Wild Wisdom product walkthrough: the decision, the patient, the provider, the operator, the executive

Operators start with the decision in front of them. One row per open decision, each scoped to one treatment line at one primary location, and each showing what it is waiting on. A decision that cannot yet be answered — no stated capacity ceiling, fewer than twelve complete baseline weeks — says so, rather than being given a provisional reading to keep a dashboard looking full.

The Constraint Brief examines the same three explanations against the same operating period: Demand, Conversion and Deliverable Capacity. It does not assume which one is responsible.

Sometimes the most useful finding is that a suspected constraint is not actually binding. That can stop an operator from spending against the wrong problem.

Every brief shows what the evidence supports, what it does not establish, and what would have to change for the conclusion to change.

A test follows only where the read warrants one. Where demand or deliverable capacity binds, the output is a decision and no intervention: nothing is switched on, and the investigation has still answered the question it was bought to answer. Where too few eligible consultations or too short a window cannot separate the candidates, the output is insufficient evidence, stated as such.

Before the consultation, the patient opens a link to their Decision Room. It asks three things and recommends nothing: what they hope for, what is making the decision hard (one main reason and sometimes a second, from a fixed set of eight), and how confident they feel about deciding, from 1 to 7. Then, where the engagement has switched it on, a two-minute Decision Story chosen for the concern they named, with a quick check afterwards.

After the consultation the room shows what the provider recorded, and nothing about treatment appears until the provider has written it down. Where enabled, Outcome Confidence shows three relevant treatment journeys over time with their variation left in, and asks how clear the road ahead feels before and after. Then the same confidence question as at the start, what is still in the way, one flexible appointment if six conditions hold, and a decision.

The clinician’s consultation page shows what the patient said, in the patient’s words, and one form. The recommendation is written by the clinician, attributed to them, submitted once, and from then on part of the record. The patient sees it as Clinical Sincerity: the recommendation, the reason, what the clinician would not do, and why not.

The clinician determines clinical appropriateness. Wild Wisdom shows the recommendation; it does not write it, score it or change it. Clinicians can also review the outcome evidence patients are shown and record real, consented journeys into the library under visible relevance rules.

Every room is an append-only, signed record: who did what, when, and what was triggered in response. Read across a cohort, the operator console shows conversion anatomy (where people fall out, each step read on the cohort old enough to have reached it), friction anatomy (what the people who did not book said was still in the way), intervention exposure and what followed, booked and completed minutes against a stated or derived ceiling, and what the decision in front of the clinic still commits in cash it can avoid.

Each reading names a different decision. The reasoning is set out in why medspa patients don’t book after the consultation.

A scoped investigation runs against a reconciled baseline of at least twelve complete weeks from the clinic’s own records. Where a test is warranted and two variants are compared, the assignment mechanism is recorded before anything is shown and rendered as what it actually is — fixed, alternating or randomised — never described generically. The sample below ran randomised, from a seed sealed in advance. Six integrity checks run over every room: a module shown that the variant did not permit, a permitted module never triggered, an event carrying another engagement’s reference, a second assignment, Flex considered before a recommendation, a room without a sealed enrolment.

At the close the executive is handed a decision record, not a report: the constraint and the constraints ruled out, the reasoning, the evidence and its provenance, what the investigation does not settle, what would change the conclusion, the retest trigger, and one decision — continue, change or stop. Sample sizes come first, differences are described rather than tested, no variant is ranked above another, and no claim of causation is made. The decision is still stated.