Following Council Directive 72/3-B, the Health Optimization Bureau implemented Triage Efficiency Protocol 3.1 (TEP-3.1), designed to align limited care resources with measurable long-term value outcomes. The initiative aimed to replace traditional urgency-based triage with a dynamic benefit-cost algorithm calibrated to population-level efficiencies.

  Under the new system, patient assessments were no longer based on condition severity or immediacy, but on an Impact Yield Score (IYS). The score incorporated projected productivity, resource burden, personal compliance history, and social contribution index. All patients received automated queue positions based on their IYS percentile.

  To improve transparency, waiting areas displayed real-time projections. Some patients were scheduled for deferred care windows up to 19 months in the future. One patient was granted expedited rescheduling after a job promotion increased their IYS tier.

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  Complaints of pain or deterioration were acknowledged but classified as Non-Critical Emotional Feedback. Appeals were routed to the Bureau of Patient Perspective Analysis (BPPA), whose backlog is currently in review.

  In Phase II, End-of-Life Optimization Guidelines were released, recommending natural expiration in cases where treatment-to-benefit ratios fell below Council-prescribed thresholds. Medical personnel were instructed to provide Reassurance Interventions in place of traditional palliative care.

  Average facility throughput increased by 42%. Cost-per-outcome decreased by 37%. Public sentiment decreased by 84%. The system was labeled “statistically successful.”

  A review of long-term IYS projection stability has been postponed due to resource allocation constraints.

  Status: Ongoing

  Complaints: Acknowledged

  Pain: Noted