WORK PROJECT · PROTECTED-SAFE REBUILD

Healthcare decisions that end in a next move

A stakeholder-approved healthcare decision system connecting first-fill abandonment, prior authorization, and prescription insights to clear operational action.

Every fragment above is one surface below.

CARE ACCESS / OPERATIONSFirst Fill Decision Center
Synthetic dataStakeholder approvedThreshold 30%
Abandonment rate34.2%Target < 30%
Fillable prescriptions48.6KApproved mock baseline
At-risk records1.8KAbove defined threshold
Median time to fill3.8dGoal ≤ 3 days
Abandonment trendRate is moving toward target
8 WEEKS
RateDelayLocationPrescriber
Synthetic trajectory · Threshold context remains visible throughout the workflow.
Priority worklist · Fictional locationsWhere teams should act first
North Harbor Clinic
Outreach queued68.4% · HIGH
Mesa Ridge Health
Pharmacist review52.1% · REVIEW
Cedar Point Medical
Monitor only31.7% · WATCH
Each row carries threshold context into a defined operational follow-up.
First fill / decision path
01Configure threshold

Set the shared definition of an at-risk prescription before reviewing performance.

02Identify records

Move from summary signal to a prioritized worklist without losing the threshold context.

03Monitor trajectory

Keep rate, delay, location, and prescriber patterns visible as the worklist changes.

04Coordinate action

Give care teams a clear operational next step and a shared state for follow-through.

A dashboard should end in a next move not another interpretation meeting.

Thresholds, trends, and a prioritized worklist keep summary signal and operational action in the same frame.

From signal to action

The public reconstruction uses synthetic labels and values while preserving the approved information architecture, thresholds, and workflow logic.

HEALTHCARE DECISION INTELLIGENCE · SYNTHETIC DATA

From signal to action

The public reconstruction uses synthetic labels and values while preserving the approved information architecture, thresholds, and workflow logic.

HEALTHCARE DECISION INTELLIGENCE · SYNTHETIC DATA

The worklist ranks by risk, not arrival

Open, expedited, due-today, and at-risk counts sit above the queue. Each row carries priority, status, SLA remaining, and an owner, so the next case to work is the one at the top.

APPEALS WORKLIST · SYNTHETIC DATA

The worklist ranks by risk, not arrival

Open, expedited, due-today, and at-risk counts sit above the queue. Each row carries priority, status, SLA remaining, and an owner, so the next case to work is the one at the top.

APPEALS WORKLIST · SYNTHETIC DATA

One case, one recommended next action

Intake, evidence review, and determination stay visible as a three-step spine. The decision summary names the denial reason and the recommended next action; the evidence timeline and attached documents are the support underneath it.

APPEAL DETAIL · SYNTHETIC DATA

One case, one recommended next action

Intake, evidence review, and determination stay visible as a three-step spine. The decision summary names the denial reason and the recommended next action; the evidence timeline and attached documents are the support underneath it.

APPEAL DETAIL · SYNTHETIC DATA

One decision language, three healthcare modules.

First Fill anchors the operational story. PA Insights, the ePA Report Card, and NewRx extend the same discipline across authorization, production reporting, and prescription-market decisions.

Prior authorization
PA Insights6 interactive prototypes

A presentation-ready funnel product backed by an eight-query BigQuery bundle, seven ETL scripts, and a LookML model with four views.

What shipped6 interactive funnel prototypes8-query BigQuery bundle7 ETL scriptsLookML model · 4 views8 scope changes absorbed in a same-evening design cycle
Production reporting
ePA Report Card21-worksheet production system

A staging and production redesign supporting monthly account-level distribution, accuracy fixes, and reliable operational delivery.

What shipped21 worksheets in productionStaging and production redesignMonthly account-level distributionAccuracy fixes carried to delivery
Prescription intelligence
NewRx Insights3-screen product concept

Demand, market, and prescriber performance grounded in four personas. It remains a supporting chapter now and is reserved for a standalone case study later.

What shipped3-screen product conceptGrounded in 4 personasDemand, market and prescriber performanceReserved for a standalone case study
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