Solutions

A structured path from opportunity to scale.

ONE AXIS engagements are standardized transformation products, not open-ended consulting hours. Each has a defined unit of work, a defined duration after readiness, defined outputs and a decision at the end. No public pricing: every engagement is scoped to one institution, one pathway and one decision.

DISCOVER

Perioperative Value Diagnostic

Find the value before transforming the system.
One institution × one surgical pathway
4–6 weeks after the Data & Mobilization Gate

Key questions

  • Where does value leak along this pathway — clinically, operationally, economically?
  • Who gains and who loses if the journey improves, and who would fund the change?
  • What could released capacity be worth — and to whom?
  • Is the organization ready to transform now?

Outputs

  • Perioperative value baseline with denominators
  • Journey and value-leakage map
  • Economic alignment: hospital, payer, funding model
  • Capacity value options (Grow / Resize / Avoid / Buffer)
  • 12-month business case with confidence levels
  • Executive Value Session and a formal decision
The diagnostic ends in one of three decisions — TRANSFORM, ENABLE FIRST or NO-GO. All three are legitimate outcomes. A diagnostic that always recommends transformation would not be a diagnostic.
TRANSFORM

Surgical Pathway Transformation

Convert opportunity into measurable change.
One pathway, redesigned end to end
Typically 4–6 months

Key questions

  • Six workstreams: Clinical Pathway · Operations & Flow · Data & Performance · Economics & Value · People & Change · Governance & Sustainability.
  • Future-state pathway blueprint with owners, KPIs and explicit exception rules — clinical safety first.
  • Controlled activation in a limited cohort, daily launch huddles, 30-day sprints, quality gates.
  • Value proof: realized vs estimated vs potential, with attribution confidence, before anything is called a result.

Outputs

  • Approved Value Pathway Blueprint
  • Governance pack and RACI
  • Compliance & performance dashboard
  • Value realization statement
  • Sustainability assessment and handover
TRANSFORM is a separate decision after the diagnostic, never an automatic upsell. It starts only when mobilization conditions — sponsor, champion, data feed, decision cadence — are met.
SUSTAIN

Perioperative Value Office

Keep performance visible and improving.
Recurring visibility and governance across transformed pathways
Recurring, monthly cadence

Key questions

  • Monthly Value Performance Review with the five Deltas.
  • Governance calendar, barrier escalation and quality holds kept alive after handover.
  • Pathway health and remaining opportunity tracked, not assumed.

Outputs

  • Monthly pathway health view
  • Value Performance Review
  • Remaining-opportunity scan
SUSTAIN exists because performance that is not measured drifts. It is offered after a transformation has proven value — not before.
SCALE

Enterprise & Network Programs

Extend what works across pathways, sites and systems.
Multi-pathway, multi-site or network programs
Program-specific

Key questions

  • Transfer the pathway logic to adjacent lines and additional sites with the same measurement discipline.
  • Network and payer-partnership formats where outcomes and episode economics can improve together.

Outputs

  • Program design and site prioritization
  • Cross-site governance
  • Portfolio value realization
Scale terms are program-specific and are agreed only after repeatability has been demonstrated. ONE AXIS does not overpromise network results it has not yet measured.

How the products relate

DISCOVERTRANSFORMSUSTAINSCALE
QuestionIs there a material opportunity?How do we realize it?How do we keep it?How do we extend it?
Unit1 institution × 1 pathway1 pathway end to endTransformed pathwaysPathways · sites · networks
Duration4–6 weeks4–6 monthsRecurringProgram-specific
Ends inTRANSFORM / ENABLE FIRST / NO-GOProven value + handoverMonthly reviewPortfolio value

Start where the value is.

Every ONE AXIS relationship begins with a conversation about one pathway — not with a proposal.

Explore Your Surgical Value Opportunity