01 / BROADEN ACCESS
The relationship mix changed.
Expanded access has to be understood alongside concentration and referral quality. The source reports these changes together without assigning a controlled causal effect.
REPORTED REFERRAL CONCENTRATION
- Physician relationships
- 40+
- Institutional & community channels
- 15+
The concentration denominator and measurement dates are not supplied. No intermediate observations are invented.
02 / MAKE THE HANDOFF EXECUTABLE
Readiness had to travel with the referral.
Documentation, payer coordination, clinical acceptance, and facility readiness entered the same operating cadence.
- 01Referral sources
- 02Documentation + payer
- 03Clinical acceptance
- 04Facility readiness
- 05Treatment begins
−32%Referral-cycle time
+64%Acceptance improvement
+25%Throughput increase
Reported changes across the operating system. Acceptance improvement is not an acceptance rate. No numeric lift is attributed to an individual handoff.
03 / CONNECT GROWTH TO TREATMENT
The network was the unit of work.
The operating record connects the scale of the network, time to treatment, and annualized referral economics.
01020304050607080910111213
- Facilities
- 13
- Dialysis stations
- 348
−4.2 daysReported change in intake-to-treatment time
$44M+Annualized referral-revenue engine
Facility markers show count only, not geography or utilization. Revenue is self-reported annualized referral economics, not separately audited incremental revenue. The time change is not a final treatment duration.
04 / EXTEND THE OPERATING PERIMETER
Upstream access. Downstream readiness.
The work extended beyond referral development into testing-access collaboration and the operating response to a payment transition already described in the source.
REPORTED COLLABORATION
Renalytix / NYKHM
2,000+Patients in the testing-access scope for kidneyintelX.dkd
REPORTED READINESS WORK
One operating cadence.
Sourcing, billing, and patient access coordinated around the 2025 oral-only phosphate-binder payment transition.
Test a connected operating decision Testing access is not a count of completed tests or a measured clinical benefit. No quantified outcome is supplied for the readiness work.