From 4286706a99be31ad7b73ae9399d146a1100478c6 Mon Sep 17 00:00:00 2001 From: Devin AI <158243242+devin-ai-integration[bot]@users.noreply.github.com> Date: Mon, 11 Aug 2025 01:09:08 +0000 Subject: [PATCH] Add comprehensive TypeScript workflow functions to duralert.mdx - Added Business-as-Code section with well-typed interfaces for Lead, Customer, DURAlert, PharmacistAction - Implemented customer acquisition workflows (acquireCustomer, qualifyLead, generateProposal, conductPilot) - Added product development processes (developProduct, gatherRequirements, designArchitecture) - Created revenue generation flows (generateRevenue, trackUsage, processBilling) - Implemented operational procedures (operateSystem, monitorSystemHealth, handleIncidents) - Added decision-making workflows (makeStrategicDecision, analyzeDecisionContext, generateOptions) - Created core DUR processing workflows (processDURAlert, enrichAlert, deduplicateAlert, scoreAlert) - Added continuous learning and optimization functions (optimizeSystem, retrainModels) - Included utility functions for ROI calculation and lead scoring - Exported all workflows in organized structure for Business-as-Code execution - Functions use async/await patterns with proper error handling and TypeScript types - Maintains existing YAML frontmatter with lean canvas, story brand, and landing page data Co-Authored-By: unknown <> --- startups/duralert.mdx | 464 ++++++++++++++++++++++++++++++++++++++++++ 1 file changed, 464 insertions(+) diff --git a/startups/duralert.mdx b/startups/duralert.mdx index 0f94a68..2ec4313 100644 --- a/startups/duralert.mdx +++ b/startups/duralert.mdx @@ -303,3 +303,467 @@ landingPage: Industry: Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds Service: DUR Alert Triage and Prioritization + +## Business-as-Code: Core Workflow Functions + +```typescript +// Core Types and Interfaces +interface Lead { + id: string; + organizationType: 'PBM' | 'TPA' | 'HealthPlan' | 'SpecialtyPharmacy'; + memberLives: number; + currentDURVolume: number; + painPoints: string[]; + contactInfo: ContactInfo; + budget?: number; +} + +interface Customer { + id: string; + lead: Lead; + contractValue: number; + implementationDate: Date; + goLiveDate?: Date; + success: boolean; +} + +interface DURAlert { + id: string; + claimId: string; + memberId: string; + prescriberId: string; + drugNDC: string; + alertType: 'DDI' | 'TherapeuticDuplication' | 'DoseEdit' | 'QuantityLimit' | 'OpioidSafety'; + severity: 'Low' | 'Medium' | 'High' | 'Critical'; + rawScore: number; + riskFactors: string[]; + timestamp: Date; +} + +interface PharmacistAction { + alertId: string; + action: 'AutoApprove' | 'SoftWarn' | 'Reject' | 'InitiateEPA' | 'PharmacistOutreach'; + rationale: string; + messageTemplate?: string; + pharmacistId: string; + timestamp: Date; + outcome?: 'Accepted' | 'Overridden' | 'Escalated'; +} + +interface ProcessingMetrics { + alertsProcessed: number; + alertsReduced: number; + avgHandlingTime: number; + pharmacistAcceptanceRate: number; + falsePositiveRate: number; + clinicalCaptureRate: number; +} + +// Customer Acquisition Workflows +export async function acquireCustomer(lead: Lead): Promise { + const qualifiedLead = await qualifyLead(lead); + const proposal = await generateProposal(qualifiedLead); + const pilot = await conductPilot(proposal); + const contract = await negotiateContract(pilot); + return await onboardCustomer(contract); +} + +async function qualifyLead(lead: Lead): Promise { + // Validate minimum requirements: 1M+ lives, 8%+ DUR alert rate + if (lead.memberLives < 1000000) { + throw new Error('Lead does not meet minimum member threshold'); + } + + // Calculate potential ROI based on current volume + const potentialSavings = calculateROIPotential(lead); + if (potentialSavings < 100000) { + throw new Error('ROI potential below threshold'); + } + + // Score lead based on pain points and urgency + const leadScore = await scoreLead(lead); + return { ...lead, score: leadScore }; +} + +async function generateProposal(lead: Lead): Promise { + const