Your staff should be with patients, not fighting the computer
When the front desk cannot print, the schedule freezes, or the system holding your charts will not load, the waiting room does not pause. Most small practices do not have an IT person. Whoever is least busy wrestles with the problem while patients wait, and the practice absorbs the delay, the frustration, and the risk.
That is the problem I take off your plate. I keep your computers, email, and systems running, head off the problems you cannot see coming, and when something does break, your staff calls me instead of losing an afternoon to it. One flat monthly price, one person accountable, and no ticket queue.
Built for practices the big providers overlook
Most managed IT providers are built for large groups and facilities. At that scale you get an account manager, a helpdesk queue, and a contract to match, and a small practice gets the same bureaucracy with less of the attention. I work with small offices on purpose. The person who answers your call is the person who fixes the problem, and the person who set your systems up in the first place, so nothing has to be explained twice.
I come from your world. My background is IT for a healthcare organization operating under HIPAA and HITRUST standards, where access control, encryption, and documented process are daily requirements, not aspirations. Those habits are how I run every practice I support: least-privilege access to patient data, encrypted and tested backups, and changes that are documented rather than improvised.
A business associate agreement comes first. Before any work touches systems that hold patient information, we sign a business associate agreement. That is not an add-on or an upsell. It is how the engagement starts.
You are covered if something ever goes wrong. IT First Response carries technology errors and omissions and cyber liability insurance, so a mistake or a security incident is my risk to carry, not yours. Ask any time and I will send a certificate of insurance.
The risk analysis you are supposed to have
HIPAA compliance is not a product anyone can sell you, and you should be suspicious of anyone who says otherwise. What I do is concrete: I put the safeguards the Security Rule asks about in place, things like multi-factor authentication, encryption, tested backups, and access that is limited to who actually needs it, and I keep the records that show they are working. The documented security risk analysis that HIPAA expects of every practice, and that cyber insurance renewals increasingly ask about, stops being a box you hope nobody opens.
Your practice software keeps working
I do not replace your EHR, your practice management system, or your imaging software. I keep the machines, network, and accounts they depend on healthy, so your software is never down because of something underneath it. And when a vendor does need to get involved, I make that call and sit through that hold music, not your front desk.
How it starts
- The free Security Check. A one-page review of what is publicly visible about your practice, with three specific findings and the first three things I would fix, written in plain English. No meeting, no signup, and nothing to install. You read it in five minutes and keep it either way.
- A short call if you want one. If the findings raise questions, we talk through them in fifteen minutes. Nothing is sold on that call.
- One monthly plan. If we work together, it is one flat plan covering the whole practice, with no seat minimum. The full breakdown is right below.
Simple monthly pricing
Managed IT
$125per user, per month
Your estimate: $625per month, with 5 pooled support hours
One-time onboarding: $750, waived if you choose an initial term.
Covered by your plan
- Automated monitoring and alerting
- Automatic patching and updates
- Managed antivirus and ransomware protection
- Microsoft 365 or Google Workspace backup
- Account and device management
- One hour of remote support per user each month, pooled across your team
Billed at $125/hr
- Remote time beyond your monthly pool
- On-site visits
- After-hours and weekend work
- New-device or new-office projects and migrations
- Cabling and hardware
- Support for software outside your managed stack
I will always tell you before work moves into billable territory.