Ten domains, first contact to final invoice.
Everything below is one connected system. Click any domain to see how it works, its autonomy level today versus five years out, its flaws, and who is building it.
Solid = care pathway · dashed = supporting layers · click any node
- Domain 01Intake & Access
AI triage, scheduling, eligibility, prior auth, zero-waiting-room
- Domain 02Outpatient Clinics
Autonomous visits, ambient documentation, remote monitoring
- Domain 03Inpatient & Hospital Operations
Continuous monitoring, care pathways, discharge automation
- Domain 04Interventional & Robotics
Surgical robotics autonomy ladder, procedural automation, pharmacy/lab robots
- Domain 05Quality Control
Real-time QC replacing retrospective review; automated safety surveillance
- Domain 06Administration & Business Operations
Runs parallel to all care: coding & billing, revenue cycle, HR, accounting, credentialing, regulatory reporting
- Domain 07Facilities & Logistics
Building maintenance, supplies, transport robots, automated waste separation & disposal, disinfection
- Domain 08IT & Agentic Operations
The new IT department: agent orchestration, agentic controllers, model monitoring, security
- Domain 09Workforce Transition
Jobs that disappear, jobs that grow, reskilling paths
- Domain 11Research & Evidence Generation
Real-world data feeds health services research; AI accelerates bench research back into care
- Domain 10Economics & Governance
ROI model, reimbursement, liability, regulation, ethics
The framing behind the framework.
Opinion & Essays is where I argue about where this is heading and what the industry is getting wrong. The Library holds the longer analytical pieces.
For the people who have to be ready.
Health system leaders, investors, and technologists sizing up what automation actually requires — and the consultants advising them. Open to read, no account, no paywall.
Preparation is a choice you make before the technology arrives.