Executive summary

A readiness and capability diagnostic for ambulatory access and referral workflows. It scores core capabilities against anchored levels and calibrates scores across raters. It shows whether access shortfalls come from lost capacity or missing capacity, then turns the gaps into an owned, sequenced register.

What is inside

What this assessment covers

An anchored capability rubric with default weights and an evidence-confidence rule. Written formulas for the referral funnel, supply losses, structural capacity gap, readiness index and gap priority. A pathway decision rule. Option and business case guidance that keeps capacity separate from cash. Execution, governance and KPI tables with owner roles and approval gates. A fully worked synthetic example with calibration results, a failure case, an alternate rural scenario and a practice exercise. Copyable tools including a scoring sheet, gap register, capacity worksheet, calibration record, evidence log and review record.

  • Purpose and decision
  • Context and applicability
  • Inputs and evidence
  • Definitions and assumptions
  • Method and analytical logic
  • Current-state assessment
  • Options and business case
  • Recommended design
  • Execution and activation
  • Governance and risk
  • Measurement and benefits
  • Worked example and practice
  • Working tools and references