Readiness · two-clock engine

Discharge readiness clock

Scrub time — requirements instantiate as data arrives (knowledge clock) and come due on their own deadlines (duty clock). Everything recomputes live; nothing is stored.

h0since admit

ADT 0h · A01 admit · CHF exacerbation coded

Est. discharge

—

EDD not set yet

Parameters ready

0/8

12 pending derivation

Binding constraint

Eligibility verified in real time (270/271); benefit detail parsed

Fin. counselor · slack +4h

MedicalFunctionalMedicationDecisionalCaregiver & HomeCoverageRegulatoryPreparedness

Duty rail

by slack — most urgent first

Eligibility verified in real time (270/271); benefit detail parsedHARD

Fin. counseloropenevery dischargephase ①

+4h

start by 3.5h

Discharge medication reconciliation completeHARD

Pharmacistopenevery dischargephase ①

+20h

start by 20h

Discharge-planning assessment completed (CoP early identification)HARD

Case manageropenevery dischargephase ①

+28h

start by 1d 4h

SDOH screen complete (PRAPARE / AHC-HRSN)SOFT

SW/CHWopenevery dischargephase ①

+46h

start by 1d 22h

Important Message (IM) delivered within 2 days of admissionHARD

CM + HIMopenMedicare / MA beneficiaryphase ①

+48h

start by 1d 23.5h

Discharge-stability criteria met for each active problem (vitals, labs, O₂ at baseline)HARD

Attendingopenevery dischargephase —

On track

Diagnosis + what-happens-next explained; teach-back verifiedSOFT

Primary RNopenevery dischargephase —

On track

After-visit summary in plain language at correct literacy levelSOFT

Primary RNopenevery dischargephase —

On track

+ 12 requirements pending derivation — can't be evaluated until an assessment closes or the disposition resolves.

Destination ladder

fulfillment · externally confirmed

D1Referral sent

D2Accepted

D3Bed dated

D4Auth matched

D5Transport

D6DME / O₂

D7Follow-up

Accepted ≠ dated: the ladder stops at D2 until a bed gets a date.

Phase cards

the airline model — items by window

①$1 · C5 · CM · R1 · Rx1

—E1 · E3 · M1

Engine: src/lib/readiness · timeline: src/lib/mock/timeline.ts · pure readinessAt(t), unit-tested against these beats. Agent outputs in the timeline are scripted (no live AI in this view).