Home / Consulting SELECTED WORK / DECISIONS AND RECEIPTS
The work is credible when the tradeoffs remain visible. These records preserve the client context, problem, risk, principal, architecture, controls, complications, measured outcome, lessons, and handoff. The decision trail stays visible.
FRAME ASSEMBLE GOVERN TRANSFER
HC-DATA-041 Healthcare Meridian Health Network
Control survived the cutover 3.4 million patient records moved through four acceptance gates without losing operating ownership.
3.4M patient records dispositioned
4 acceptance gates
2 pre-cutover blockers caught 01 / Read case ↗ HC-OPS-027 Healthcare Clinivanta Virtual Health
A telehealth platform learned to fail safely One clinical escalation model replaced fragmented override and after-hours paths across 26 specialties.
6 safety layers
47 clinical rule paths consolidated
18 critical scenarios rehearsed 02 / Read case ↗ HC-AUDIT-019 Healthcare Northstar Clinical Systems
Audit rules became an operating instrument A versioned audit system connected 294 rules to meaning, ownership, review, correction, and closure.
294 versioned audit rules
65 red-flag conditions
1,178 exceptions closed with linked evidence
2 disputed exceptions carried to governance 03 / Read case ↗ HC-INT-033 Healthcare ArborLink Health Alliance
Interfaces moved from queue to command system Transport, semantic behavior, ownership, and release evidence converged across 38 critical interfaces.
2.1M interface messages observed daily
38 critical interfaces mapped
9 reusable release test packs 04 / Read case ↗ AUTO-SYS-014 Automotive and industrial Verge Mobility Systems
The plant and software teams finally shared a boundary Four plants and nine suppliers aligned physical behavior, software changes, and release authority to one boundary contract.
4 plants aligned
9 strategic suppliers integrated
17 boundary contracts
11 failure scenarios rehearsed 05 / Read case ↗ AUTO-VIS-022 Automotive and industrial ForgeSight Manufacturing
Computer vision became evidence, not theater A governed vision system inspected 12,000 parts per shift while keeping abstention and human disposition explicit.
12K parts inspected per shift
7 defect classes governed
3 abstention reasons 06 / Read case ↗ LEGAL-RAG-011 Legal Halevy Marsh LLP
Private retrieval preserved the matter boundary Permission-aware retrieval searched 2.3 million documents without crossing matter, privilege, or residency boundaries.
2.3M documents governed
24 ethical-wall scenarios
6 offices operating one retrieval standard 07 / Read case ↗ FIN-CTRL-016 Finance and cross-border operations Northmark Cross-Border
Cross-border operations gained one decision trail Fourteen entities and eight jurisdiction paths moved through one reconstructable control and exception record.
14 entities on one control model
8 jurisdiction paths modeled
4 segregated approval roles 08 / Read case ↗ ENT-ARCH-038 Enterprise technology Cardinal Enterprise Systems
Modernization became a sequence of reversible decisions Forty critical services moved across four regions through six independently acceptable modernization waves.
6 reversible modernization waves
4 operating regions
23 critical dependencies assigned 09 / Read case ↗ ENT-AI-025 Enterprise technology Axiom Regulatory Group
Decision support learned when not to decide Thirty-one decision-support uses across nine teams entered one lifecycle for source, evaluation, review, correction, and retirement.
31 decision uses inventoried
9 review teams operating one lifecycle
5 risk/authority tiers 10 / Read case ↗ Start with the decision
Bring the priority. We will help bound the work. Bring the work that needs a visible decision and a defensible handoff.
Start a conversation.