Public reference · Coalition agenda
Illustrative public reference—not client work or a results claim.
A Washington healthspan evidence-to-action working agenda.
A neutral format for moving one consequential prevention or healthspan problem from fragmented perspectives to a source-bounded decision and an accountable 90-day action.
The invitation
Bring a decision, barrier, or emerging mandate.
The working group begins with a decision that one or more institutions could actually make. It does not presume consensus, affiliation, endorsement, funding, or a coalition position. Participation and views are recorded precisely.
Working question template
What must [named decision owner] know, decide, or change by [date] to move [specific population or system problem] toward [bounded health, function, resilience, capability, or healthy-life objective] while controlling [material risk or uncertainty]?
| Time | Working block | Required contribution | Recorded output |
|---|---|---|---|
| 0–10 min | Decision and scope | Decision owner states the choice, deadline, affected population, authority, and consequence of delay. | One-sentence decision statement; in-scope and out-of-scope questions. |
| 10–25 min | Source facts | Evidence lead presents the strongest relevant sources, designs, dates, populations, outcomes, uncertainty, and conflicts. | Fact register with source links and verification dates. |
| 25–40 min | Perspectives and impacts | Patients, clinicians, operators, payers, policymakers, researchers, and developers identify different burdens, benefits, and failure modes. | Stakeholder-impact map; unresolved differences remain visible. |
| 40–55 min | Barrier diagnosis | Participants distinguish evidence, policy, workflow, infrastructure, economic, access, trust, and capacity barriers. | Ranked barrier register with one owner per barrier. |
| 55–70 min | Options and safeguards | Group tests at least three paths, including a smaller test, a defer/stop option, and safeguards for burden, access, equity, privacy, and safety. | Options table with assumptions, dependencies, and stop criteria. |
| 70–82 min | Decision | Authorized owner records proceed, conditionally proceed, defer, stop, or request specified evidence. | Decision, rationale, dissents, conditions, and review trigger. |
| 82–90 min | 90-day action | Named owners accept the smallest deliverables needed for the next decision. | Action, owner, due date, proof of completion, and public/private status. |
Participant functions
Include the roles the decision affects.
Lived experience and care
Patients, caregivers, communities, clinicians, and health-system operators define meaningful outcomes, burden, access, workflow, and safety.
Evidence and authority
Researchers, measurement experts, regulators, policymakers, and payers distinguish evidence from policy, guidance, coverage, and payment.
Delivery and scale
Technology and care-model developers, employers, funders, conveners, and public-interest organizations surface implementation capacity and incentives.
Representation rule: A participant speaks for an institution only when that authority is explicit. Attendance is not endorsement. Absence is not opposition. Areas of agreement, disagreement, uncertainty, and recusal remain separate.
Pre-read: two pages
- Decision, owner, deadline, and population.
- Five strongest source records with dates.
- What each source supports—and does not.
- Known barriers, dependencies, and affected groups.
- Conflicts, relationships, rights, and material unknowns.
Public record: one page
- Purpose and scope.
- Participants and represented roles.
- Sources and verification dates.
- Decision, rationale, conditions, and dissents.
- Action owners, dates, and next review trigger.
90-day action contract
Convert discussion into inspectable work.
- Outcome sought
- A decision-relevant change, not an activity count.
- Action owner
- One named role with authority and capacity.
- Evidence of completion
- A source, agreement, test result, implementation record, or documented decision.
- Safeguards
- Risk, burden, accessibility, equity, privacy, security, and clinical escalation requirements.
- Stop or adapt criteria
- Conditions that require the work to pause or change.
- Public claim
- Only what the record supports; no implied consensus, partnership, result, or impact.