Healthcare Transformation
ACO development, value-based care transitions, FQHC operations, care coordination systems, population health management.
Most social interventions fail not from lack of resources, but from inadequate tools for reasoning about complex systems. Cognifiq builds the cognitive instruments that make system dynamics visible, timing windows actionable, and transformation pathways credible.
Organizations approach transformation with tools designed for operations. The result is cognitive infrastructure deficit—decision-makers lack tools that preserve causal relationships, constraints, and feedback loops.
Implementing interventions before understanding root problems. "We need better care coordination" embeds assumptions about both problem structure and solution approach.
Systems know what and who but not when. Public systems routinely fail because they cannot determine when to act—the temporal positioning of intervention relative to problem evolution.
Treating outcomes as linear consequences rather than inputs to reinforcing or balancing dynamics. Missing how effects circle back to become causes in self-organizing systems.
Every transformation initiative must address three fundamental questions. This exhaustive framework prevents the common failure modes: capacity overestimation, viability blindness, and justice neglect.
Existing capability to perform required functions—resources, structures, relationships, competencies, infrastructure
Conditions for economic and operational sustainability—revenue models, cost structures, feedback dynamics, time to break-even
Ethical commitments and equity implications—power distribution, resource allocation, whose interests are served
Cognifiq's cognitive instruments are deployed across social sector domains where traditional approaches consistently fail.
ACO development, value-based care transitions, FQHC operations, care coordination systems, population health management.
Financial exclusion systems mapping, credit invisibility pathways, community wealth building, banking access barriers.
Eviction prevention timing, housing stability trajectories, intervention window optimization, coordinated entry systems.
Developmental screening timing, intervention window science, family support coordination, cross-system integration.
Not dashboards that display data—cognitive infrastructure that enables bounded rationality to function in complex decision environments.
Visualize feedback loops and system dynamics. Show reinforcing and balancing cycles that drive behavior.
Map barriers against organizational capacity. Identify where high-impact meets high-viability.
Segment-specific guides showing primary pathways, binding constraints, and effective interventions.
Model intervention leverage by window position. Calculate intervenability scores and decay functions.
AIT reconceptualizes prioritization from need-based allocation to temporal optimization—determining where acting now versus later changes trajectories most.
Compared to typical 3-5% improvements from conventional financial empowerment approaches. Mason Square Financial Inclusion Initiative.
The Mason Square Financial Inclusion Initiative demonstrated what happens when you address Capital, Culture, and Craft simultaneously—rather than focusing only on economic resources.
We work with healthcare systems, community development organizations, and social sector practitioners who are ready to move beyond dashboards that display data to instruments that enable reasoning about complex systems.