HIGH INTEGRITY BASIN MODEL

High-Integrity Basin Model — Shared Burden, Not Exported Burden¶

Version: 0.1 · Cycle: C-369 · Status: PROPOSED

Use case¶

Document MIC as a possible recognition layer for shared-burden coordination — not as reward for shifting cost elsewhere.

Example flow¶

Hospital A overloaded
Hospital B has capacity but lacks capability
        ↓
EPICON-backed coordination proposal
        ↓
staff, equipment, protocols, and patient scope defined
        ↓
outcomes measured
        ↓
burden and stabilization verified
        ↓
possible MIC recognition (quorum + human — never automatic)

MIC must not reward¶

• Patient dumping or transfer volume for its own sake
• Avoiding costly patients
• Hiding staffing failures
• Worsening outcomes elsewhere
• Local score improvement at basin expense

Canonical rule¶

MIC recognizes resolved imbalance and responsibly shared burden — not exported burden.