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How it works 90-Day DiagnosticSolutions
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SenterME's governed approach to understanding the structural condition of an organization from aggregated workforce signals—so leaders can read strain by pattern, not by individual.
SHI treats strain as a property of units and coordination, not of any one person. It is designed to surface where structural pressure concentrates—while there is still room for leadership to act.
SHI does not rely on any single feed. It sits above the operational stack and reads across four signal classes—as available and governed—interpreting them as one condition rather than four separate metrics.
May include stress, emotion, need, recovery, and support tier.
where governedMay include vacancy, absenteeism, overtime, agency utilization, patient experience, quality, and safety attention.
where availableMay include throughput, admissions, discharges, handoffs, and demand patterns.
where availableMay include span, layers, role-group pressure, leadership load, and organizational topology.
where availableNo organization has every signal source. The methodology works with the governed signals available—never inventing what is not there. Reading across these signals does not create them.
Signals are never judged one at a time. They are read together, governed, and resolved into a structural condition for a human to review—earlier structural visibility, not automated action.
Human, operational, workflow, and structural inputs, scattered across systems.
Read together under governance—no personal identifying information, individuals never scored.
One governed state—Stable, Watch, Strained, or Critical—with timing, direction, and reliability.
A human decides where a closer look is warranted. The system surfaces condition; it does not prescribe.
The output is a condition for review—never a diagnosis, a prediction, or an automated recommendation. The goal is to give leaders an earlier, better-informed place to look.
Built to clear governance review.
Initial deployment requires no EHR integration. Outputs are aggregate-only, with no personal identifying information and no individual attribution.
SHI reads the structural condition of units, facilities, and systems, never a person—which is what makes it straightforward to bring through informatics, privacy, and security review.
Structural Health Intelligence™ is defined broadly enough to support future organizational applications. SenterME's current healthcare application begins with the middle layer—the roles carrying coordination first.
Related pages
Healthcare workforce intelligenceHow the owned methodology sits inside the broader market category. ↗Where health systems start
The 90-Day Diagnostic is a bounded, evidence-first way to evaluate whether earlier structural visibility is useful in your context.