Robert Marshall aka “Captain Bob Marshall” is an academic family physician and clinical informaticist, supporting faculty for the Valley Health Family Medicine Residency. He is Board Certified in both Family Medicine and Clinical Informatics.  His background includes residency at the Pensacola Naval Hospital, a faculty development fellowship at Madigan Army Medical Center and residency director at the Bremerton Family Medicine Residency. His last Active Duty tour was as the Chief Medical Information Officer (CMIO) for the Department of the Navy, Bureau of Medicine and Surgery (BUMED). He has also served as CMIO for the Madigan Army Medical Center and residency faculty at Madigan Family Medicine.

Bob is the Editor-in-Chief for the Family Physicians Inquiries Network (FPIN) Mobile Medical Reference (eMedRef).  He retired from the Navy in 2011, with over 30 years of active enlisted and officer service supporting both the Coast Guard and the Navy. His areas of interest and study are mHealth, Primary Care Medical Home (PCMH), evidence-based medicine, clinical decision support, community-based research and care coordination.

Nicholas j. appolonia

Chief medical information officer (CMIO)

Chief Executive Officer (CEO) & Founder

Arlene Ophof is a clinical informaticist, nurse and health care administrator with over 40 years experience spanning the fields of health care, clinical operations and healthcare information technology supporting both private sector, the Department of Defense (DoD) & Department of the Army Medical Command.  She has extensive experience in the delivery and sustainment of new clinical information system training and education programs at the enterprise level serving as Training & Support Branch Chief for the US Army Medical Department (AMEDD) Office of the Surgeon General (OTSG) Chief Information Officer (CIO).

Arlene has led one of the largest health IT initiatives in the area of education and training for enhancing provider satisfaction with the use of the DoD’s electronic health records. Her skills include project management for the US Army Medical Service Integration and Implementation Office for the world-wide deployment of AHLTA, the healthcare information management system for the DoD.  Arlene retired the US Air Force as a Nurse Corps Officer with expertise in executive level informatics practice related to education and training.

We cater to the enhancement and growth of systems delivery, state of the art quality patient care and secure meaningful use objectives.  HIT knows Defense Health Agency Military Health Systems, Veterans Health, Federal and Commercial Healthcare clinical & business processes, the many diverse health information systems and the current and future mapping of information delivery, clinical workflow and IT support initiatives.

Our Consultants speak the health language and our colleagues trust us. The majority of our consultants are clinicians - as well as veterans who provide quality solutions to a diverse group of customers, federal agencies and large health systems to include supporting market lead best in breed or best in suite software and hardware product companies trying to achieve market implementation, advancement in regulatory compliance and/or acquire the criteria or maintain meaningful use certification.

“We are your provider that connects your solution and your trusted implementation workforce.”



Executive Leadership

who we are

Nicholas Appolonia is a clinical informaticist, clinician in surgical medicine as a first assistant and subject matter expert.  He brings medical experience, expertise, and knowledge to the Defense Health Agency (DHA), Military Health System (MHS), Veterans Health, Center for Medicare and Medicaid (CMS), State Health Reform, local community and commercial healthcare environments. 

He has over 15 years of health care, health policy and health information systems experience both at the operational and corporate levels with his combination of technical skills derived from his military, civilian, clinical and administrative background in perioperative surgical nursing as a surgical first assistant and his experience in the arena of software design, development and implementation.  

Nick served eight years of military service in the United States Army as a Operating Room Surgical Nurse and also as a Official Command Trainer for the 10th Mountain Division Army Training Brigade providing Medical Training Operations for Combat Medics and Convoy Operations. He is the former Chief Medical Information Officer (CMIO) and Principal of Healthcare Informatics with SAIC Health Solutions Business Unit (now Leidos) supporting the Military Health System Operations, managing and sustaining the largest health record for the Department of Defense as systems integrator.  He supported AHLTA, CHCS, the AHLTA Sustainment and Integration project and all Tricare Management Activity projects enhancing clinical delivery, readiness, interoperability and sustainment as a trusted advisor and partner.