01

Define the population and standard

Record the covered population, geography, provider type, service line, travel threshold, availability assumptions, and applicable regulatory context.

02

Resolve provider locations carefully

Distinguish practice location, billing location, facility affiliation, and service availability. An address match alone does not prove access.

03

Model availability and capacity

A nearby provider may not be available to the population or have sufficient capacity. Keep these inputs separate from distance.

04

Test alternatives

Compare the current network with candidate additions or removals while preserving the same standards and assumptions.

05

Document uncertainty

Identify missing participation, availability, capacity, and specialty evidence rather than silently treating it as adequate.

See the method in context

Apply this framework to the illustrative Northeast Ohio orthopedic decision.