Deep dive — chart 1
Chart 1 — rolling mean triage-severity by patient group
The chart your Chief Medical Officer should look at first. Where the silent H3 divergence begins, in one visual.
7-day rolling mean ED-triage severity score per patient group over the 90-day audit period. H3 divergence begins Day 44 and never recovers.
What you are looking at
- X-axis: Day 1 through Day 90 of the audit period
- Y-axis: 7-day rolling mean of the AI's severity score (0-100 scale)
- Each line: one patient group (H1 = young low-comorbidity, H2 = middle-aged moderate-comorbidity, H3 = elderly multimorbid, H4 = pediatric, H5 = obstetric)
- Baseline window: the first 30 days establishes what "normal" looks like per patient group
What the eye sees
Four patient groups stay roughly parallel across the 90 days. One patient group — H3 — drops. The drop begins around Day 44, and it does not recover. The line separates from the pack.
This is the pattern a physician-in-the-room instinctively recognizes: something in the H3 stream changed, and the AI is scoring it as less severe than baseline. The 30-percentage-point-lane-shift follow-on is the operational consequence.
What the sensor fires on
The sensor is not looking at the eye's pattern. It is running four quantitative thresholds against each 7-day window per patient group:
- Mean-shift: is the 7-day mean > 1.5 standard deviations from baseline mean?
- Variance-ratio: is the 7-day variance > 1.5x baseline variance?
- KL-divergence: is the shape divergence between baseline and current distribution > 0.2?
- Group-differential: is the max cross-group shift > 12%?
Day 44 fires H3 KL-divergence 2.108 (10x the threshold). The pattern the eye sees is the pattern the sensor quantifies.
What regulators care about
Regulators do not read charts — they read attestations. But when an attestation is challenged, the chart is the exhibit. HHS OCR investigators, CMS surveyors, Joint Commission RCA teams, state AG investigators, and plaintiff's expert witnesses all understand the "one patient group drops silently" pattern instantly.
The chart also tells the counterfactual story: had this monitoring been in place operationally, the drift window would have been ~7-14 days rather than 45+.
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