Research program · 130 proposed investigations · 12 clusters · compiled

The KPSGILL Research Program

What the written rule says, against how the decision is actually made

One hundred and thirty investigations this institute intends to run, each stated as a question a public record can answer. Every item is proposed work, not a finding.

Compiled by Kanwar Partap Singh Gill, MD · compiled

The premise

This institute has spent its first phase building horizontal coverage: a policy library, standing regulatory trackers, an enforcement ledger, a legislation desk, living dossiers, a relationship graph and an event timeline. That work continues. It is no longer where the greatest unmet need is.

The next frontier is empirical institutional analysis: take public records that already exist but are effectively impossible for an ordinary reader — or an ordinary physician — to synthesise, structure them into datasets, and ask the questions the issuing bodies do not answer about their own output.

Another hundred explanatory essays would describe the machinery more thoroughly. They would not tell a physician what the machinery actually does.

Also on this page: the project that starts first · the twelve clusters · what public records can and cannot support · sequence · the point of view · how an item becomes a dataset

Every item below is written as a question with a lifecycle state of PROPOSED. None is a finding. Proposed routes appear as plain text rather than links, because an address that does not yet serve a page has no business looking like a destination. Items are numbered as they were proposed, so the program can be discussed by number.

The project that starts first

California Medical Discipline Observatory — what physicians are accused of, what the evidence establishes, what consequence is imposed, and on what stated reasoning. Its first dataset is California alcohol-related physician discipline.

The research question

Why can an apparently similar off-duty alcohol-related event result in a public reprimand for one California physician and years of monitored probation for another?

The observatory does not open with the claim that discipline is arbitrary. That proposition is not established by the public record, and it is not the interesting question. The published disciplinary guidelines set out recommended ranges; actual dispositions in comparable-looking matters can sit well below those ranges, and published administrative decisions sometimes say why — elapsed time, absence of a demonstrated pattern, abstinence, treatment, no diagnosed disorder, and public protection rather than punishment as the stated object. That is not evidence of favouritism. It is evidence that a guideline range does not mechanically determine an outcome, and that what reaches the decision-maker may matter more than the label on the charge.

What each record codes
  • Code the charge selection
  • Code the facts the decision-maker found
  • Code representation and procedural route
  • Code the evidence that reached the decision-maker
  • Code the reasoning given for any departure from the published range
  • Code the final action and its burden
Guardrails
  • No named individual outcome published from a secondary summary
  • Every record verified against the issuing body’s published document
  • Allegation distinguished from finding in every field
  • No correlation reported as cause

If, after controlling for charge selection, findings, representation, procedural route and the evidence actually presented, unexplained divergence remains, this institute will say so and show the working. If instead the divergence is explained by developed rehabilitation evidence, expert testimony and contested adjudication, that is the more consequential finding: the nominal range tells only part of the story, and the practical outcome depends on what the decision-maker was given. The codebook is published: what counts as a case, which document governs each field, and what the numbers are permitted to mean. Related published analysis: the standard of proof, how the hearings work, the proposed decision, why a complaint is not a finding.

The program

130 proposed investigations in 12 clusters. Rendered from the program record, which is the system of record for this page.

Medical discipline observatory

What the Board actually does when comparable cases reach disposition — as distinct from what the machinery says it will do.

001

Medical Board decisions observatory PROPOSED

Structured records for every publicly available California final decision: identity, procedural route, conduct category, clinical nexus, aggravation, mitigation, outcome, probation burden.

002

Sanction variation project PROPOSED

Why can an apparently similar off-duty alcohol-related event produce a public reprimand for one California physician and years of monitored probation for another?

003

One conduct, different penalties PROPOSED

Within a single conduct category, which factual, procedural and evidentiary variables track the difference in outcome?

004

Penalty lab: guideline versus disposition PROPOSED

For each violation, the published guideline range, the actual disposition, the size of any departure, and the reason the decision-maker gave for it.

005

ALJ decision laboratory PROPOSED

Across the health boards at the Office of Administrative Hearings: which mitigating and aggravating factors do administrative law judges repeatedly credit?

006

Board versus ALJ observatory PROPOSED

How much deference does a board actually give its administrative judges — adopted unchanged, sanction increased, sanction reduced, findings changed, non-adopted?