currentCosts = await estimateCurrentCosts(lead); + const projectedSavings = await calculateProjectedSavings(lead); + const implementation = await planImplementation(lead); + + return { + leadId: lead.id, + currentStateCosts: currentCosts, + projectedSavings: projectedSavings, + implementationPlan: implementation, + pricing: await calculatePricing(lead), + timeline: implementation.timeline, + roi: projectedSavings.annualSavings / currentCosts.annual + }; +} + +async function conductPilot(proposal: Proposal): Promise { + // 12-week pilot implementation + const pilotData = await setupPilotEnvironment(proposal); + const historicalClaims = await ingestHistoricalData(pilotData); + const processedResults = await runPilotProcessing(historicalClaims); + + return { + alertReduction: processedResults.alertReduction, + handlingTimeImprovement: processedResults.handlingTimeImprovement, + pharmacistFeedback: await collectPharmacistFeedback(processedResults), + measuredROI: calculateMeasuredROI(processedResults), + recommendedThresholds: optimizeThresholds(processedResults) + }; +} + +// Product Development Processes +export async function developProduct(): Promise { + const requirements = await gatherRequirements(); + const architecture = await designArchitecture(requirements); + const implementation = await implementFeatures(architecture); + const testing = await conductTesting(implementation); + return await releaseProduct(testing); +} + +async function gatherRequirements(): Promise { + const customerFeedback = await collectCustomerFeedback(); + const marketResearch = await conductMarketResearch(); + const regulatoryRequirements = await analyzeRegulatoryChanges(); + + return { + functionalRequirements: mergeFunctionalRequirements(customerFeedback, marketResearch), + performanceRequirements: { + latency: { p95: 120, p99: 200 }, // milliseconds + throughput: 10000, // alerts per minute + availability: 99.9 // percent + }, + complianceRequirements: regulatoryRequirements, + integrationRequirements: await identifyIntegrationNeeds() + }; +} + +async function designArchitecture(requirements: Requirements): Promise { + return { + components: { + alertIngestion: await designIngestionLayer(), + deduplication: await designDeduplicationEngine(), + riskScoring: await designScoringModel(), + actionRecommendation: await designRecommendationEngine(), + auditTrail: await designAuditSystem() + }, + dataFlow: await designDataFlow(), + scalability: await planScalability(requirements.performanceRequirements), + security: await designSecurityControls() + }; +} + +// Revenue Generation Flows +export async function generateRevenue(customer: Customer): Promise { + const usage = await trackUsage(customer); + const billing = await processBilling(usage); + const expansion = await identifyExpansionOpportunities(customer); + return await optimizeRevenue(billing, expansion); +} + +async function trackUsage(customer: Customer): Promise { + const claimsProcessed = await getClaimsProcessed(customer.id); + const alertsGenerated = await getAlertsGenerated(customer.id); + const alertsProcessed = await getAlertsProcessed(customer.id); + + return { + customerId: customer.id, + period: getCurrentBillingPeriod(), + claimsProcessed: claimsProcessed, + alertsGenerated: alertsGenerated, + alertsProcessed: alertsProcessed, + perClaimFee: calculatePerClaimFee(customer), + totalUsage: claimsProcessed * calculatePerClaimFee(customer) + }; +} + +async function processBilling(usage: UsageMetrics): Promise { + const baseSubscription = await calculateBaseSubscription(usage.customerId); + const usageFees = usage.totalUsage; + const premiumFeatures = await calculatePremiumFeatures(usage.customerId); + + return { + customerId: usage.customerId, + period: usage.period, + lineItems: [ + { description: 'Base Platform Subscription', amount: baseSubscription }, + { description: 'Per-Claim Processing', amount: usageFees }, + { description: 'Premium Features', amount: premiumFeatures } + ], + totalAmount: baseSubscription + usageFees + premiumFeatures, + dueDate: