Scalable Systems for Sensitive Care
Why teams bring me in
If you are a founder or C-level leader at a growing company in mental and behavioral health, you already own revenue, roadmap, and regulatory reality. My lane is infrastructure and compliance on retainer... judgment when the stakes are high, not another slide deck.
Big bets hit your desk before the org is ready. Build versus buy, cloud posture, vendor lock-in. I give you clear tradeoffs, written direction, and fewer weeks relitigating the same architecture questions.
Diligence asks for proof you have not operationalized yet. HIPAA, BAA scope, evidence that matches how you ship. I help you tighten controls and delivery so you can ship without friction.
Scale shows up as incidents, heroics, or a bottleneck where every hard call still lands on the same few people. I work on reliability, org load, and engineering leadership habits so growth does not trade away trust or burn out the people you depend on.
Mike Buzzetti. Fractional CTO, 25-plus years in infrastructure, cloud, and security.
Most of my time now goes to mental and behavioral health... the place where platform choices, evidence, and regulatory reality all have to line up.
I work on retainer so you get access when the decision is hard, not when the clock says so.
Want to chat? Use the button above to schedule a call or send a message.
What tends to improve
Every company is different. Usually people show up when they want less thrash on big decisions, sharper tradeoffs, leadership maturity that matches what the business is asking for. A lot of that lines up with a behavioral health product that has outgrown founder-led infrastructure... and needs something auditors and states can lean on without fairy tales.
Decision latency
Fewer weeks relitigating the same architecture questions because options, risks, and owners are explicit.
Operational credibility
Monitoring, incident practice, and delivery discipline that your leadership can explain without squinting.
Cost of misalignment
Earlier clarity on build vs buy, platform bets, technical debt... so expensive corrections are less likely.
Organizational load
Structures and habits that cut single points of failure in systems and in leadership.
Compliance and security posture
Controls and documentation that support HIPAA operations, BAA-covered vendors, procurement (enterprise, payer, state)... without treating security as a parallel universe nobody else is allowed to visit.
Start with a free call (30 minutes)
Easiest way to see whether I can help... infrastructure, compliance, behavioral health delivery, or all of it. The next screen embeds Calendly so you can grab a slot. Prefer email? Contact form.
Book a free 30-minute callEngagements
Retainers are how I keep access predictable for judgment calls, reviews, the conversations that do not fit neatly in a ticket. That shape matters when you are hardening cloud and platform for mental and behavioral health. We set scope and cadence together up front. Minimum three months. Why retainer instead of hourly.
Advisory
A steady second opinion on architecture, risk, the big forks in the road... with written recommendations and decision framing when that helps.
- Architecture and design reviews
- Due diligence and risk framing
- Writeups for executive and board-level discussions
- Planning sessions around technical bets
Core
More depth on direction and alignment. Recurring sessions on roadmap and technical strategy, untangling cross-team decisions, support for tech leads who are carrying too much alone.
- Architecture and roadmap alignment with product
- Multi-stakeholder technical decisions that need a clear owner
- Team structure and engineering operating model
- Mentorship for senior engineers and leads
Embedded
Highest touch. Named initiatives alongside your team. Hands-on where it actually speeds clarity. Not a substitute for your engineers... accountable leadership on the critical path.
- Initiative ownership with clear outcomes
- Hands-on work where it reduces organizational risk
- Heavy support for leads on delivery and platform
- Infrastructure and compliance program execution for regulated care delivery when you need it
If this sounds like a fit, book a free 30-minute call using the section above, or send a message with context and what you need to decide next.