Public sample market · Illustrative data
Northeast Ohio orthopedics
Follow a regional health plan as it investigates an access gap, governs a comparison cohort, reviews candidate evidence, and prepares a defensible recommendation.
- Decision
- Orthopedic network access
- Market
- Cleveland-Elyria, OH
- Evidence
- Public + illustrative aggregate
01 · Identify the gap
Start with the decision standard.
An illustrative scenario flags western Cuyahoga County for review under a 45-minute travel standard. Before ranking providers, the team records the population, service line, geography, and evidence limitations.
02 · Govern the cohort
Make inclusion rules reviewable.
Facilities enter the comparison only when identifiers, geography, service capability, and evidence availability meet the documented cohort policy. Exclusions remain visible.
03 · Compare evidence
No unexplained composite score.
Price observations, public quality, access, capacity, and market need remain separate so a reviewer can inspect conflicts and missingness.
04 · Inspect relationships
Affiliation evidence is not employment proof.
Hospital, system, clinician, organization, and location links retain their source and effective period. Reviewers see what the relationship supports - and what it does not.

05 · Export the decision
Recommendation, assumptions, limitations, and sources travel together.
The evidence package records the cohort, comparison rules, source releases, unresolved questions, reviewers, and rationale required for a reproducible decision.
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