The Decision Intelligence Layer for Healthcare
Transforming decision-making into a structured, model-based system
Healthcare systems capture data and outcomes—
but not how decisions are made.
EHRxpert reveals the Decision Intelligence Layer.
Better decisions drive better outcomes.
But decisions aren’t being measured.
We built Analyst Cognitive Stewardship™ to power this layer.
Better decisions. Better outcomes.
Built on Research. Designed for Reality.
In a Board of Pharmacy Specialties-funded study, we evaluated the impact of highly trained, board-certified pharmacists across U.S. hospitals.
The results revealed a critical gap:
While these professionals were consistently perceived as valuable – particularly in culture and process – traditional outcome metrics failed to capture that value.
Healthcare measures outcomes.
But it does not measure how decisions are made.
That gap led to the development of Analyst Cognitive Stewardship™ (ACS)—a system designed to evaluate decision-making directly.
Because better outcomes don’t start with data.
They start with better decisions.
Research & Industry Recognition
Backed by peer-reviewed research and industry recognition.
BPS Seed Grant Recipient (2021) (View Announcement)
Analyst Cognitive Stewardship™ (ACS)
The system powering the Decision Intelligence Layer-designed to evaluate how decisions are made under complexity and real-world pressure.
The Decision Intelligence Layer sits between system architecture and human reasoning—where decisions are actually made
Modern healthcare systems generate vast amounts of data—but decision performance still breaks down at the workflow level.
The EHRxpert Intelligence Stack shows how data, meaning, context, and logic must align to support clinical decision-making. At the center of this system is ACS—the engine that evaluates decision-making at the point where human reasoning meets system design.
Most systems optimize data and logic.
EHRxpert focuses on how professionals think within those systems.
“[the ACS report] presented the information and logic in a much more organized fashion than my response was.”
Griffin Blanford—Past Client
“In complex systems, performance is shaped long before outcomes appear.”
— Adam Moss
Let’s turn your goals into decision performance.



