{"api":{"name":"api.sb","description":"Business-as-Code surface for Startups.Studio","home":"https://api.sb","docs":"https://api.sb/docs","version":"1.0.0"},"$context":"https://api.sb/$context","$type":"FoundingHypothesis","$id":"https://api.sb/founding-hypotheses/fh%3Amedical-and-health-services-managers-quality-improvement-initiative-brief%3At-hsa%3Av1","links":{"self":"https://api.sb/v1/founding-hypotheses/fh%3Amedical-and-health-services-managers-quality-improvement-initiative-brief%3At-hsa%3Av1","canonical":"https://api.sb/founding-hypotheses/fh%3Amedical-and-health-services-managers-quality-improvement-initiative-brief%3At-hsa%3Av1","pool":"https://api.sb/v1/founding-hypotheses"},"foundingHypothesis":{"id":"fh:medical-and-health-services-managers-quality-improvement-initiative-brief:t-hsa:v1","lens":"HeadlessSaaS","type":"founding-hypothesis","click":{"rubricScores":{"C8_lensFit":0,"C7_magicLensFit":0,"C4_competitorHonesty":1,"C6_crossSlotCoherence":1,"C1_customerSpecificity":1,"C2_problemFrictionRealism":1,"C9_killCriteriaAttestability":1,"C3_approachEngineCoverability":1,"C5_differentiationLoservilleEscape":1},"upperRightLoserville":true},"cellRef":{"id":"work-contexts.org.ai/medical-and-health-services-managers-quality-improvement-initiative-brief","stableHash":"wcc:medical-and-health-services-managers:quality-improvement-initiative-brief:document:v1"},"problem":{"slotStatement":"QI program managers spend 15–30 hours per initiative stitching together a charter, AIM statement, driver diagram, PDSA measurement plan, and baseline data pull from Epic/Cerner — and when the Quality Committee or surveyor asks how a numerator/denominator was defined or which stakeholders signed off, the linkage between charter language, eMeasure spec, and committee minutes lives across Word, SharePoint, and email with no review-ready trace."},"approach":{"oneSentence":"A QI charter workspace that binds each AIM statement, driver-diagram node, and PDSA measure to the eCQM/NQF specification and the Quality Committee approval record, producing a review-ready initiative binder that Joint Commission surveyors and CMS auditors can walk from charter line to primary-source data definition."},"customer":{"icpShape":"US hospital systems and multi-specialty medical groups with 200–2,000 beds or 50+ employed clinicians running CMS/Joint Commission-reportable QI initiatives, where the buyer is the VP of Clinical Quality / Chief Quality Officer who owns the QAPI budget and the daily user is the Medical & Health Services Manager (QI Program Manager) drafting charters and measurement plans.","beachheadShape":"EarlyMajorityWorkflow: quality directors at 200–600-bed non-academic community hospitals preparing Joint Commission ORYX and CMS IQR submissions who charter 8–15 QI initiatives per year."},"archetype":"startup-archetypes.org.ai/HeadlessSaaS-MarketplaceClearing","beachhead":"EarlyMajorityWorkflow: quality directors at 200–600-bed non-academic community hospitals preparing Joint Commission ORYX and CMS IQR submissions who charter 8–15 QI initiatives per year.","competitors":{"substitutes":[{"name":"Press Ganey / Premier PINC AI quality modules","category":"incumbent"},{"name":"Epic Healthy Planet + Radar QI dashboards","category":"incumbent"},{"name":"IHI QI Essentials toolkit in Word/Excel on SharePoint","category":"status-quo"},{"name":"Verge Health / RLDatix Quality Management","category":"adjacent vertical"}]},"studioThesis":"T-HSA","killThreshold":{"K":11,"M":45,"N":9,"rubricItemSet":["C1_customerSpecificity","C2_problemFrictionRealism","C3_approachEngineCoverability","C4_competitorHonesty","C5_differentiationLoservilleEscape","C6_crossSlotCoherence","C7_magicLensFit","C8_lensFit","C9_killCriteriaAttestability"],"verdictPolicy":"all-load-bearing-pass-and-overall-ge-X","loadBearingItemSet":["C1_customerSpecificity","C2_problemFrictionRealism","C3_approachEngineCoverability","C4_competitorHonesty","C5_differentiationLoservilleEscape","C6_crossSlotCoherence","C9_killCriteriaAttestability"],"verdictPolicyVerbatim":"KILL unless every load-bearing rubric item passes per workbook AND overall pass-rate ≥ 9/9 (CASCADE.md §4 Stage 9 commit threshold)."},"lifecycleState":"Active","differentiation":{"twoByTwo":{"xAxis":"Evidence linkage (charter narrative lives in Word ↔ every AIM/measure line cites the eCQM spec and committee minute that approved it)","yAxis":"System-of-record embedding (standalone QI portal ↔ runs inside the Epic Healthy Planet / Cerner HealtheIntent registry screen the QI manager already uses)","winningQuadrant":"Every charter line is spec-cited and surfaced inside the Epic/Cerner QI registry the manager works in daily","loservilleEscape":true,"loservilleQuadrant":"Press Ganey-style standalone QI portal where charter narratives are free text with no back-link to the eCQM numerator spec or the Quality Committee minute that approved the AIM"}},"unmetRequirements":[],"pricingArchitecture":"usage-meter"},"actions":{},"options":{},"relationships":{"runtimeUnit":"https://api.sb/v1/runtime-units?startupRef=startup%3Afh%3Amedical-and-health-services-managers-quality-improvement-initiative-brief%3At-hsa%3Av1","brand":"https://api.sb/v1/brands?startupId=startup%3Afh%3Amedical-and-health-services-managers-quality-improvement-initiative-brief%3At-hsa%3Av1","listing":"https://api.services/listings?foundingHypothesisRef=fh%3Amedical-and-health-services-managers-quality-improvement-initiative-brief%3At-hsa%3Av1","cell":"https://api.sb/v1/cells/work-contexts.org.ai/medical-and-health-services-managers-quality-improvement-initiative-brief","thesis":"https://api.sb/v1/theses/T-HSA"},"meta":{"level":"L0","scopes":[]},"user":{"requestId":"a057be332f6b5e37","edgeLocation":"a057be332f6b5e37","geo":{"country":"US"},"ua":{"browser":"Claude"}},"references":{"total":0,"limit":25,"page":1,"links":{"self":"https://api.sb/v1/founding-hypotheses/fh%3Amedical-and-health-services-managers-quality-improvement-initiative-brief%3At-hsa%3Av1/references"},"items":[]}}