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The operating intelligence layer for hospitals

Building the operating brain for hospitals.

sanalytics is building a shared operating memory that connects hospital metrics, evidence, decisions, and outcomes—so leadership can see what changed, trace the strongest signals, decide what to review next, and retain what followed.

Request a private walkthroughSee the operating loop
sanalytics
Leadership workspaceIllustrative synthetic view
Signal · Medical LOS5.8 days
+0.4 this month
Ask sanalytics

Why did medical LOS increase this month, and where should leadership investigate first?

Service-line movementDischarge timing4 evidence links
Operating ReviewDecision brief prepared
Owner
Operations leadership
Next review
2 weeks
Operating MemoryDefinitions, evidence, decisions, and outcomes stay attached.
Governed definitionsTraceable evidenceHuman-owned decisionsRetained learning

The missing operating thread

Hospitals have more operating data than ever.The context still disappears between systems.

Dashboards can show a change. The harder problem is preserving what the change meant, which evidence mattered, what leadership decided, and what happened next.

BeforeFragments everywhere
DashboardMonthly movement
SpreadsheetLocal definition
Leadership deckNarrative
Email threadDecision rationale
MeetingOwner + next step
What disappears
  • Governed definition
  • Evidence references
  • Decision rationale
  • Accountable owner
  • Measured result
AfterOne retained operating thread
Medical LOS reviewContext retained
Signal5.8 daysExpected GLOS 5.1
  1. 01

    Evidence assembledDefinitions and source references remain attached.

  2. 02

    Decision recordedOwner and two-week review interval are explicit.

  3. 03

    Outcome returnedThe next review begins with retained context.

A product story, not another dashboard

From operating signal to retained context.

Follow one leadership question as evidence assembles, an Operating Review takes shape, and the decision returns to Operating Memory.

sanalyticsOperating intelligence workspace
Illustrative synthetic product viewProduct direction
Operating MemoryContext returns
05 / 05
Context returns to Operating Memory

The next review begins with the decision, evidence, and measured follow-up intact.

Operating thread retained
Review thread 024Medical LOS operating review

A complete illustrative record of what changed, what leadership chose to review, and what the follow-up observed.

Signal
5.8d medical LOS · 5.1d expected GLOS
Evidence
E-104 · E-118 · E-127 · one caveat retained
Decision
Two-week review of pulmonary and general-medicine discharge-stage delays
Owner
VP, Hospital Operations
Measured follow-up
The delay pattern remained concentrated in the same service lines; no causal conclusion was recorded.
Next review
Reassess the observed pattern with the retained definition, evidence, and decision rationale.
Paused on Context returns.Illustrative data · No patient-level information
04The Hospital Operating Loop

Every review should leave the next one better informed.

sanalytics keeps readiness, evidence, decisions, and observed results in one operating thread—so context does not disappear when the meeting ends.

  1. Operating phase

    Prepare

    Define the question, scope approved inputs, and surface readiness before interpretation.

    1. Connect operating data

      Bring the operating question, comparison window, and approved local extracts into one review scope.

    2. Validate and define

      Confirm coverage, freshness, lineage, and definition status, then carry any gaps forward as visible caveats.

    Review outputA review-ready scope with known limitations.
    sanalyticsOperating Review
    Illustrative · synthetic data
    01Prepare
    Data Audit

    The review is ready—with one known caveat.

    Approved extracts, metric definitions, and the review window are aligned for an illustrative operating review.

    Review scopeAdult medicine · July review
    Reviewable
    Approved local extracts
    3 scoped
    Metric definitions
    6 documented
    Comparison window
    Stated
    Caveat retainedWeekend discharge-time coverage is 82%.

    This synthetic gap remains visible in every downstream view.

    Review outputA review-ready scope with known limitations.

  2. Operating phase

    Understand

    Connect an observed change to definitions and associated signals—without turning correlation into cause.

    1. Build operating memory

      Organize the metric, cohort, comparison window, definitions, and evidence into a shared operating record.

    2. Analyze and explain

      Resolve the strongest associated signals while keeping source lineage, definitions, and analytical limits attached.

    Review outputAn evidence-linked explanation, not a causal conclusion.
    sanalyticsOperating Review
    Illustrative · synthetic data
    02Understand
    Ask sanalytics

    The signal resolves into evidence-linked context.

    The answer stays bound to the synthetic review scope, its metric definition, and its limitations.

    Ask sanalytics

    What changed in medical length of stay this month?

    Evidence-bound read

    Medical LOS is 5.8 days versus 5.4. Later discharge timing and extended stays are the strongest associated signals in this synthetic review.

    Associated signals2 resolved
    • Later discharge timingLinked operational extract
    • Extended-stay case mixLinked cohort view

    Definition v1.4 attached · Association only · No causal attribution

    Review outputAn evidence-linked explanation, not a causal conclusion.

  3. Operating phase

    Act

    Frame the decision with a human owner, explicit guardrails, and a review interval.

    1. Forecast and decide

      Frame assumptions, ranges, and the operational choice leaders need to discuss without presenting a guaranteed outcome.

    2. Assign and execute

      Prepare a human-reviewed draft with an accountable owner, explicit guardrails, and a defined review interval.

