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NEXUS / Field guide

Automate the handoff, not the hype.

The first useful automation is usually one visible point where work waits, gets copied, or loses its owner. Define that job before choosing a tool.

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Start where a customer or teammate is waiting.

A fast reply is only valuable if the right person receives the request and the next step is recorded. Trace one inquiry, approval, or delivery from arrival to completion. Mark where it stalls, which data must be checked, and what an error would cost.

Do not make “use AI” the requirement. A plain routing rule may solve the problem. When judgment is needed, use assistance with a named reviewer. When systems must act together, require permissions, monitoring, and a recovery path.

Choose the smallest reliable mechanism

Three jobs that should not be sold as one.

  1. 01

    A rule will do

    A form arrives, a required field is missing, and a named person receives a task to complete it.

    Use deterministic routing when the input and decision can be specified. It is easier to test and explain than a model-generated decision.

  2. 02

    A person needs a draft

    An inquiry contains a long, unstructured description that someone must summarize before replying.

    AI may prepare a summary or suggested response. A person checks facts, tone, permissions, and the final message before it is sent.

  3. 03

    Several systems must agree

    An accepted request should become a tracked job, notify its owner, and surface a missed handoff.

    Document source systems, allowed actions, retries, exception queues, and the rollback path. Do not grant a workflow authority it does not need.

A pilot you can judge

Five things to put in the brief.

Ask every provider to show what happens when the happy path breaks. The scope should say who notices, who acts, and how the original record is recovered.

  1. One event

    Choose a real trigger: an inquiry, approval, document arrival, or completed job. Name where it enters and who owns it.

  2. One baseline

    Count volume, time to first action, handoff misses, rework, and the cost of errors before changing the process.

  3. One boundary

    List data the system may read, actions it may take, decisions a person must make, and what happens when information is missing.

  4. One test set

    Try normal cases, duplicates, bad data, late arrivals, and a failed downstream system before any live handoff.

  5. One owner

    Assign a person to review exceptions, inspect outcomes, correct rules, and decide whether the pilot expands or stops.

Before you expand

Prove the work moved safely.

Compare the pilot with its baseline: completed handoffs, time to owner, correction rate, missed requests, and human review time. Count exceptions, not only successful runs. If the cost or risk rises, change or stop the workflow.

For AI-assisted steps, test inaccurate summaries and fabricated details before anyone relies on an output. The NIST AI Risk Management Framework describes govern, map, measure, and manage functions; its generative-AI profile discusses confidently wrong outputs. These are voluntary risk resources, not a LUCA certification or a promise of compliance.

Product truth

A workflow plan is not a product-access promise.

NEXUS Workflows is planned, not available for customer use. We can discuss the business process, data boundaries, and a possible scoped engagement, but this guide does not offer an active Workflows account, an automatic integration, a guaranteed saving, or an implementation date. Any service, product access, price, and responsibility belong in a written scope.

Bring us one stuck handoff.

Tell us what starts it, where it waits, who must decide, and what systems are involved. Do not include patient records, payment details, or credentials in a website inquiry.