You’re running an entire service line on last year’s data and institutional memory.
Ava opens with the public record on your program: your procedure volumes, and where you stand among the programs in your market. Then she tells you the truth about the problem underneath the one you brought her.
BUILD NOTE · Hero headline kept word for word (8/2 direction: hero = keep). Subhead rewritten for 5.0. Promises public record, not freshness. Prairie claims data vintage: 2023.A real session. Volumes from public CMS claims data, 2023. Prairie Cardiovascular appears with its agreement.
SLOT · Shot 1 FILLED (2026-10-21). Prairie Cardiovascular mic-drop · desktop 1440x900 + phone 390x844 · MP4 + WebM + poster. Prairie permission confirmed by Kristin + Joe 2026-10-21.Verbatim, from real sessions
Ava reframes the question one level down, connects symptoms you’d filed separately, and tells you things others never would, including when the answer is no.
“That’s a governance problem wearing a timing costume.”She reframes
“Referring offices don’t complain. They quietly reroute.”She names the root cause
“Improving your business case gets you closer to the line. It doesn’t change where the line is.”She levels down
She reads the record before you say a word.
Ava works your program through six lenses. One of them she can read from the public record before you arrive. The other five only you can answer, and those are the ones she asks about.
From the public record
Infrastructure
Whether what you’ve already built can carry what you’re about to add.
- TAVR procedures
- 154
- PCI procedures (single-vessel)
- 684
- Transthoracic echo
- 7,604
- Position in Springfield metro
- #1 of 3 in PCI
Prairie Cardiovascular · public CMS claims data, 2023
Only you can tell her
The other five
- GovernanceWhether your program can actually make a call and hold it.
- CapitalWhether you can win the money, not whether the money exists.
- AdoptionWhether your team has room for one more change, not just appetite for it.
- Barrier intensityWhich obstacles are load-bearing, and which only feel that way.
- Solution fitWhether what you have, and who you’ve partnered with, matches what you’re actually trying to do.
What the record doesn’t hold, she asks you for.
Prairie ledger filled from live dossier-summary API 2026-10-21. Values typeset (not screenshot).What leaves with you.
When the conversation warrants it, Ava turns it into your Cardio OS Operating Plan, a document you can take into the room.
Operator Readiness Score
A benchmarked 0–100 score showing where your program stands against peers across all six dimensions.
Domain Analysis
Where you’re strong, where you’re exposed, and how far each sits from the programs you’re measured against.
30/60/90-Day Roadmap
Sequenced by dependency, not urgency, so the work that unblocks everything else comes first.
The right partner, or the honest word that there isn’t one.
Where a partner is a genuine fit for what you’re facing, she names one and offers the introduction. Where none exists, she says so, and tells you what to do from the inside instead.
“a structural intervention, not an incremental improvement”From a real readiness profile
Partner-request email went live 10/20 · Sam, Joe, Kristin walk each intro by hand. Don’t promise a speed.
Watch a full session
One question, worked through to a plan.
A service-line leader brings Ava a real problem. This is the whole session, edited to under three minutes, from the first question to a scored assessment and a plan.
Play the session 2:50GATE · Full session carries Kristin’s name + facility. Needs her OK before public. Section CUT if OK not landed by Wed.Built for the person the decision lands on.
Service line directors, cardiovascular administrators, physician and APP leaders: the people every strategic call runs through. Ava is the peer you can think out loud with before it becomes a decision. The questions you want to discuss with your CMO, your CFO, or your own physicians, asked and pressure-tested first.
The next hard call is already on your desk.
Talk it through with someone who’ll tell you the truth.
Ask Ava