Expertise

Veterinary technology guidance grounded in real operations.

Strategy is only useful when it works in the hospital, across the organization, and through implementation.

20+ years: In veterinary technology, operations, and organizational change
Hundreds of locations: Work spanning independent and multi-site veterinary organizations
138 hospitals: Acquisition integration across clinical systems and transitions
Leadership across the stack: Clinical applications, integrations, imaging, implementation programs, vendors, and teams

The advisor

Adam Zilberman

Adam has spent more than 20 years working where veterinary medicine, technology, operations, and organizational change meet.

He has led enterprise clinical systems, acquisitions and transitions, implementation teams, integrations, imaging workflows, vendor programs, governance, and AI-enabled initiatives across independent and multi-site environments. IVETSYS exists to bring that perspective to organizations making decisions they only get to make once.

Service areas

What working together looks like

PIMS & Clinical Systems

Choosing, replacing, or getting more out of the practice information system your teams use every day.

Situations I hear about

The current system no longer fits how the hospital works.
A platform decision is stalled between two or three finalists.
Teams have built manual workarounds that nobody documented.

What IVETSYS can do

Structured requirements built from real clinical and front-desk workflow, not feature lists.
Independent evaluation and comparison of candidate platforms.
Migration planning, data mapping review, and cutover risk assessment.

Likely outputs

Requirements and workflow map
Platform comparison with a recommendation
Migration and cutover plan

Diagnostic Imaging, PACS & Teleradiology

Imaging that moves cleanly from modality to study to report to the medical record.

Situations I hear about

Studies are stored in more than one place and hard to find later.
Teleradiology turnaround and routing depend on manual steps.
Modality, PACS, and PIMS do not agree on patient identity.

What IVETSYS can do

Review of modality, PACS, worklist, and reporting flow end to end.
Vendor and routing options assessed against clinical turnaround needs.
Worklist and identity standards so studies land in the right record.

Likely outputs

Imaging workflow diagram
PACS and teleradiology options review
Remediation backlog with priorities

Integrations & Interoperability

Getting systems to exchange the right data, in the right direction, at the right time.

Situations I hear about

Lab, imaging, pharmacy, payments, and communication tools each hold part of the picture.
Staff re-key the same information into several screens a day.
Nobody can say which system is the source of truth.

What IVETSYS can do

Map every interface, its direction, owner, and failure mode.
Define source of truth and reconciliation rules.
Set integration requirements vendors can actually be held to.

Likely outputs

Integration inventory and data flow map
Source of truth definitions
Interface requirements for vendor agreements

AI Readiness, Governance & Adoption

Deciding where AI genuinely helps, and putting sensible guardrails around it before rollout.

Situations I hear about

Several AI tools are in trial with no shared standard for evaluating them.
Clinicians are unsure what is recorded, reviewed, or retained.
Adoption stalls after the pilot team moves on.

What IVETSYS can do

Readiness review across data quality, workflow fit, and oversight.
Practical governance covering review, documentation, and escalation.
Adoption plan with training, measurement, and a clear owner.

Likely outputs

AI readiness assessment
Governance and review standard
Evaluation criteria for AI vendors

Multi-Site Technology Strategy

A technology direction that holds across many locations without flattening what makes each one work.

Situations I hear about

Each location runs a slightly different stack and version.
Reporting across the group requires manual assembly.
New acquisitions arrive faster than they can be standardized.

What IVETSYS can do

Current-state inventory across locations and a target standard.
Sequencing that balances risk, cost, and operational disruption.
Standards for onboarding new locations consistently.

Likely outputs

Multi-site technology standard
Phased roadmap
Location onboarding playbook

Implementation & Workflow Optimization

Making the plan survive contact with a working hospital, and stick after go-live.

Situations I hear about

A go-live date exists but the workflow decisions do not.
Training happened, but the team reverted to old habits.
The project is technically complete and operationally unfinished.

What IVETSYS can do

Workflow design with the people who will use it daily.
Implementation oversight, readiness checks, and issue triage.
Post go-live stabilization and adoption follow-through.

Likely outputs

Implementation plan and readiness checklist
Workflow standards by role
Stabilization and adoption review

Who I work with

Organizations with real operational stakes

Independent practices
Specialty and ER hospitals
Multi-site groups and consolidators
Veterinary software and AI companies
Imaging, laboratory, and diagnostic organizations
Investors, buyers, and sellers needing technology diligence

How I work

Four things you can count on

Independent

Independent advice grounded in operational fit. Any relevant commercial relationships are disclosed.

Practical over theoretical

Advice is written to be executed by the people who will live with it, not to look good in a deck.

Executive to frontline

The same conversation works with a board, an operations leader, and a Saturday treatment team.

Clear decisions and next steps

Every engagement ends with a decision stated plainly and a sequence someone can start on.

Bring the problem you have been circling

Thirty minutes is usually enough to name what is really going on and what a workable next step looks like.

Book a Free 30-Minute Consultation