War-game a rehab length target by proving each stay lane has a named owner, a measured age-out, and a reverse path before draft clocks start governing every rehab claim.
Rehab length targets fail when "ready for discharge" means a status without a decision artifact, when teams dual-count a draft stay clock as both aspirational and live, and when high-acuity discipline families still pin to one thin coordinator because the lane inventory is incomplete. The review needs one written inventory of stay lanes, one owner who can deny a risky shortcut, and a documented consequence when a failed stay ages past the deadline.
State the target in writing
State which rehab classes the target covers, the effective date, which stay lanes change, how versions are stored, and what happens to patients already in flight. Name the units that feel it first and the care promises that depend on coherent length handling. If the memo mixes a rehab length target with an outpatient therapy backlog and a home health hand-off, split them.
Write the decision you will make if the war game finds nothing new. Also write the reverse criteria: the missed lane, placement gap, or patient deadline that would force a rehab length rollback within a stated window.
Break points to rehearse
- A high-acuity discipline stays soft while the aggregate length dashboard stays green.
- Two teams claim the same lane ownership and neither can force a freeze at week end.
- A restore has already left a case without a trusted rehab state.
- The primary length export lags beyond the planned observation window.
- An operator skips a length gate because a payer cutoff is near.
For each break point, require detection time, placement impact, containment, and the authority to force a rehab length rollback. Commands and export links belong in the runbook.
Adversarial passes on the stays
Feed Pingpong the length memo, the lane exhibits, and seating briefs for therapy ops, utilization review, care management, and quality. First pass steelmans the target. Later passes attack from those seats. Final pass turns surviving objections into phased lane rules, mitigations, or a changed recommendation. Agreement across passes is not proof. Keep the objections that still have evidence gaps.
Pair with the therapy ops lead seat, an outpatient therapy backlog stress test, a home health hand-off, and a length of stay target. More operating decisions live in the war-game decisions hub.
Ship the target only when approved and blocked stay labels can be reproduced from stored rehab exports without a verbal override.