Break the Constraint. Scale the Flow.
We architect Unrefusable Offers and operational velocity for organizations that are tired of incremental growth. Serving Healthcare, MedTech, and Embedded Systems.
No comprehensive decks. Decision-ready artifacts instead of reports.
No scope creep. Fixed fees, clear deliverables, explicit timelines.
No dependency. Building your capability, not ours.
What's your primary challenge?
Select the issue that's consuming the most leadership bandwidth
We fix the systems
that others just "manage."
From saving IPOs to re-architecting hospital labor relations, we apply the Theory of Constraints to break the bottlenecks that money and staffing can't solve.
The $4.8M IPO Standoff
The Crisis: A key client (Cabletron) demanded a software update that didn't exist. Refusal meant a $4.8M return that would derail our IPO. Compliance meant an engineering mutiny.
The Breakthrough: Using the Evaporating Cloud, we challenged the core assumption that the new software required the old, bloated framework. We stripped the framework and shipped the solution in 36 hours.
Strip it out. Run standalone.
The Post-Acute Care Plan (PACP)
The Problem: 25% of hospital days are avoidable, costing billions. Hospitals try to fix this with "better discharge planning," but they are solving the wrong problem.
Our Solution: We treat discharge delays as an input quality problem. The PACP Protocol captures legal, financial, and preference data before admission, transforming discharge from crisis management to coordinated execution.
Read the Concept Paper →Structural Labor Conflict Analysis
The Problem: Wage hikes aren't fixing nurse burnout. We analyzed 10 WA State CBAs and identified 4 "Universal Conflicts" (like Break Rights vs. Patient Continuity) that place nurses in impossible situations.
Our Solution: We help health systems differentiate not by paying more, but by resolving these structural contradictions, offering a workplace where fundamental dilemmas are evaporated, not just monetized.
View the Analysis →A Different Way Forward
We focus on decision-making processes and organizational capability—not comprehensive reports that gather dust.
Flow Dynamics & Throughput
Accelerate Patient Flow & Slash Length of Stay
Identify the hidden constraints in your patient pathway. We help you unlock inpatient capacity and eliminate ED boarding without adding staff.
Market Offer Architecture
Direct-to-Employer Contracting & Network Integrity
Stop competing on commoditized rates. We design 'Unrefusable Offers' for local employers that bypass insurance friction and secure volume.
Synchronization & Alignment
Unify ED, Inpatient, and Discharge Teams
Eliminate the friction between departments. We align clinical and operational incentives so the entire hospital moves as one synchronized system.
In their own words
I brought John Sambrook onto a risky and highly political project that had far-reaching consequences within our company. As the second software engineer on the team, me being the first, John found solutions to difficult problems, problems I could not have solved without him, thwarting doom over and over again. He produced documentation and code at a professional level I have rarely seen elsewhere in my thirty years of software engineering. The project was so successful, the team was spun off as its own company, which now employs 700 people.
Common Sense Systems delivered exactly what my business needed — clarity, efficiency and some real traction. Their AI-powered tools did so much more than just 'optimize' my workflow — they turned the whole way I operate on its head and gave me a completely new rhythm to day-to-day ops. Lead management got a whole lot tighter, a load of time-wasting tasks vanished overnight and for the first time decision making was actually backed up by data rather than just guesswork. What really stood out was how down-to-earth their approach was — none of that fluff, or over-selling — just a sensible system that actually works and a team that can really make AI count for real business. Within a couple of weeks I saved hours on admin and got a constant flow of genuine quality leads coming through the door. If you're serious about taking your business to the next level, sorting out your operations or just getting some of your time back, Common Sense Systems is certainly worth a look. They actually do what they say they will, which is a lot more than most AI companies can say.
Ready to Move Forward?
Start with a conversation. No pitch, no obligation. Just a practical discussion about what's actually blocking progress.
Serving hospitals, health systems, and healthcare organizations across Washington State