Narrative Performance Lab
Narrative Performance Index™
In complex provider systems, decisions rarely stall because of missing data. They stall because of ownership ambiguity, contracting friction, and institutional protection reflexes.
Your NPI read reflects how Mother of Fact’s narrative force interacts with hospital governance structures, reimbursement realities, and enterprise approval pathways.
Narrative Spectrum
Perfectionist
Precision-driven. Integrity-first positioning.
Engineer
Operational logic. Systems mechanics clarity.
Historian
Context and precedent builder.
Caretaker
Trust-centered. Mission-anchored legitimacy.
Architect
Maps complexity into bounded decisions.
Evangelist
Energy driver. Catalytic activation.
Illusionist
Future-framer. Possibility expander.
Unicorn
High coherence + velocity.
NPI Interpretation — Mother of Fact
You naturally translate medical nutrition therapy from a complex reimbursement burden into a workflow-embedded, non-disruptive service layer. That is strong Architect positioning.
Your Engineer layer reinforces credibility — reimbursement literacy, coverage navigation, operational absorption, and data protection. This builds institutional trust.
Under pressure, you lean into mission and impact — a Caretaker reflex. Powerful for clinical rooms, but enterprise governance rooms interpret that as emotional urgency, not decision containment.
The current stall is not a proof deficit. It is an ownership + enterprise signoff constraint. More validation will not accelerate approval if the adoption pathway remains undefined.
Systems Stakeholder Dynamics
Operational Absorbers
Referral Manager · Referring ClinicianThese roles feel workflow pressure first. They protect time, referral clarity, and patient ownership boundaries. Even when supportive, they pause if adoption introduces coordination ambiguity.
- Primary constraint: time pressure + workflow stubbornness
- Hidden fear: “this becomes one more thing we own”
- What moves them: referral-ready pathway + zero expansion of tasks
Infrastructure Gatekeeping
Legal · Compliance · CMO/DirectorThese stakeholders operate from institutional protection logic: data security, contracting, precedent, and accountability. Their resistance is rarely disbelief — it’s governance containment.
- Primary constraint: infrastructure risk + category duplication
- Hidden fear: “who owns this when something breaks?”
- What moves them: defined ownership + bounded entry + defensible contracting path
Informal Influence Roles
Physician champions · aligned leadersInfluence creates momentum but rarely overrides infrastructure decisions. Champions build credibility — but enterprise adoption requires synchronization with governance owners.
- Primary value: legitimacy + clinical pull
- Limit: cannot bypass contracting/security pathways
- Best use: translate “clinical yes” into enterprise alignment
4-Minute Opener — Hospital System Frame
Medical nutrition therapy is clinically valuable — and operationally burdensome. Reimbursement is inconsistent,
referral pathways are unclear, and clinicians lack time to manage it. As a result, one of the most powerful levers
in maternal health remains under-integrated.
Mother of Fact does not introduce new operational strain. We absorb the reimbursement complexity, manage coverage
navigation, and deliver virtual medical nutrition therapy in alignment with existing care teams.
This is not about adding a nutrition vendor. It’s about converting an existing clinical pain point into a stabilized,
referral-ready pathway — without adding staff, workload, or cost.
90-Second Close
The risk pattern already exists — unmanaged nutrition complexity, inconsistent referrals, preventable maternal complications.
The decision is not whether nutrition matters. The decision is whether the system wants to operationalize it
without adding internal burden.
The next step is defining ownership and responsible entry — so this becomes embedded infrastructure, not an external experiment.