Methodology Library — KeyAxis™

Protocol

Account Scoring — the composite Priority Score

Every institutional account is scored on four dimensions of the ACCESS Method™. The composite Priority Score governs which accounts enter the JBP sequence and which go to a monitored watchlist.

Methodology update

Access-rule revision applied across all subscribing organizations. Authored by the founder. Every subscribing team receives the current method, never a frozen snapshot.

The four scoring dimensions

1. Access Difficulty — institutional friction to formulary or purchasing addition. Higher friction = lower score.
2. Purchasing Model — public vs. private, tender-governed vs. contract-governed, GPO exposure.
3. Therapeutic Fit — clinical indication overlap with the account's treated population.
4. Influence Weight — the account's downstream weight on peer institutions in the corridor.

Composite formula

Priority = 0.30 × Fit
         + 0.25 × Influence
         + 0.25 × (100 − Difficulty)
         + 0.20 × Purchasing

Version history

v4.2
2026-06-28
Access-rule revision: institutional formulary-committee cadence weighting increased.
v4.1
2026-04-14
Tender readiness checklist extended for state-level institutional buyers.
v4.0
2026-01-09
Specialty-Program Designer economics module aligned with 21% first-year benchmark.
v3.6
2025-10-02
JBP Studio sequence hardened — Sign-off step is now non-skippable.
v3.5
2025-07-21
Priority Score composite reweighted toward Influence Weight for IDNs.
v3.4
2025-04-18
Weekly-review governance agenda formalized in Performance Cockpit.
v3.3
2025-01-30
Payer touchpoint account type introduced in Account Intelligence Engine.
v3.2
2024-10-11
Hub-coordination map added to Specialty-Program Designer.