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HORUS Intelligence

Decision Twin

Simulate the decision before you make it

Stochastic programming on your real operational data: 7 agents run DES + Monte-Carlo over bed logs, OR costing and claims facts to de-risk capacity, staffing, supply and scheme decisions. Outputs are population-level only — the device line is a hard invariant.

horus — decision twin · initiative workbench
DemandCapacityWorkforceSupplyReimb.QualityCompliance7 agents · DES + Monte-Carlo

Open step-down unit (12→10 beds, budget-capped)

optimized

Renegotiate NHSO scheme — denial rate 18%→9%

4 sign-offs pending

In-source blood supply — 3 scenario runs

decided

HITL gate · 4 sign-offs release optimized → decided

COO ✓Service Lead ✓Finance ✓Clinical Director…

Capabilities

7 agents: Demand, Capacity, Workforce, Supply, Reimbursement, Quality, Compliance

Initiative Workbench (Capture → Analyze → Model → Guide) + Portfolio Command

4-role HITL gate releases optimized → decided — the SaMD firewall

Calibrated by live twin_metric_* RPCs; fail-soft to seed with isLive badge

Rule-row constraints: budget caps prune recommendations (12 beds → 10)

Inside the twin

Distributions, not point estimates

Every initiative runs as thousands of discrete-event + Monte-Carlo simulations on your live operational data. The twin shows you the spread of outcomes — and the gate that turns a run into a decision.

horus — twin · Monte-Carlo · peak ICU demand
10,000 SIMULATED RUNS · next 30 days P50 28 beds P95 36 beds
capacity 38

Distribution of outcomes, not a point estimate. The capacity line sits above P95 — the step-down plan holds at the 95th-percentile surge. Calibrated by live twin_metric_* RPCs.

horus — twin · capacity forecast · 12-week
DEMAND FORECAST vs STAFFED CAPACITY demand capacity
10203040breach risk

Forecast mean with 90% band. Week-8 demand crosses staffed beds — the Workforce agent proposes a roster shift before the breach, not after.

horus — twin · scenario comparison
Value Cost Risk
Open 12-bed step-downoptimized
Value92
Cost64
Risk38
Outsource overflow to networkcandidate
Value71
Cost40
Risk55
Do nothing (baseline)rejected
Value28
Cost12
Risk86

Every option scored on the same axes. Budget-cap rule rows prune infeasible runs (12 beds → 10) — the twin never recommends what the rule engine forbids.

horus — twin · 7-agent simulation pipeline
7 agents · DES + Monte-Carlo
Demand
Capacity
Workforce
Supply
Reimbursement
Quality
Compliance
stochastic optimizer
4-role HITL gate · SaMD firewall
COOsigned ✓
Service Leadsigned ✓
Financesigned ✓
Clinical Directorpending…

optimized → decided

LLM writes commentary, never decides a number

See Decision Twin on your workflows

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