130K+ patients served. ED wait cut from 3 hours to 15 minutes. Here is how AI did it.
Every AI deployment passes through 12 cryptographically-signed gates. No bypass. No exceptions. No "urgent" deploys without verification. This is what made orthopedic patient flow board-defensible.
Patient volume, referral patterns, and imaging data verified before AI touches scheduling or throughput models.
Full test suite must pass against EHR, imaging PACs, and scheduling APIs. No exceptions for urgency.
Hash-verified artifact comparison. If the patient flow model changed, you know exactly why.
Risk-tiered: confidence above 85% auto-executes. 70-85% requires validation. Below 70% escalates. Clinical decisions always escalate.
HMAC-signed audit trail. "Done" is cryptographically verifiable, not a chat message.
Outcome logging, model drift detection, rollback triggers, board reporting. Gates 6-12 in the full blueprint.
Orthopedic Practice AI Patient Flow: From 3-Hour Waits to 15-Minute Throughput. Plus a free 30-minute assessment.
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