Leadership Training

Operational Effectiveness

Operational effectiveness in a healthcare setting refers to the systematic approach of optimizing resources, processes, and technologies to deliver high-quality patient care efficiently and cost-effectively. Services provided in this area could focus on the following areas:

  • Revenue Growth and Expense Reduction

  • Staff Training and Development

  • Patient Flow Optimization

  • Business Strategy (Mission/Vision/Values)

  • Change Management

Impact

After years of seeing healthcare initiatives that looked great on paper but overlooked the voices of front-line supervisors and direct-care staff, I know that real success isn’t just about planning—it’s about using inclusive data-driven methods to deliver measurable clinical and financial impacts.

My track record isn’t built on reports and projections—it’s built on hands-on, collaborative, data-driven solutions that enhance patient care and financial performance.

Projects + Results

Increased senior living community occupancy by 17% during the COVID-19 pandemic through targeted sales strategies and leadership initiatives.

By leveraging data analytics and collaborating with providers, we streamlined processes—boosting inpatient and outpatient physician billing revenue by 200%.

By fostering relationships and implementing strategic change management, we reduced inpatient and outpatient professional fees by 10%—all while maintaining full provider retention.

By implementing a strategic leadership initiative, we successfully reduced new nursing staff turnover from 80% to 0%, sustaining full retention for eight consecutive months.

Successfully led my inpatient and outpatient teams through two Joint Commission triennial surveys, achieving deemed status.

In collaboration with the nursing department we designed and implemented a strategic nursing schedule that stabilized staffing and ensured consistency across all hospital units.

Testimonials

Contact me

Interested in working together? You can either schedule a 30-minute Healthcare Strategy Chat or submit a contact form and I will be in touch shortly. I can’t wait to hear from you!