007

Defence variables observatory PROPOSED

Do publicly observable factors — representation, contested hearing versus stipulation, expert and treating-clinician evidence, documented rehabilitation — track departures from the default range?

008

Charging discretion PROPOSED

Complaint, investigation, referral, accusation, amendment, settlement demand, hearing: how do charging choices change the penalty that becomes available?

009

The impairment allegation PROPOSED

How does an alcohol-related matter charged as a conviction alone differ in consequence from the same matter charged with an impairment or practice-under-influence count?

010

Mitigation that is actually credited PROPOSED

Every mitigating factor expressly credited in a final decision, extracted and counted rather than assumed.

011

Aggravation that changes the outcome PROPOSED

The mirror project: which aggravating findings recur in the decisions that end in revocation or actual suspension?

012

Probation is not one penalty PROPOSED

Nominal sanction versus real-world burden: obligations, testing, monitors, practice restrictions, disclosure, duration, cost.

013

Discipline cost observatory PROPOSED

Investigation and enforcement costs requested and awarded, by offence and by procedural path.

014

Rehabilitation versus punishment PROPOSED

When a regulator invokes public protection, what prospective risk has actually been demonstrated?

015

Proportionality across professions PROPOSED

For comparable off-duty conduct, how does physician discipline compare with lawyers, nurses, dentists, pharmacists and psychologists?

016

Fifty-state discipline atlas PROPOSED

One hypothetical set of facts, fifty licensing systems: burden of proof, tribunal, penalty guidelines, impairment rules, disclosure, judicial review.

017

Board transparency index PROPOSED

Not due process — visibility. What can the public actually see: accusations, complete decisions, proposed decisions, votes, recusals, historical records, bulk data?

018

Digital permanence of discipline PROPOSED

A sanction has three lives: the legal order, the licensing record, and the search result. When the statute says a record comes down, does the internet agree?

019

Decision search PROPOSED

A structured search over public decisions: conduct plus outcome plus reasoning, rather than a list of PDFs.

020

Precedent without precedent PROPOSED

Administrative decisions are largely non-precedential, yet penalty custom develops. Where does custom substitute for rule?

Discretion, decision rights and the administrative state

Where written law ends and institutional judgement begins.

021

Who actually decides PROPOSED

Decision-rights maps for formulary, privileges, prior authorisation, licensure, residency selection, certification, closure, device clearance, guidelines, payment and scope.

022

Discretion institute PROPOSED

Prosecutorial, regulatory, credentialing, medical-necessity, program-selection, certification and enforcement discretion, studied as one subject.

023

Health administrative state observatory PROPOSED

Notice and comment, guidance, enforcement discretion, adjudication, deference after the recent doctrinal shifts, appointments, emergency authority.

024

Licensing and the constitution PROPOSED

Property and liberty interests in a licence, procedural and substantive due process, compelled speech, vagueness, retroactivity, subpoena authority.

025

Employee and licensee at once PROPOSED

The employed physician answers to employer, board, medical staff, payer, federal programs, carrier and certifying body. Where do those masters conflict?

052

Settlement pressure PROPOSED

What rights are waived, and what record survives, when a contested hearing is traded for a stipulation?

053

Public-protection evidence project PROPOSED

A standing method: whenever public protection is invoked, ask what risk was demonstrated and how.

054

Risk versus punishment PROPOSED

Do sanctions correlate with any measured probability of recurrence or patient harm?

055

Institutional power atlas PROPOSED

For each institution: who appoints, who funds, who can overrule, who audits, who sues, and who hears the appeal.

056

Revolving door register PROPOSED

Documented transitions between regulators, agencies, systems and payers. Movement recorded; motive not imputed.

Professional standing and the career cascade

How one event propagates through institutions that never speak to each other.

026

Whistleblower intelligence PROPOSED

False Claims Act actions, state protections, retaliation, patient-safety reporting, peer-review retaliation, compliance channels.

027

Medical staff democracy PROPOSED

Do organised medical staffs retain independent governance — bylaws, elections, executive-committee authority, governing-body override, exclusive contracts?

