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 adoption
Find what’s holding your business back.
I help founders and business leaders identify bottlenecks, improve how work gets done, and decide where AI is worth the investment.
Discuss your business challengeA background in medicine, research, and software. Experience at Yale, UC San Diego, and Qlik. About me
When to bring me in
Recognize any of these?
Everyone is busy.
The teams hit their targets.
The business doesn’t.
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.
You want to use AI.
But where will it actually help?
I assess the business case, costs, and human risks: overreliance, unchecked errors, and unclear accountability.
The aim: a useful pilot with clear human oversight.
A practical first engagement
Start with what isn’t working.
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.
- A clear diagnosis
The likely constraint, the evidence behind it, and what still needs testing.
- A decision about what comes first
Where to intervene, what to leave alone, and whether AI belongs in the solution.
- A practical action plan
A proposed change, an owner, and measures of success.
If further work makes sense
An Improvement Sprint to test a change, an AI Risk Review before rollout, or ongoing Advisory as you implement.
How I think
Find the constraint.
Improve the system.
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.
- Goal
What needs to improve?
- Constraint
What is holding it back?
- Intervention
What should we change?
- Measure
Did it help the business?
Why work with me
The process, the technology,
and the people using it.
I’m Sebastian Kristof, an M.D. with a background in 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 understanding the problem to deciding what to do next.
What isn’t working as it should?
Tell me what is happening, what you’ve tried, and what you need to improve. We’ll start by seeing whether I can help.