01

Record the decision frame

Capture the market, population, service line, objective, owner, timeline, and intended use.

02

Version the analytical policy

Pin travel thresholds, quality rules, price comparability, capacity treatment, scoring weights, and missing-evidence behavior.

03

Preserve the cohort

Store included and excluded entities with the reasons and exact source versions used.

04

Document alternatives

Show the scenarios considered, sensitivity to key assumptions, unresolved questions, and why one option advanced.

05

Export the evidence trail

The final package should contain the rationale, reviewers, approvals, limitations, and source provenance needed for later scrutiny.

See the method in context

Apply this framework to the illustrative Northeast Ohio orthopedic decision.