Document 01 · The method

Measured in live clinics, not demo rooms.

A score you can’t audit is an opinion with a typeface. This page is the public draft of how a system earns a place on a Medikarta map. The full instruments publish before any score does — validation is not complete yet.

How a score is made draft · binding intent
01 Define the workflow Three core paths per specialty line — schedule, chart, invoice — written as click-by-click scripts any clinic can follow.
02 Time it in live clinics Screen-recorded runs on real data by the clinic’s own staff. Vendor demos are context, never evidence.
03 Score against the rubric Two analysts review blind. Disagreements are logged, not averaged away. Scores are 0–100, tabular, reproducible.
04 Publish method first Full method and instruments publish before any score. Vendors see process, never drafts.
The readiness rubric

Five dimensions, one verdict.

The switch-readiness scorecard grades a practice — not a vendor — before any move is recommended. Sold as the Ready engagement. Verdict: ready, not yet, or wrong destination.

R-1
Data structure
Can your records survive an export?
R-2
Integrations
What breaks the day you cut over?
R-3
Staff capacity
Who runs the practice during training?
R-4
Change risk
Revenue cycle exposure while you move
R-5
Ops load
What the new system adds to a normal day
What we publish — and refuse to

No quadrants. No vibes. Receipts.

Every published number will trace to a timed run, a named workflow, and a clinic profile. If a measurement can’t be reproduced, it doesn’t ship. If a segment has too few observations, the cell reads “insufficient data” — never an estimate.

Until panel runs exist, cells stay Panel only or empty. That is not a tease; it is the product working.

Instrument template — not live data
workflow: schedule→invoice
runs: — · clinics: — · sites: —
timer: screen-recorded, second-precision
reviewed: two analysts, blind
vendor input: none

Numbers appear here only after measured runs. Empty fields are intentional.

The method needs clinics
Every timed run happens in a real practice. Yours could be one of them.
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