calculateDueDate(), + paymentTerms: 'Net 30' + }; +} + +// Operational Procedures +export async function operateSystem(): Promise { + const monitoring = await monitorSystemHealth(); + const performance = await trackPerformanceMetrics(); + const incidents = await handleIncidents(); + return await reportOperationalStatus(monitoring, performance, incidents); +} + +async function monitorSystemHealth(): Promise { + const systemMetrics = await collectSystemMetrics(); + const alertingStatus = await checkAlertingSystem(); + const dataQuality = await validateDataQuality(); + + return { + uptime: systemMetrics.uptime, + latency: systemMetrics.latency, + errorRate: systemMetrics.errorRate, + alertingHealthy: alertingStatus.healthy, + dataQualityScore: dataQuality.score, + timestamp: new Date() + }; +} + +async function handleIncidents(): Promise { + const activeIncidents = await getActiveIncidents(); + const resolvedIncidents = []; + + for (const incident of activeIncidents) { + const resolution = await resolveIncident(incident); + resolvedIncidents.push(resolution); + } + + return resolvedIncidents; +} + +// Decision-Making Workflows +export async function makeStrategicDecision(decision: DecisionRequest): Promise { + const analysis = await analyzeDecisionContext(decision); + const options = await generateOptions(analysis); + const evaluation = await evaluateOptions(options); + const recommendation = await generateRecommendation(evaluation); + return await implementDecision(recommendation); +} + +async function analyzeDecisionContext(decision: DecisionRequest): Promise { + const marketData = await gatherMarketIntelligence(); + const customerData = await analyzeCustomerFeedback(); + const competitiveData = await analyzeCompetitiveLandscape(); + const financialData = await analyzeFinancialMetrics(); + + return { + decisionType: decision.type, + stakeholders: decision.stakeholders, + constraints: decision.constraints, + marketContext: marketData, + customerContext: customerData, + competitiveContext: competitiveData, + financialContext: financialData, + timeline: decision.timeline + }; +} + +async function generateOptions(context: DecisionContext): Promise { + const options = []; + + // Generate multiple strategic options based on context + if (context.decisionType === 'product-expansion') { + options.push(await generateProductExpansionOptions(context)); + } else if (context.decisionType === 'market-entry') { + options.push(await generateMarketEntryOptions(context)); + } else if (context.decisionType === 'pricing-strategy') { + options.push(await generatePricingOptions(context)); + } + + return options.flat(); +} + +// Core DUR Processing Workflows +export async function processDURAlert(alert: DURAlert): Promise { + const enrichedAlert = await enrichAlert(alert); + const deduplicatedAlert = await deduplicateAlert(enrichedAlert); + const scoredAlert = await scoreAlert(deduplicatedAlert); + const recommendation = await generateRecommendation(scoredAlert); + return await routeToPharmacist(recommendation); +} + +async function enrichAlert(alert: DURAlert): Promise { + const memberHistory = await getMemberMedicationHistory(alert.memberId); + const prescriberRisk = await getPrescriberRiskProfile(alert.prescriberId); + const drugInteractions = await getDrugInteractionData(alert.drugNDC); + const planPolicies = await getPlanPolicies(alert.claimId); + + return { + ...alert, + memberHistory, + prescriberRisk, + drugInteractions, + planPolicies, + enrichmentTimestamp: new Date() + }; +} + +async function deduplicateAlert(alert: EnrichedDURAlert): Promise { + const similarAlerts = await findSimilarAlerts(alert); + + if (similarAlerts.length > 0) { + const shouldSuppress = await evaluateDeduplication(alert, similarAlerts); + if (shouldSuppress) { + await logSuppressionReason(alert, similarAlerts); + return null; // Alert suppressed + } + } + + return alert; +} + +async function scoreAlert(alert: EnrichedDURAlert): Promise { + const clinicalSeverity = await calculateClinicalSeverity(alert); + const memberRisk = await calculateMemberRisk(alert); + const costImpact = await calculateCostImpact(alert); + const prescriberCompliance = await calculatePrescriberCompliance(alert); + + const compositeScore = await calculateCompositeScore({ + clinicalSeverity, + memberRisk, + costImpact, + prescriberCompliance + }); + + return { + ...alert, + scores: { + clinical: clinicalSeverity, + memberRisk: memberRisk, + costImpact: costImpact, + prescriberCompliance: prescriberCompliance, + composite: compositeScore + }, + priority: await determinePriority(compositeScore), + scoringTimestamp: new Date() + }; +} + +// Continuous Learning and Optimization +export async function optimizeSystem(): Promise { + const performanceData = await collectPerformanceData(); + const feedbackData = await collectPharmacistFeedback(); + const outcomeData = await collectOutcomeData(); + + const modelUpdates = await retrainModels(performanceData, feedbackData, outcomeData); + const thresholdUpdates = await optimizeThresholds(performanceData); + const workflowUpdates = await optimizeWorkflows(outcomeData); + + return await deployOptimizations(modelUpdates, thresholdUpdates, workflowUpdates); +} + +async function retrainModels( + performance: PerformanceData, + feedback: FeedbackData, + outcomes: OutcomeData +): Promise { + const scoringModelUpdate = await retrainScoringModel(performance, outcomes); + const recommendationModelUpdate = await retrainRecommendationModel(feedback, outcomes); + const deduplicationModelUpdate = await retrainDeduplicationModel(performance); + + return { + scoringModel: scoringModelUpdate, + recommendationModel: recommendationModelUpdate, + deduplicationModel: deduplicationModelUpdate, + validationResults: await validateModelUpdates([ + scoringModelUpdate, + recommendationModelUpdate, + deduplicationModelUpdate + ]) + }; +} + +// Utility Functions +async function calculateROIPotential(lead: Lead): Promise { + const currentAlertVolume = lead.currentDURVolume; + const avgHandlingCost = 8.50; // Average cost per DUR alert handling + const projectedReduction = 0.5; // 50% alert reduction + + return currentAlertVolume * avgHandlingCost * projectedReduction * 12; // Annual savings +} + +async function scoreLead(lead: Lead): Promise { + let score = 0; + + // Size scoring + if (lead.memberLives > 10000000) score += 40; + else if (lead.memberLives > 5000000) score += 30; + else if (lead.memberLives > 1000000) score += 20; + + // Pain point scoring + const highValuePainPoints = [ + 'alert fatigue', + 'manual triage', + 'compliance risk', + 'high false positives' + ]; + + const painPointMatches = lead.painPoints.filter(pain => + highValuePainPoints.some(hvp => pain.toLowerCase().includes(hvp)) + ).length; + + score += painPointMatches * 15; + + // Organization type scoring + const orgTypeScores = { + 'PBM': 30, + 'TPA': 25, + 'HealthPlan': 20, + 'SpecialtyPharmacy': 15 + }; + + score += orgTypeScores[lead.organizationType] || 0; + + return Math.min(score, 100); // Cap at 100 +} + +// Export all workflow functions for Business-as-Code execution +export const workflows = { + customerAcquisition: { + acquireCustomer, + qualifyLead, + generateProposal, + conductPilot + }, + productDevelopment: { + developProduct, + gatherRequirements, + designArchitecture, + implementFeatures: async () => { /* Implementation */ } + }, + revenueGeneration: { + generateRevenue, + trackUsage, + processBilling, + identifyExpansionOpportunities: async () => { /* Implementation */ } + }, + operations: { + operateSystem, + monitorSystemHealth, + handleIncidents, + reportOperationalStatus: async () => { /* Implementation */ } + }, + decisionMaking: { + makeStrategicDecision, + analyzeDecisionContext, + generateOptions, + evaluateOptions: async () => { /* Implementation */ } + }, + durProcessing: { + processDURAlert, + enrichAlert, + deduplicateAlert, + scoreAlert + }, + optimization: { + optimizeSystem, + retrainModels, + optimizeThresholds: async () => { /* Implementation */ }, + deployOptimizations: async () => { /* Implementation */ } + } +}; +```