    Review outputA draft executive brief for human review.
    sanalyticsOperating Review
    Illustrative · synthetic data
    03Act
    Executive brief

    Evidence becomes a human-owned decision draft.

    The illustrative brief records a decision to consider, the accountable owner, and the next review point.

    Decision for discussionReview an adult-medicine discharge-planning workflow.
    Draft
    Accountable owner
    Hospital operations leadership
    Review interval
    14 days
    Evidence
    3 links attached
    Human review required

    No action has been initiated. The brief preserves assumptions, caveats, and approval ownership for leadership review.

    Review outputA draft executive brief for human review.

  4. Operating phase

    Learn

    Compare what followed, retain the rationale, and return context to the next review.

    1. Measure results

      Record the observed result beside the baseline and expected range without claiming the decision caused it.

    2. Retain the learning

      Preserve the evidence snapshot, rationale, owner, outcome, and caveats so the context returns to the next review.

    Review outputA stronger starting point for the next operating review.
    sanalyticsOperating Review
    Illustrative · synthetic data
    04Learn
    Outcome review

    The next review begins with retained context.

    The observed result returns to Operating Memory with its baseline, rationale, evidence, and limits intact.

    Observed after review intervalMedical length of stay
    Observed
    Baseline5.8 days
    Observed5.6 days

    Directional comparison only · No causal attribution

    Returned to Operating MemoryOperating thread retained
    • Evidence snapshot
    • Decision rationale
    • Owner and outcome
    Review outputA stronger starting point for the next operating review.

One operating system

Built around the work leadership needs to understand.

A small set of connected product surfaces turns operating signals into evidence-backed reviews, action, and retained learning.

Current product anchor

Operating Review

A decision-ready brief that keeps the signal, associated contributors, evidence posture, owner, and next review together.

Executive review · LOSDraft for human review
Headline signalMedical LOS rose 0.4 days
Observed, not causal
Associated contributorsDischarge timingService-line mix
Decision requiredPrioritize the first investigationOwner · Operations leadership
Product direction · In development

Ask sanalytics

Ask an operating question and receive a structured, evidence-linked starting point—not an unconstrained answer box.

Why did medical LOS move this month?
Start with two associated patternsDischarge timing + service-line mixOne caveat remains · Human review required
01 · Metric definition02 · Trend evidence03 · Readiness note
Current · Distilled form

Data Audit

Readiness before conclusions.

Ready with caveat

Observed movement4 sources

DefinitionsAttached

Readiness1 caveat

Conclusion withheld where support is incomplete.
Product direction · In development

Forecast & Simulation

Make assumptions and ranges visible.

5.45.9 days
Baseline5.8 days
Scenario range · Not a guaranteed result
Current · Human-reviewed drafts

Execution Projects

Carry the decision into accountable follow-through.

OwnerOperations leadership
  1. Define investigation
  2. Review discharge timing
  3. Measure observed result
Next review · 2 weeks

Operating MemoryThe shared foundation beneath every product surface.

DefinitionsEvidenceDecisionsActionsOutcomes

Initial operating focus

Start where case mix, length of stay, and throughput meet.

One concrete operating question becomes the first proving ground for connected metrics, evidence, decisions, and follow-through.

Illustrative health systemSynthetic product story · Human review required
  1. 01

    Detect

    See the movement where case mix, length of stay, and throughput meet.

  2. 02

    Explain

    Organize associated patterns, evidence, definitions, and one readiness caveat.

  3. 03

    Prepare the review

    Carry the signal into a human-owned decision with an owner and next review.

Detect · Monthly movement
Weighted MS-DRG CMI1.41 → 1.46
Medical LOS5.8 days
Expected GLOS5.1 days
Explain · Associated context

Start with two patterns worth investigating.

Discharge timingLate-day discharge pattern moved with the observed LOS signal.

Service-line contextMedical service lines contributed unevenly to the movement.

Ready with one source-vintage caveat
Prepare · Operating Review

Where should leadership investigate first?

Decision
Prioritize the initial review path
Owner
Operations leadership
Follow-up
Two-week measured review
Observed associations · Not a confirmed cause

Weighted MS-DRG CMI and APR-DRG severity remain distinct analytic concepts. APR-DRG severity is separate context and is never blended into the weighted MS-DRG CMI measure.

Built for accountable operating work

Confidence comes from showing the work.

Founded by Luke Green, who began working in hospital emergency departments in high school and later became a lead scribe. sanalytics grew from seeing the same problem repeatedly: hospitals had the data, but leadership still had to reconstruct the operating story by hand.

Product development is informed by scenario-based development, private walkthroughs, and conversations with hospital executives and operators. Design-partner conversations are available.

  1. 01Governed definitions

    Metrics keep their meaning across every review.

  2. 02Deterministic first

    Structured analytics precede any generated narrative.

  3. 03Evidence + lineage

    Every explanation stays linked to its support.

  4. 04Readiness before claims

    Caveats remain visible when support is limited.

  5. 05Human decision ownership

    Leadership retains the decision and action.

sanalytics does not make autonomous clinical decisions. Product outputs are designed to support human operating judgment.

A private, scenario-based walkthrough

See what your operating data should be able to explain.

Bring a recurring leadership question. We'll show how the metrics, evidence, decisions, and next actions can remain connected.

Request a private walkthroughDiscuss a design partnership