Eleven Instruments. One Methodology.

Each instrument is built around a single, board-relevant decision question. Every output delivers a structured Proceed / Delay / Redesign recommendation supported by evidence-backed analysis.

Instrument Decision Question Domain Status
VBHC Contract Stress Test "Are we operationally and financially ready to enter a value-based contract?" Contracting Live
AI Deployment Governance Gate "Is our AI system safe, explainable, and decision-ready before we scale?" AI Governance Live
PHM Readiness Assurance Review "Are we ready to launch or scale a population health management programme?" Population Health In Development
Provider Revenue Sustainability Stress Test "Is our revenue model resilient under payer tightening?" Revenue Integrity In Development
Integrated Care Readiness Diagnostic "Is our organisation capable of integrated care decision-making?" Care Integration In Development
FWA Structural Exposure Assessment "Are we structurally exposed to fraud, waste, and abuse — even if none has been detected?" FWA Governance In Development
FWA False-Positive Cost Diagnostic "Are we losing more money to bad denials than to fraud itself?" FWA Governance In Development
Digital Health Scale-Up Risk Review "Can this digital solution safely scale beyond the pilot phase?" Digital Health In Development
Regulatory Shock Preparedness Review "How exposed are we to regulatory reinterpretation or enforcement tightening?" Regulatory Risk In Development
Board-Level Decision Safety Review "Is the board being asked to approve something irreversible without sufficient assurance?" Board Governance In Development
Health System Change-Readiness Diagnostic "Can this organisation absorb change without destabilising care delivery?" Transformation In Development
VBHC Contract Stress Test
Live

"Are we operationally and financially ready to enter a value-based contract?"

Contracting · 5 domains · 25 questions
AI Deployment Governance Gate
Live

"Is our AI system safe, explainable, and decision-ready before we scale?"

AI Governance · 9-layer framework
PHM Readiness Assurance Review
In Development

"Are we ready to launch or scale a population health management programme?"

Population Health
Provider Revenue Sustainability Stress Test
In Development

"Is our revenue model resilient under payer tightening?"

Revenue Integrity
Integrated Care Readiness Diagnostic
In Development

"Is our organisation capable of integrated care decision-making?"

Care Integration · Kaiser Permanente-inspired
FWA Structural Exposure Assessment
In Development

"Are we structurally exposed to FWA — even if none has been detected?"

FWA Governance · Non-investigative
FWA False-Positive Cost Diagnostic
In Development

"Are we losing more to bad denials than to fraud itself?"

FWA Governance
Digital Health Scale-Up Risk Review
In Development

"Can this digital solution safely scale beyond the pilot phase?"

Digital Health
Regulatory Shock Preparedness Review
In Development

"How exposed are we to regulatory reinterpretation?"

Regulatory Risk
Board-Level Decision Safety Review
In Development

"Is the board approving something irreversible without sufficient assurance?"

Board Governance
Health System Change-Readiness Diagnostic
In Development

"Can this organisation absorb change without destabilising care delivery?"

Transformation

Instrument-Led. Evidence-Backed.

Every HealthElevate instrument follows the same rigorous diagnostic structure — from question design to output framing. This consistency is intentional: it allows outputs to be compared across engagements, built into board reporting cycles, and revisited as organisations evolve.

Instruments are not maturity models. They do not score organisations against an idealised standard. They assure a specific decision: should you proceed, delay, or redesign — and under what conditions.

  1. 1
    Decision ScopingIdentify the precise decision being made and its irreversibility threshold. Define what a bad outcome looks like.
  2. 2
    Instrument ApplicationApply the relevant instrument(s) across defined dimensions. Responses rated Strong / Partial / Weak against evidence criteria.
  3. 3
    Risk Profile ConstructionAggregate responses into a structured risk profile. Surface failure modes, gaps, and exposure concentrations.
  4. 4
    Recommendation DeliveryIssue a clear Proceed / Delay / Redesign recommendation with conditions, supported by a board-ready written brief.

Need an instrument not yet available?

Instruments in development can be applied as part of a bespoke diagnostic engagement ahead of their public release. Get in touch to discuss your specific decision context.

Request a Bespoke Engagement