War-game an IDG meeting rewrite by proving each agenda lane has a named owner, a measured age-out, and a reverse path before draft clocks start governing every interdisciplinary case.
IDG meeting rewrites fail when "updated" means a status without a decision artifact, when teams dual-count a draft agenda as both aspirational and live, and when high-acuity case families still pin to one thin facilitator because the lane inventory is incomplete. The review needs one written inventory of agenda lanes, one owner who can deny a risky shortcut, and a documented consequence when a failed rewrite ages past the deadline.
State the rewrite in writing
State which case classes the rewrite covers, the effective date, which agenda lanes change, how versions are stored, and what happens to patients already in flight. Name the disciplines that feel it first and the care promises that depend on coherent IDG handling. If the memo mixes an IDG meeting rewrite with a census cap review and a bereavement caseload spike, split them.
Write the decision you will make if the war game finds nothing new. Also write the reverse criteria: the missed lane, attendance gap, or patient deadline that would force an IDG meeting rewrite rollback within a stated window.
Break points to rehearse
- A high-acuity case class stays soft while the aggregate IDG 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 agenda state.
- The primary IDG export lags beyond the planned observation window.
- An operator skips an agenda gate because a documentation cutoff is near.
For each break point, require detection time, discipline impact, containment, and the authority to force an IDG meeting rewrite rollback. Commands and export links belong in the runbook.
Adversarial passes on the agendas
Feed Pingpong the rewrite memo, the lane exhibits, and seating briefs for hospice ops, nursing, social work, and medical direction. First pass steelmans the rewrite. 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 hospice ops lead seat, a census cap review, a bereavement caseload spike stress test, and a rehospitalization ladder. More operating decisions live in the war-game decisions hub.
Ship the rewrite only when approved and blocked agenda labels can be reproduced from stored IDG exports without a verbal override.