DECISION CONTRACT
What must be true
CriterionCurrentStatus
A DECISION ENGINEERING PLATFORM
Build the decision before you make it.
Aegis turns a high-stakes proposal into a living, executable Decision Twin—then shows exactly what changes when the assumptions do.
ACTIVE DECISION TWIN
Enterprise EHR replacement decision
Should Northstar Health authorize an enterprise EHR replacement now?
Immediate replacementDEFER AND PREPARE
Options compared3
Executable criteria10
Evidence sources9
Stress scenarios4
DECISION TWIN STUDIO
Change an assumption. Watch the decision rebuild.
A static report preserves an answer. A Decision Twin preserves the logic, so leaders can challenge the case without moving the contract.
ASSUMPTIONS→CONTRACT→RANKING→PASSPORT
These safe controls update the immediate-replacement case. Every result is recalculated locally from the published deterministic thresholds.
OPTION ARCHITECTURE
Three decisions, not one false binary
Optimization, a reversible readiness phase, and immediate replacement are scored under the same thresholds and hard gates.
FRAGILITY SCAN
What can reverse it
SHOCK ENGINE
Change the world. Keep the contract.
Aegis injects a plausible future, propagates its effects, and reruns the same precommitted rules.
No shock appliedSelect a scenario to stress-test the Decision Twin.
EVIDENCE LEDGER
Claims have owners
Liquidity and downside stress testHIGH RELIABILITY
Northstar Treasury. Replacement is financeable only with a protected contingency reserve.
Revenue-cycle cutover assessmentHIGH RELIABILITY
Northstar Revenue Cycle. Conversion balances, payer testing, denial prevention, and cash contingency require proof.
Enterprise data-conversion inventoryHIGH RELIABILITY
Northstar Data Office. Historical scope, reconciliation ownership, and exception handling remain incomplete.
Implementation workforce planMEDIUM RELIABILITY
Northstar Transformation Office. Certified capacity, backfill, training, and governance remain constrained.
REPAIR ENGINE
120-Day EHR Decision-Readiness Program
Turn the highest fragilities into owned work, measurable gates, and explicit failure consequences.
1
Protect liquidity coverageCFO and Board Finance Committee
Set a board-approved floor, contingency reserve, draw schedule, and pause authority.
2
Prove revenue-cycle cutoverCFO and VP Revenue Cycle
Validate end-to-end workflows, conversion balances, payer testing, denials, and cash scenarios.
3
Reconcile data conversionChief Data Officer and CMIO
Define scope, run reconciliation pilots, and obtain accountable clinical and financial sign-off.
4
Close delivery capacityCIO and Transformation Office
Fill named leadership, analyst, training, and operational backfill gaps.
5
Precommit approval gatesExecutive Steering Committee
Approve thresholds and stop conditions before vendor enthusiasm or sunk cost can move them.
GPT-5.6 ASSURANCE PROOF
Generative analysis is bounded by the decision contract.
Seven specialists challenged the same deterministic contract. GPT-5.6 explains, verifies, and red-teams the decision. It cannot override a published hard gate.
Specialists completed7 / 7
ModelGPT-5.6
Code InterpreterVerified
Contract authorityDeterministic
INDEPENDENT FINANCIAL CALCULATION
Code Interpreter reproduced the 18-month value case within tolerance.
- Deterministic BCR
- 0.7900×
- Independent BCR
- 0.7886×
- Absolute variance
- 0.0014
- Tolerance
- 0.0100
- Status
- VERIFIED
Sanitized evidence from a completed live run using the synthetic ambient-AI case. The interactive EHR judge path remains deterministic, credential-free, and fully browser-local.
DECISION PASSPORT
The reasoning survives the meeting
Aegis preserves the options, evidence, thresholds, dissent, shocks, repair actions, owners, and reopening conditions.
01Hard gates cannot be averaged away.
02Evidence confidence is separate from model confidence.
03Every recommendation states what would reverse it.
04Fragile decisions are repaired before approval.
05GPT-5.6 challenges and enriches. The deterministic contract owns the verdict.
ONE PLATFORM · MANY DECISIONS
Decision Engineering extends beyond this EHR case.
The contract changes by domain. The operating loop stays the same: capture, compile, stress, repair, preserve.