
Epic ASAP
Emergency department workflows designed by someone who understands the clinical reality behind every build decision.
Discuss your needs ↗Clinical reality | Connected systems | Responsible intelligence
Kyra Armstrong helps healthcare organizations connect what is too often separated: patient-care reality, system configuration, information exchange, and intelligent transformation.
One Smart Innovative Consulting provides architect-level direction and builder-level execution—translating across clinicians, operational leaders, analysts, engineers, vendors, and executives.
1SMART capability signal
Clinical workflow, Epic configuration, interoperability, and AI are not separate conversations. The work is strongest when each decision accounts for how people, systems, data, and governance affect one another.
Connected expertise
Clinical knowledge. Epic expertise. Engineering capability.
Kyra connects all three worlds—from the reality of the ED to the architecture, information exchange, and AI products that support it.
Preparing the connected perspective…
Not isolated expertise.
One integrated way of thinking.
Understanding patient care, configuring Epic, connecting systems, designing workflows, shaping architecture, and building governed AI products—together.
Emergency nursing and the reality of patient care.
Configuration, dependencies, testing, and implementation.
APIs, information exchange, TEFCA, and HIE architecture.
Clinical operations, handoffs, and real-world decisions.
The relationships between people, applications, and data.
AI tools, agent workflows, governance, and human oversight.
Strategic consulting services
Engagements connect clinical priorities to architecture, configuration, exchange, validation, governance, and sustainable operational outcomes.

Emergency department workflows designed by someone who understands the clinical reality behind every build decision.
Discuss your needs ↗
Care Everywhere, Direct messaging, external directories, identity, and information exchange built for reliable access.
Discuss your needs ↗
A practical bridge between patient care, operational priorities, governance, and technical execution.
Discuss your needs ↗Why Kyra
More than two decades in emergency nursing brings real operational context to every technical decision.
Deep Epic experience connects workflow intent to configuration, dependencies, testing, and supportability.
Interoperability and formal AI-in-healthcare education support practical, governed transformation—not technology for its own sake.
Companies are not simply hiring a builder. They gain a strategic translator who can move between the clinical environment, Epic configuration, interoperability architecture, AI-enabled workflows, and executive priorities without losing the thread between them.
Mission outcome | review acceleration
A healthcare technology team needed to review 38 EHR upgrade notes—a process expected to take multiple weeks using its existing approach.
An AI-assisted workflow was designed to organize the upgrade information into a structured review format while keeping subject-matter experts responsible for evaluation and decisions.
The approach was then requested for another team preparing to begin a similar review.
Organization and identifying project details have been withheld to protect client confidentiality.
Client success | full-cycle delivery
These full-cycle engagements demonstrate how clinical insight, technical execution, and collaborative leadership move complex healthcare technology initiatives from design through go-live.
One Smart Innovative Consulting supported Great River Health across the complete implementation lifecycle for Epic ASAP and Care Everywhere—from workflow design and strategic planning through stakeholder collaboration, vendor coordination, hands-on build, configuration, testing, operational readiness, and go-live.
Leadership recognized the engagement’s exceptional contribution to aligning teams, coordinating vendors, configuring the system, and moving critical workflows successfully into production.
Director-Level Leadership · Great River HealthOne Smart Innovative Consulting contributed across the complete implementation lifecycle—from initial workflow design and technical planning through build, configuration, validation, operational readiness, and go-live. The engagement connected clinical requirements with practical Epic ASAP, Care Everywhere, and Interoperability solutions while supporting collaboration across operational, technical, and vendor teams.
The work combined clinical insight, technical direction, collaboration, and implementation execution from design through production.
Organizational Leadership · Beebe HealthcareFounder | integrated intelligence

Kyra brings more than two decades of emergency nursing experience into the technical environments where healthcare decisions become systems, workflows, and outcomes.
Her clinical and technical perspective is strengthened by completion of the Johns Hopkins University Certificate Program in AI in Healthcare, supporting thoughtful application of AI to real healthcare workflows.
She helps organizations connect strategy, clinical operations, Epic configuration, interoperability, and responsible AI—without losing sight of the people who use the system every day.
I was dumbfounded when we completed the review in just one hour. Could you create the same solution for another team? They’re beginning their review next week, and it would really help speed them along.
— Anonymous Healthcare IT Leader
Verified expertise
Completed through Johns Hopkins Engineering Lifelong Learning, Whiting School of Engineering.
Request the one-page Consulting Capability Statement. A full résumé is available for qualified opportunities.
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Remote, corp-to-corp consulting engagements only.