Everyone is busy.
Work still gets stuck.
I trace where work waits, decisions stall, and rework accumulates. Then we focus on the bottleneck that limits delivery.
The aim: shorter delays, less wasted effort.
Operational improvement & AI implementation
I help founders and business leaders identify bottlenecks, improve how work gets done, and build practical AI solutions where they make a difference.
Discuss your business challengeA background in medicine, research, and software engineering. Experience at Yale, UC San Diego, and Qlik. About me
When to bring me in
I trace where work waits, decisions stall, and rework accumulates. Then we focus on the bottleneck that limits delivery.
The aim: shorter delays, less wasted effort.
I examine conflicting priorities, handoffs, and incentives. Better departmental numbers should add up to a better business result.
The aim: teams working toward the same outcome.
I identify a useful application, build and test the solution, and integrate it into the workflow, with attention to costs, reliability, and human oversight.
The aim: AI that works in day-to-day operations.
Selected work
Three live implementations. I led each from analysis through delivery, combining hands-on development with coordination of external developers where needed.
An AI-assisted auditing workflow for a construction inspection company, supporting the review of inspection reports before they are submitted.
Construction inspection · In use
Selective AI implementation for a medical office, focused on note summaries within the existing workflow.
Medical practice · In use
An AI diary tool for clients of a busy psychotherapy practice, helping them record what happens between sessions and carry that context into the next conversation.
Psychotherapy practice · In use
A practical first engagement
You don’t need to know exactly what the problem is. We start with an area of the business that isn’t working as it should, identify what is getting in the way, and determine what to change first.
We agree on scope, timing, and fee before work begins.
The likely constraint, the evidence behind it, and what still needs testing.
Where to intervene, what to leave alone, and whether AI belongs in the solution.
A proposed change, an owner, and measures of success.
An Implementation Sprint to build, integrate, and test a solution, with documentation and support through rollout. I also offer an AI Risk Review or ongoing Advisory for work led by your team.
How I work
I draw on the Theory of Constraints: improving a part of the business is only useful if it improves the result that matters. The same test applies to AI, whether the solution calls for new software, automation, or a change in how people work.
What needs to improve?
What is holding it back?
Put the change into practice.
Did it help the business?
Why work with me
I’m Sebastian Kristof, an M.D. with a background in mental health, medical informatics, research, and software engineering.
That combination helps me connect a business problem with its technical and human causes. A workflow can fail because of the software, the incentives, or what people actually do with it.
You work directly with me from initial analysis through implementation and rollout. I build software and AI tools hands-on, and coordinate external developers when the project calls for a broader team.
Tell me what is happening, what you’ve tried, and what you need to improve. We’ll start by seeing whether I can help.