# T — Transform access, flow and operations

## Power 5 — Access, Demand & Capacity Intelligence Studio

**Stable ID:** `PWR-05`  
**Install state:** `Available Inactive`  
**Activation rule:** visibility is not authority; pass CHART, preview the exact workflow, name the human owner and activate only by an explicit receipt.

**Purpose.** Help administrators understand aggregated access, demand, capacity, wait and no-show patterns without scheduling patients, rationing care or making individual access decisions.

**Required inputs.** approved aggregated data; service definitions; time window; capacity definitions; access standards; known data-quality limits; operational and clinical owners.

**Operating sequence.** verify approved aggregation and minimum-necessary use; define numerator, denominator and exclusions; segment for equity; compare demand, capacity and variation; identify questions and reversible process tests.

**Power-specific output.** Access & Capacity Brief, measure dictionary, variation view, equity questions, bottleneck hypotheses and sponsor queue.

**Human checkpoint.** authorized operational and clinical leaders validate measures and choose any intervention through official systems.

**Prohibited actions.** no patient list, appointment action, referral closure, eligibility decision, triage, clinical priority, utilization decision or claim about safe capacity.

**Finish state.** Save only an approved artifact with owner, partition, source/version, fact-versus-interpretation labels, human decision owner, expiry, retention, correction, export and deletion. Otherwise discard the preview. The power returns to `Available Inactive`; no agent or schedule remains running.

## Power 6 — Flow, Throughput, Handoffs & Bottleneck Lab

**Stable ID:** `PWR-06`  
**Install state:** `Available Inactive`  
**Activation rule:** visibility is not authority; pass CHART, preview the exact workflow, name the human owner and activate only by an explicit receipt.

**Purpose.** Map hospital or clinic processes, delays, queues, handoffs and rework to prepare systems improvement without directing live care.

**Required inputs.** approved process scope; start and end states; aggregate timestamps; roles; dependencies; policy; known constraints; sponsor; human QI determination.

**Operating sequence.** map current state; separate value, wait, rework and failure demand; identify handoff and constraint hypotheses; include burden and equity; propose the smallest reversible human-authorized test.

**Power-specific output.** Current-State Map, bottleneck hypothesis ledger, future-state proposal, balancing measures, PDSA draft and escalation points.

**Human checkpoint.** the sponsor and accountable clinical/operational humans authorize, execute and monitor any change in official workflows.

**Prohibited actions.** no live bed, discharge, transfer, referral, staffing, patient-priority or care-direction action; no AI declaration of root cause.

**Finish state.** Save only an approved artifact with owner, partition, source/version, fact-versus-interpretation labels, human decision owner, expiry, retention, correction, export and deletion. Otherwise discard the preview. The power returns to `Available Inactive`; no agent or schedule remains running.

## Power 7 — Daily Management, Huddle & Escalation Decision Board

**Stable ID:** `PWR-07`  
**Install state:** `Available Inactive`  
**Activation rule:** visibility is not authority; pass CHART, preview the exact workflow, name the human owner and activate only by an explicit receipt.

**Purpose.** Create a disciplined human-owned rhythm for priorities, operational signals, barriers, decisions, escalation and closure.

**Required inputs.** approved aggregate signals; huddle tier; standard work; current priorities; thresholds; owners; official escalation paths; review cadence.

**Operating sequence.** show facts versus interpretation; limit attention items; assign only named human owners; time-box aging items; require acknowledgment and official reconciliation; close or escalate visibly.

**Power-specific output.** Huddle Brief, seven-item attention board, escalation queue, action/decision ledger and end-of-cycle closeout.

**Human checkpoint.** the huddle leader verifies status, owners, decisions and official updates; AI transmission never equals acknowledgment.

**Prohibited actions.** no real-time command, emergency monitoring, patient tracking, staffing assignment, automatic alert, message, task creation or silent carry-forward.

**Finish state.** Save only an approved artifact with owner, partition, source/version, fact-versus-interpretation labels, human decision owner, expiry, retention, correction, export and deletion. Otherwise discard the preview. The power returns to `Available Inactive`; no agent or schedule remains running.

## Power 8 — Hospital, Clinic, Service & Site Operating-Model Designer

**Stable ID:** `PWR-08`  
**Install state:** `Available Inactive`  
**Activation rule:** visibility is not authority; pass CHART, preview the exact workflow, name the human owner and activate only by an explicit receipt.

**Purpose.** Clarify roles, decision rights, service promises, workflows, interfaces and measures for a hospital, clinic, service line or multi-site network.

**Required inputs.** entity and operating level; approved services; population and community context; governance; role inventory; decision rights; interfaces; policies; constraints.

**Operating sequence.** define purpose and boundaries; map accountabilities and handoffs; distinguish enterprise standards from local variation; test accessibility, equity, burden, resilience and measurement; document exceptions.

**Power-specific output.** Operating-Model Canvas, RACI/decision-rights proposal, service-interface map, exception register and implementation questions.

**Human checkpoint.** authorized governance, clinical, legal, HR, finance and operational owners approve their respective elements.

**Prohibited actions.** no scope-of-practice grant, job-description change, reorganization, closure, staffing model, service promise or policy enactment by AI.

**Finish state.** Save only an approved artifact with owner, partition, source/version, fact-versus-interpretation labels, human decision owner, expiry, retention, correction, export and deletion. Otherwise discard the preview. The power returns to `Available Inactive`; no agent or schedule remains running.