028

Bylaw library PROPOSED

Publicly available medical-staff bylaws compared on hearing rights, summary suspension, automatic relinquishment, conduct policies and panel composition.

029

NPDB consequence observatory PROPOSED

What a report actually does downstream: credentialing question, payer question, licensing disclosure, employment consequence, underwriting.

030

Credentialing exclusion filters PROPOSED

The screens applied before anyone reads an application: years since training, certification, claims history, gaps, probation, visa, volume.

031

Career fragility map PROPOSED

One event traced through every institution that will eventually ask about it.

032

Regulatory cascade observatory PROPOSED

Criminal court, board, hospital, federal data bank, payer, employer, carrier, immigration authority, other states — from a single fact.

033

Reputation and due process PROPOSED

Publication of accusations, arrests, peer-review outcomes and discipline, and the distance between accusation and adjudication.

037

Convictions and the professional map PROPOSED

Arrest through prosecution, mandatory reporting, board investigation, institutional reporting, credentialing and immigration consequence — as system mechanics.

038

Rehabilitation institute PROPOSED

How health regulation treats past addiction, mental illness, disability, conviction and prior discipline. When has enough rehabilitation been shown?

039

Second-chance licensing PROPOSED

State-by-state treatment of the rehabilitated clinician.

040

Ageing and cognitive screening PROPOSED

Age-based screening, competency testing, institutional policy, disability law, and the evidence for the tests being used.

041

Professionalism observatory PROPOSED

Who defines professionalism, and what process attaches to standards written as adjectives?

042

Off-duty conduct and medicine PROPOSED

When does private life legitimately become professional regulation — across conviction, speech, domestic dispute, accusation, recorded conduct and financial conduct?

043

Viral governance PROPOSED

Institutional due process under reputational pressure: what happens to process when the audience arrives first.

044

Physician speech PROPOSED

Scientific disagreement, misinformation statutes, employer restrictions, testimony, advocacy, and the First Amendment questions underneath.

098

Portability after discipline PROPOSED

What happens to a physician disciplined in one state who applies in another.

099

Compact consequence PROPOSED

How discipline propagates through interstate licensure compacts.

Evidence, expertise and the record

Who gets to say what happened, and on what basis.

034

Malpractice outcome analysis PROPOSED

Specialty, allegation, injury, standard-of-care issue, disposition where public, and the damages framework — structured, not advertised.

035

Guidelines in litigation PROPOSED

Where clinical guidelines become evidence, argument, safe harbour or cross-examination material.

036

Medicine and criminal law PROPOSED

Prescribing prosecutions, fraud, controlled substances, death prosecutions, certification and documentation offences.

045

The complaint economy PROPOSED

Who may complain, anonymously or not, across boards, peer review, grievances, payers and hotlines — and what a complaint sets in motion.

046

Anonymous allegation and due process PROPOSED

When can an anonymous allegation carry serious professional consequence?

047

Expert accountability PROPOSED

Qualification, conflicts, specialty matching, compensation, review standards and accountability for erroneous opinion.

048

The consultant system PROPOSED

Reviewer availability, standards, conflicts, timeliness, disagreement and anonymity in agency clinical review.

Delay, cost and access to administrative justice

Process that is nominally available and practically out of reach.

049

Board delay observatory PROPOSED

Complaint to investigation to accusation to hearing to decision, by case type. Delay is itself a consequence.

050

Administrative justice delay index PROPOSED

The same measurement across licensing boards.

051

Cost recovery observatory PROPOSED

Whether cost recovery discourages the exercise of hearing rights.

Rulemaking, influence and who wrote the rule

Tracing authorship of rules that are presented as authorless.

057

Society influence observatory PROPOSED

Positions taken by professional, hospital, payer and consumer organisations, compared with the outcome.

058

Who wrote the rule PROPOSED

Statute, agency draft, comments received, final text — showing which recommendations survived.

059

Comment-letter influence PROPOSED

Recurring institutional positions across major federal and state rulemakings.

060

California power map PROPOSED

Who regulates whom: executive, legislature, consumer affairs, the health departments, insurance regulators, the Attorney General, systems, plans, societies, unions, counties and capital.

