Before the private practice, the TEDx stage, and the books, I spent years leading clinical operations in behavioral health. More recently, I designed and built a clinical AI product from the ground up, which gave me firsthand experience with the product, safety, and infrastructure decisions involved in bringing clinical judgment into AI.

That combination shapes the way I work now.

I advise teams working at the intersection of clinical care, AI, and product development, particularly when their products begin to sit closer to people in distress, vulnerability, or complex health situations. I partner with product, engineering, and data teams to bring clinical judgment into decisions about product behavior, risk, escalation, and the human consequences of what gets built.

Strategy And Clinical Expertise, In The Same Room

Advisory & Consulting

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When Teams Call Me In

  • Before a release that will reach people in distress
  • When sales wants claims the evidence can't hold
  • When engagement and clinical benefit start pulling apart
  • When a payer or regulator asks how clinical judgment shaped the product

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Ways To work together

My work often sits across clinical strategy, AI safety and risk, product development, organizational change, and complex leadership decisions.. Scope and investment are discussed during the initial conversation.

Fractional Clinical Leadership

Ongoing clinical leadership for companies that need senior clinical expertise without a full-time hire. This may include clinical strategy, product decisions, standards of care, escalation protocols, and cross-functional leadership.

For companies whose clinical input arrives after the decisions are made.

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Clinical Safety & Risk Review

A focused review of how your product responds when users bring it clinically complex, high-risk, or unexpected situations. Includes recommendations around risk, escalation, guardrails, and areas requiring further attention.

For teams who haven't yet traced what happens when someone in crisis reaches the product.

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Executive Advisory

Ongoing advisory support for founders and senior leaders navigating complex decisions involving people, product, clinical responsibility, growth, or organizational change.

For leaders weighing growth against what the product can honestly claim.

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Let's Start the Conversation

Don't like forms? Email me at nhiggins@nichomihiggins.com.