How do I use the Model? The Kypholift Risk Modeling and Quality Improvement Dashboard is designed to help you convert a common clinical reality, older adults with hyperkyphosis or supine intolerance who struggle to tolerate flat positioning, into a measurable operational and risk profile that leadership can act on. Start in the Overview and Model Inputs areas by selecting a scenario (Conservative, Moderate, Aggressive) and then confirming the three parameters that define the eligible cohort: the proportion of your scanned patients age 60 and older, the prevalence of hyperkyphosis among those older adults, and the probability of supine intolerance among hyperkyphosis patients. Next, enter or adjust annual exam volumes for MRI, CT, and PET so the dashboard reflects your organization’s scale. Then calibrate the event rates and costs that matter in your environment, including repeats due to motion or intolerance, aborted or nondiagnostic studies, falls or near-falls during positioning and transfers, pressure injuries, sedation escalation and severe sedation events, and diagnosis-related claim linkage from incomplete or nondiagnostic imaging. Finally, set channel-specific mitigation effectiveness to reflect your best estimate of how much standardized use of a purpose-built support device reduces each event type relative to improvised positioning aids. The Results section updates immediately as you edit assumptions, and the Import/Export tools let you save and reload a specific set of parameters, so your team can document exactly what was assumed in a committee review, a capital request, or a risk discussion.

What does the model tell me? The model tells you the expected loss your department carries today from inadequate positioning support, and how much of that loss is plausibly avoidable through standardization. The dashboard reports expected loss with and without the device, annual savings, net benefit after program costs, and payback time. It translates these outcomes into per-10,000-exam equivalents so leaders can compare sites with different volumes on a common scale. The modality and channel breakdowns show what is driving the financial and medico-legal exposure in your setting. If repeats and aborted exams dominate savings, the story is capacity recapture, fewer wasted slots, fewer reschedules, less overtime, and improved diagnostic actionability. If savings are dominated by falls, pressure injuries, or sedation-related tail risk, the story becomes patient safety, preventable harm reduction, reimbursement exposure, and defensibility, because you are replacing variable, non-standardized supports with a documented engineering control and an audit-ready protocol. The QI Program and Defensibility Toolkit sections then operationalize the implementation, providing a practical way to track screening, adoption, training, documentation, incident review, and outcome trends over time, so the organization can demonstrate that the intervention improved performance and reduced risk without introducing new hazards.