Akhrieno LemzoriChief Information Officer · Essays & perspective

Akhrieno Lemzori · Chief Information Officer · India

From investigating faults to explaining technology dependence

FOLIO 1Jul 2022 — Present

Chief Information Officer

Fervali Hearing Services

Sector
Hearing-service centres and scheduled outreach
Ownership
Private company; mission trust 61%, regional impact investor 39%
Company scale
FY 2026 revenue ₹48 crore; operating profit ₹3.9 crore
Employees
230 employees
Geography
Kohima, Dimapur and Guwahati centres with outreach
Reporting to
Chief Executive Officer Temjen Nerzovar
Team
Nineteen IT colleagues through three managers
Financial scope
₹5.2 crore annual IT operating expense; ₹1.1 crore approved capital expenditure

Mandate

Make technology decisions answerable to the service context and professional authority they support

Outcomes

  • Supported clinical reconciliation of six duplicate entries within an eighty-four-visit outreach review
  • Redesigned notifications after thirty-one shared-phone concerns in a ninety-six-account preference review
  • Revoked seven ownerless accounts from eighteen reviewed vendor accounts
  • Repeated a seven-dataset recovery exercise successfully after correcting two missing attachment references

Decisions in context

The CIO role requires me to explain technology choices across a regional service business, not only to deliver a system within an IT department. I lead nineteen colleagues through three managers and report to Temjen Nerzovar. Clinical director Rehana Veshmali retains professional authority through qualified teams. I have learned to make several boundaries explicit: transmission versus reconciliation, message delivery versus appropriate communication, a supplier contract versus current access sponsorship, and application availability versus usable recovery. These distinctions affect spending and sequencing as well as language. Our recent cases include ₹36 lakh for outreach synchronisation, ₹22 lakh for notification design, ₹18 lakh for access review and ₹49 lakh for recovery work. They are separate projects within the stated remit, not a claim that all company results arose from IT. I present technology matters to directors by invitation without holding a board seat or committee vote.

Reason for the move

Current role; assessing a first external board contribution alongside continuing executive responsibilities

FOLIO 2Apr 2018 — Jun 2022

Head of Clinical-Support Systems

Fervali Hearing Services

Sector
Regional hearing-service operations
Ownership
Private company with mission-trust and regional-investor ownership
Company scale
FY 2018 revenue ₹31 crore
Employees
160 employees at entry
Geography
Two centres in Kohima and Dimapur at entry
Reporting to
Chief Operating Officer
Team
Eleven IT colleagues through two team leads
Financial scope
₹2.8 crore annual operating expense; ₹65 lakh approved capital expenditure

Mandate

Connect centre administration with outreach records while preserving clinical ownership

Outcomes

  • Established clearer routes for reviewing records arriving from outreach
  • Developed team leads able to discuss system exceptions with clinical and service owners
  • Separated technical transmission checks from decisions about the meaning of disputed entries

Decisions in context

I joined Fervali because the role placed the relationship between systems and professional work at its centre. The company had two centres and 160 employees at entry, with ₹31 crore revenue in FY 2018. I led eleven IT colleagues through two team leads, reporting to the chief operating officer. Scheduled outreach introduced a different rhythm from a permanent centre: connectivity could be interrupted, records could arrive later and the person able to interpret an entry might not be beside the technician handling it. I worked on making those handoffs visible rather than assuming a successful transfer completed every responsibility. I also learned to lead through team leads who could ask useful questions of service owners without presenting themselves as clinical decision makers. The later CIO appointment extended this approach into spending priorities, supplier relationships and the account presented to the board.

Reason for the move

Promoted to CIO as the centre network and technology remit expanded

FOLIO 3Jan 2014 — Mar 2018

IT Manager

Vorsheli Care Network

Sector
Outpatient service administration and clinical support
Ownership
Founder-led private company with a minority regional investment partner
Company scale
FY 2014 revenue ₹26 crore
Employees
150 employees
Geography
Three centres in and around Dimapur
Reporting to
Chief Operating Officer
Team
Seven IT colleagues
Financial scope
₹1.1 crore annual IT operating expense; ₹32 lakh approved capital expenditure

Mandate

Develop a small IT function with clear supplier, access and continuity responsibilities

Outcomes

  • Introduced named internal responsibility for recurring supplier tasks
  • Brought service owners into continuity discussions
  • Developed support colleagues into more independent problem owners

