Quarterly Board Sprint
The inaugural Board Sprint examines how minute-zero behavior is moving outside the provider and what that means for access, margin, governance, and operating design.
This sprint is delivered as a board-ready research pack for internal leadership use. It is built for teams preparing for a real board or executive discussion.
Sprint Pack
The most important care decision now happens before the provider is involved. The organizations that can shape that moment will control access, economics, and trust more effectively than those that inherit demand after it has already been routed elsewhere.
Audience
Built for provider CEOs, boards, CIOs, CMIOs, strategy leaders, transformation sponsors, and committee chairs responsible for the front end of care.
Provider CEOs and executive teams
Boards and committee chairs
CIOs, CMIOs, and digital leaders
Strategy, transformation, and operating leaders
What this sprint helps answer
Sprint Pack Inventory
This sprint is not a newsletter, not a trend deck, and not a generic research report. It is a board-ready pack designed for internal leadership use.
The full Minute Zero analysis with the thesis, evidence base, and operating model for the new front door.
A compressed read for leaders who need the signal quickly before entering the room.
A one-page framing of the shift, the strategic tension, and why it belongs on the board agenda.
A structured pre-read to align directors before the live discussion.
A sharper memo focused on the decisions leadership may need to sequence, govern, or make next.
Likely pushback, competing narratives, and concise responses for the room.
A controlled talk track for carrying the sprint into the board conversation.
Selected exhibits, diagnostic material, methodology notes, and the privacy baseline behind the sprint.
Selected exhibit
The governing frame: affordability, access friction, and AI capture are reshaping demand before the visit begins.
Selected exhibit
A governed navigation layer connects patient entry, minute-zero guidance, identity, records, and escalation.
Selected exhibit
Minute-zero workflows require one identity standard across workforce, patient, caregiver, application, and agent access.
Selected exhibit
Boards should govern minute zero through a small set of leading indicators across access, margin, privacy, cyber, and workforce adoption.
Board Questions
Board question
Do we have a minute-zero strategy or only an AI strategy?
Board question
Which demand-shaping workflows should be owned inside the provider enterprise?
Board question
How are access, margin, and risk being governed together at the front end of care?
Board question
What evidence would prove that the new front door is improving control rather than widening exposure?
Public Thesis
These pages keep the governing argument available in public while the licensed sprint carries the board-ready materials.
Public thesis / Minute Zero
A public thesis on minute zero: the first care decision now happens before the provider is involved, changing access, demand shaping, and governance.
Read public thesisPublic thesis / Minute Zero
AI is absorbing behavior created by affordability pressure and access friction, making it one of the fastest-growing surfaces for minute-zero work.
Read public thesisPublic thesis / Minute Zero
When a provider is absent at minute zero, it inherits demand rather than shaping it. That appears as misrouting, leakage, higher cost-to-serve, and margin pressure.
Read public thesis