Report

Who Owns the First Five Minutes in Healthcare?

A 38-page report on how minute-zero behavior is moving outside the provider and what that means for access, margin, governance, and operating design.

Built for provider CEOs, boards, CIOs, CMIOs, strategy leaders, transformation sponsors, and committee chairs responsible for the front end of care.

Current release

Minute Zero

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.

Minute Zero at a glance overview exhibit
AI front door operating architecture exhibit
Who Owns the First Five Minutes in Healthcare? cover

What it clarifies

A working frame for healthcare leaders and builders.

  • Who is shaping patient demand before formal care begins?
  • Where is the organization still inheriting demand it did not shape?
  • What is the economic cost of missing minute zero by service line and payer mix?
  • Which minute-zero workflows can be governed safely with identity, consent, and escalation discipline?
  • What should the board ask management to decide in the next 36 months?

Selected exhibits

Preview the work before opening the file.

Selected exhibit

Minute zero at a glance

The governing frame: affordability, access friction, and AI capture are reshaping demand before the visit begins.

Minute Zero at a glance overview exhibit

Selected exhibit

Operating architecture

A governed navigation layer connects patient entry, minute-zero guidance, identity, records, and escalation.

AI front door operating architecture exhibit

Selected exhibit

Identity control stack

Minute-zero workflows require one identity standard across workforce, patient, caregiver, application, and agent access.

Identity control stack for AI-enabled care exhibit

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