# E — Exercise sound economics and resource stewardship

## Power 9 — Budget, Forecast, Variance & Resource-Stewardship Studio

**Stable ID:** `PWR-09`  
**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.** Prepare decision-useful financial scenarios and variance questions without becoming the accounting record or moving money.

**Required inputs.** approved nonsensitive or aggregated financial inputs; chart-of-account definitions; budget version; assumptions; time horizon; finance owner; materiality rules.

**Operating sequence.** preserve source and version; reconcile units; label actual, budget, forecast and estimate; test ranges and sensitivities; explain drivers; connect resources to mission, quality and equity.

**Power-specific output.** Budget Scenario, variance bridge, sensitivity table, assumption ledger, questions for finance and human decision brief.

**Human checkpoint.** finance and accountable leaders validate calculations, accounting treatment, forecast and any resource decision in official systems.

**Prohibited actions.** no transaction, journal entry, payment, payroll, bank access, pricing decision, financial statement, audit opinion or guaranteed savings.

**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 10 — Revenue Cycle, Payer & Contract Learning Navigator

**Stable ID:** `PWR-10`  
**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.** Organize aggregate revenue-cycle, denial, authorization and contract-learning questions without coding, billing, coverage or individual claim decisions.

**Required inputs.** approved aggregated metrics; contract or policy excerpts authorized for use; definitions; time window; owners; compliance and legal review route.

**Operating sequence.** separate operational facts from legal or contractual interpretation; validate denominators; map process and failure categories; identify education, data-quality and workflow hypotheses; route questions.

**Power-specific output.** Aggregate Revenue-Cycle Brief, denial-category map, contract-question log, process opportunities and owner queue.

**Human checkpoint.** authorized revenue-cycle, coding, compliance, finance, payer-relations and legal humans decide and act in official systems.

**Prohibited actions.** no patient account, claim, code, prior authorization, appeal, coverage, medical-necessity, price, contract interpretation, submission or payer communication.

**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 11 — Procurement, Vendor, Asset & Sustainability Due-Diligence Studio

**Stable ID:** `PWR-11`  
**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.** Prepare transparent business cases and due-diligence questions across value, security, interoperability, accessibility, sustainability and exit risk.

**Required inputs.** approved requirement; owner; budget envelope; alternatives; vendor-provided claims; security/privacy materials; lifecycle costs; procurement rules; conflict disclosures.

**Operating sequence.** separate requirements from preferences and claims from evidence; evaluate total cost, implementation burden, safety, equity, accessibility, cyber, data rights, lock-in, continuity and decommissioning.

**Power-specific output.** Business Case, requirements matrix, vendor-question set, risk-and-exit register, reference-check plan and decision queue.

**Human checkpoint.** procurement, finance, legal, privacy, security, clinical engineering, accessibility and business owners complete their formal reviews.

**Prohibited actions.** no vendor selection, endorsement, purchase order, signature, negotiation, credential sharing, production connection or claim that due diligence is complete.

**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.
