Narrative Performance Lab
Narrative Performance Index™
Your narrative carries urgency and lived experience. You lead with the gap — and the human cost of delay. In payer, foundation, and state environments, decisions do not stall because of disbelief. They stall because of budget containment, precedent, and process timing.
Narrative Spectrum
Perfectionist
Defensibility through rigor.
Engineer
Mechanics and operational clarity.
Historian
Precedent and institutional memory.
Caretaker
Trust-centered and mission-driven.
Architect
Defines ownership and system fit.
Evangelist
Urgency and moral clarity.
Illusionist
Future possibility builder.
Unicorn
Coherence + momentum.
NPI Interpretation — Eye Care for Michigan
You open with urgency: patients losing vision, preventable harm, avoidable emergency utilization. That is Evangelist force — it moves rooms emotionally.
Your secondary strength is structural. You have payer partnerships, grant momentum, public recognition, and a deployment model that expands from a single hub. That’s Architect posture — infrastructure, not an experiment.
Under pressure, you lean into mission and lived experience. That builds trust — but budget review rooms need that urgency translated into predictability, repeatable unit economics, and a defensible scaling model.
The stall pattern is not doubt in your work. It is process containment — committees protecting precedent and fiscal timelines.
Systems Stakeholder Dynamics
Core Authority Roles
CEO · HMO Committees · Senate AppropriationsAuthority is procedural. Even aligned leaders must move through fiscal cycles and committee votes.
- Primary constraint: budget process + precedent
- Hidden fear: setting an unsustainable funding expectation
- What moves them: contained scaling model + predictable cost curve
Financial / Precedent Roles
Foundations · Grant CommitteesThey protect funding integrity. They need proof that scale improves efficiency — not just reach.
- Primary constraint: sustainability beyond grant cycle
- Hidden fear: mission expansion without operating leverage
- What moves them: unit economics + repeatable deployment logic
Operational Absorbers
Clinical Ops · Mobile Unit TeamsExpansion must not stretch clinical reliability. Internal politics can surface when growth outpaces staffing clarity.
- Primary value: mission alignment
- Limit: scaling too quickly without structural cushion
- Best use: phased growth with measurable cost decline
4-Minute Opener — Budget & Precedent Frame
Michigan’s homebound population is growing — and the traditional clinic model does not reach them. Vision loss accelerates falls, medication errors, cognitive decline, and avoidable emergency utilization.
Eye Care for Michigan brings comprehensive optometry directly to patients’ homes. This is not a pilot concept. It is an operating model with payer partnerships and infrastructure investment.
The question is not whether access matters. The question is whether we continue absorbing downstream costs of avoidable vision loss — or operationalize a model that reaches patients before crisis.
90-Second Close
Every expansion conversation comes down to sustainability and precedent.
The next step is not proving the mission again. It is aligning on a contained deployment model: defined geography, defined payer alignment, defined cost curve.
When scale reduces cost per patient while increasing reach, expansion becomes fiscal logic — not charity.