Chief Operating Officer highlights challenges facing the sector and calls for renewed innovation and relevance

Crestwood Medical Center has announced the appointment of Scott Bracci as its new Chief Operating Officer, effective September 8, 2025.

Apple on Tuesday announced that Jeff Williams, Apple’s senior vice president of Operations, will transition his role to Sabih Khan. Williams will continue to report to CEO Tim Cook while overseeing…

Apple anunció hoy que Jeff Williams se jubila y transferirá su puesto de director de operaciones a finales de este mes a Sabih Khan

Let’s Stop Pretending Security Is Optional Most teams don’t realize they need a security protocol—until they’re staring at an empty Slack, a panicked email, or worse, a ransom screen. That’s not drama. That’s reality. But even then, the response is often the same: spin up a checklist, scramble a task force, and hope the blast […] The post Embed security controls and incident readiness first appeared on Fractional COO - Fractional CMO - Kamyar Shah.

Why Measuring These Metrics Matters Many organizations discuss culture, inclusion, and engagement, but few measure them rigorously. Quantifying engagement, DEI (Diversity, Equity, and Inclusion), and turnover risk is no longer optional. It’s essential for retaining talent, building inclusive workplaces, and mitigating the cost of attrition. Measuring Engagement with Meaning Engagement metrics go far beyond annual […] The post Quantify engagement, DEI & turnover risk first appeared on Fractional COO - Fractional CMO - Kamyar Shah.

Why Change Fails Without Reinforcement Rolling out new tools, workflows, or platforms, whether a CRM, project tracker, or internal dashboard, is only half the battle. Despite the kickoff meetings, announcement emails, and training sessions, many initiatives fizzle after launch. Why? Adoption isn’t driven by exposure alone. It’s driven by sustained reinforcement and timely, relevant learning. […] The post Drive adoption with comms cadence & micro-training. first appeared on Fractional COO - Fractional CMO - Kamyar Shah.

Diligence isn’t a checklist. It’s a lifestyle—at least for companies serious about scale or exit. Too often, startups and growth-stage firms treat diligence like a fire drill: scramble when the VCs show up, tidy up when an acquirer is interested. But by then? It’s already too late to fix the fundamentals. Being diligence-ready isn’t about […] The post Stay diligence-ready and integration-proof first appeared on Fractional COO - Fractional CMO - Kamyar Shah.

There’s a lot of excitement in business around momentum. Raising capital. Signing new clients. Launching. Scaling. Moving fast. All good things until they’re not. Because what happens when money moves faster than validation? We’ve seen this play out a thousand times: Teams get a cash infusion and immediately spend it on people, tools, ad budgets, […] The post Release Funding Only When KPI Milestones Validate first appeared on Fractional COO - Fractional CMO - Kamyar Shah.

Score, Pilot & Audit Every Automation Risk-First (Because Moving Fast Can Still Break Everything) I love automation. I do. The idea of taking repetitive, mind-numbing tasks and turning them into something that… happens? Beautiful. It’s like giving your team little pockets of time back, over and over again. But. (There’s always a but.) Automation becomes […] The post Score, pilot & audit every automation risk-first first appeared on Fractional COO - Fractional CMO - Kamyar Shah.

Clean Pipeline Data and Shorten Deal Cycles (aka Stop Flying Blind) So, real talk — how clean is your sales pipeline? No, like *actually* clean. Not “looks fine at a glance” or “we update it once a quarter.” I mean current, trustworthy, frictionless. Because if you’re anything like half the teams I’ve worked with, your […] The post Clean pipeline data and shorten deal cycles first appeared on Fractional COO - Fractional CMO - Kamyar Shah.

Predicting Churn and Driving Expansion with Health Scores (A Real One, Not a Buzzword Post) Okay, can we talk about customer health scores for a second? Because I swear, half the time I hear people talk about them, they sound like they’re quoting some SaaS handbook they barely read. Like, “we need to track engagement […] The post Predict churn and drive expansion with health scores. first appeared on Fractional COO - Fractional CMO - Kamyar Shah.

Unite CRM, PM, Finance & BI: A Human Rant About Why It Matters Have you ever sat there, looking at your dashboard—or maybe not even a dashboard, maybe it’s a bunch of tabs and thought: “Where is the truth?” Like, real talk. We’ve got CRM over here, and it’s doing its thing, PM tools with […] The post Unite CRM, PM, finance & BI in one source of truth. first appeared on Fractional COO - Fractional CMO - Kamyar Shah.

You know what’s worse than losing a top performer? Losing the undocumented know-how they carried in their head. Every organization has its tribal knowledge—the tips, hacks, workarounds, rituals, and stuff that never made it into a document but keeps everything humming. The issue? It’s fragile. One resignation, one re-org, one vacation… and suddenly, your operations […] The post Turn tribal knowledge into version-controlled processes. first appeared on Fractional COO - Fractional CMO - Kamyar Shah.

Metrics alone don’t drive performance. Interpretation does. But here’s the kicker: Most teams track what’s easy, not what’s essential. Lag indicators? Everyone’s got ‘em—revenue, churn, close rate. The problem? They tell you what happened, not what’s about to happen. If you only react to lagging metrics, you’re operating with a rearview mirror. And that’s fine… […] The post Track lead, lag & early-warning metrics with live alerts. first appeared on Fractional COO - Fractional CMO - Kamyar Shah.

Scaling a business isn’t just about capital or headcount. It’s about alignment. Alignment of what, though? That’s where most teams go sideways. Think about this: You’ve got a bold vision. Maybe it’s market dominance. Perhaps it’s category creation. Maybe it’s just not burning out your team while doubling revenue. That vision, whatever it is, has […] The post Align vision, culture & AI readiness before scaling first appeared on Fractional COO - Fractional CMO - Kamyar Shah.

Let’s Stop Pretending Security Is Optional Most teams don’t realize they need a security protocol—until they’re staring at an empty Slack, a panicked email, or worse, a ransom screen. That’s not drama. That’s reality. But even then, the response is often the same: spin up a checklist, scramble a task force, and hope the blast […] The post Embed security controls and incident readiness first appeared on Fractional COO - Fractional CMO - Kamyar Shah.

Why Measuring These Metrics Matters Many organizations discuss culture, inclusion, and engagement, but few measure them rigorously. Quantifying engagement, DEI (Diversity, Equity, and Inclusion), and turnover risk is no longer optional. It’s essential for retaining talent, building inclusive workplaces, and mitigating the cost of attrition. Measuring Engagement with Meaning Engagement metrics go far beyond annual […] The post Quantify engagement, DEI & turnover risk first appeared on Fractional COO - Fractional CMO - Kamyar Shah.