Decisions in context

My promotion followed the completion of a part-time information-management diploma, but the practical transition was learning to lead a function rather than solve every issue myself. Vorsheli had three centres and 150 employees. I managed seven colleagues and ₹1.1 crore annual IT operating expense, with ₹32 lakh approved capital expenditure. Supplier relationships became more prominent in my work. I learned that buying support did not transfer every responsibility for deciding when access was appropriate or what a recovered service should provide. The company needed internal owners who understood the reason for a supplier's work and could review it as circumstances changed. I also brought service colleagues into continuity conversations so that technical priorities reflected the tasks they needed to resume. Fervali later offered a chance to apply these lessons across centre and outreach settings in a more specialised service business.

Reason for the move

Joined Fervali to work across a wider regional clinical-support systems remit

FOLIO 4Sept 2009 — Dec 2013

Systems Analyst

Vorsheli Care Network

Sector
Regional outpatient services
Ownership
Privately held by operating founders at entry
Company scale
FY 2009 revenue ₹12 crore
Employees
Ninety employees at entry
Geography
Two centres in Dimapur
Reporting to
Operations Manager
Team
Two support colleagues; clinical decisions outside the IT remit
Financial scope
₹24 lakh annual support allocation

Mandate

Support administrative systems and clarify ownership of record discrepancies

Outcomes

  • Built working relationships across reception, accounts and clinical teams
  • Documented responsibility for resolving disputed administrative entries
  • Completed a part-time postgraduate diploma in November 2013

Decisions in context

Moving into a care-service company changed the questions I asked about a system error. I supported two outpatient centres with two colleagues and a ₹24 lakh annual allocation, reporting to the operations manager. The company employed ninety people at entry and recorded ₹12 crore revenue in FY 2009. A mismatch could arise from administration, a changed circumstance or a professional decision that the technical record did not explain. I learned not to treat every inconsistent field as permission for IT to choose the answer. Instead, I helped identify who understood the event and could authorise the correction. I completed a part-time postgraduate diploma at Arelvi Information Institute in November 2013 while remaining employed. The combination of study and daily service work prepared me for management, particularly the need to establish ownership and useful evidence rather than rely on personal familiarity with every case.

Reason for the move

Promoted to IT manager

FOLIO 5Jul 2005 — Aug 2009

Support Developer

Pernathi Systems Studio

Sector
Administrative software development and support
Ownership
Private partnership of regional software practitioners
Company scale
FY 2005 revenue ₹3.2 crore
Employees
Thirty-four employees at entry
Geography
Kohima, serving regional service businesses
Reporting to
Development Lead
Team
Member of a six-person support group; no direct reports
Financial scope
No independent budget or hiring authority

Mandate

Investigate user-reported faults and support administrative applications under technical supervision

Outcomes

  • Learned to reconstruct the user's task before changing code
  • Documented reproducible faults for review by the development lead
  • Developed an interest in the operational meaning of application results

Decisions in context

I joined Pernathi in July 2005, two months after completing my computing degree. The business had thirty-four employees and a six-person support group in which I worked without independent budget or hiring authority. We supported administrative software for regional service businesses. A user's description of a fault was often the beginning of an investigation rather than a complete specification of the problem. I learned to reconstruct the task, record the sequence and ask the development lead to review a proposed change. Sometimes the application behaved as written while the result did not serve the user's actual purpose. That distinction interested me more as my experience grew. I wanted to understand the operating context that surrounded the software, so I moved to Vorsheli rather than remain exclusively within a supplier's development and support environment.

Reason for the move

Moved into a service organisation to understand systems from the operating side

What I am looking for next

A first board appointment would ask me to use technology experience differently from my executive role. I am interested in a regional service business where directors need a clearer account of record continuity, communications or supplier dependence. I could help examine the evidence behind management's claims and the professional responsibilities that a system supports. I would not arrive with an intention to redesign applications or direct the IT team. I have no current directorship, am not yet registered with India's independent directors databank and would address applicable requirements before an appointment could proceed. Eighteen days a year is provisional and depends on employer consent, preparation needs and exceptional demands. I would look for complementary financial, legal and sector experience around the table. The right contribution would be to improve collective questions about a service, while respecting the limits of my own knowledge and management's responsibility for execution. A role requiring clinical judgement, supplier advocacy or access to protected employer material would not fit that intention.