Clerical-only input is no longer sufficient: Which prior assumption no longer holds?
Patient-facing accessibility routing expands the affected stakeholders, so clerical-only participation is no longer adequate.
The question
A hospital administration office used an AI tool to route routine internal records. It now proposes routing patient appointment inquiries, including accessibility needs, while clinical staff remain outside the workflow. Which prior assumption no longer holds?
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- Administrative staff still understand scheduling workflows.Administrative expertise remains relevant, but it does not cover every stakeholder and accessibility implication of the changed use.
- Clerical-only input is no longer sufficient. ✓Patient-facing routing and accessibility needs require broader stakeholder expertise than the original internal clerical workflow provided.
- The original routing records can still support performance monitoring.Historical records may remain useful, but they do not establish that the prior stakeholder and impact assumptions remain valid.
- The model can continue receiving technical maintenance from its supplier.Supplier maintenance may continue, but technical support does not address the missing clinical, accessibility, or patient perspectives.
The trap
When affected populations expand, reassess whether the original expertise and stakeholder representation remain sufficient. How to remember it
Patient-facing accessibility routing expands the affected stakeholders, so clerical-only participation is no longer adequate.
How many of these would you get right?
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