121

The hidden corporations PROPOSED

Who is actually paid when a patient sees a doctor.

122

Contracting laboratory PROPOSED

Publicly available payer, hospital and government contracts, read as instruments of control.

California places and the safety net

Where policy meets a county line.

061

County health governance PROPOSED

Fifty-eight counties: hospitals, behavioural health, public health, jails, emergency services, Medi-Cal delivery, indigent care.

062

Safety-net systems observatory PROPOSED

Health centres, county systems, rural clinics and public hospitals: governance, funding, workforce, access.

063

Health-centre governance PROPOSED

Federal grant conditions, board composition requirements, liability coverage, drug pricing, payment methodology and clinical authority.

064

Drug-discount programme observatory PROPOSED

Covered entities, contract pharmacies, manufacturer disputes, litigation, and the patient-benefit question.

065

Nonprofit hospital accountability PROPOSED

Exemption against community benefit, executive pay, charity care, pricing, collections and service closure.

066

Compensation and community benefit PROPOSED

Public filings read side by side.

067

Charity-care observatory PROPOSED

What hospitals promise against what they provide.

068

Facility fee atlas PROPOSED

The same billed service, mapped by site of care and ownership.

069

Debt collection atlas PROPOSED

Which systems sue patients, under which written policy.

Coverage, payers and middlemen

The layer patients are billed by and cannot see.

070

Appeals outcome database PROPOSED

Denial, appeal, external review, reversal — wherever public data permit the comparison.

071

Medical necessity criteria library PROPOSED

Published payer criteria for the same service, compared.

072

Payer policy change tracker PROPOSED

Clinical policy updates that function as regulation without rulemaking.

073

Prior authorisation burden PROPOSED

By drug and by procedure, concretely.

074

Formulary churn tracker PROPOSED

Which medicines change tier or exclusion, and when.

075

Benefit-manager ownership graph PROPOSED

Manufacturer, benefit manager, insurer, pharmacy and specialty pharmacy in one diagram.

076

Practice acquisition tracker PROPOSED

Independent practices, acquired.

077

Exit tracker PROPOSED

Who buys the asset five years later.

078

Corporate structure library PROPOSED

Publicly documented professional-corporation architectures, read against the corporate-practice doctrine.

079

Management agreement clauses PROPOSED

Control terms exposed in public litigation.

080

Bankruptcy aftermath PROPOSED

Wages, continuity of care, contracts, asset sales, ownership, licences and closures after a filing.

118

Medication access journey PROPOSED

Prescription, pharmacy, formulary, authorisation, benefit manager, denial, appeal.

119

Why this costs so much PROPOSED

Imaging, emergency visit, insulin, ambulance, admission, specialty drug, laboratory — each payment layer named.

120

Middlemen atlas PROPOSED

Benefit managers, administrators, purchasing organisations, clearinghouses and utilisation vendors.

Facilities, closures and delegated care

Where services stop existing, and who is responsible when the state contracts them out.

081

Service-line closure atlas PROPOSED

Obstetrics, behavioural health, trauma, paediatrics, dialysis, oncology.

082

Maternity desert dynamics PROPOSED

Why obstetric units close while demand persists.

083

Emergency boarding dashboard PROPOSED

Where state data allow the measurement.

084

Response and diversion PROPOSED

Emergency response and hospital diversion as local policy.

085

Correctional contractor database PROPOSED

Contracts, jurisdictions, ownership, litigation, findings, accreditation and enforcement history.

086

Deaths in custody registry PROPOSED

Structured and source-driven. Causation never inferred from sequence.

087

Jail healthcare contract library PROPOSED

Staffing requirements, penalties, indemnification, quality metrics and mortality review.

088

Delegated clinical function PROPOSED

What happens when the state contracts out clinical judgement but keeps constitutional responsibility.

The training pipeline and physician immigration

Four datasets the institute has already named as missing.

089

Residency visa transparency database PROPOSED

Programme, specialty, sponsorship, examination and graduation cutoffs, experience requirements, with a source date on every field.

090

Programme transparency index PROPOSED

Not a quality ranking. A disclosure ranking.

091

Opportunity database PROPOSED

Verified electives, observerships and research positions, with eligibility, fees and sponsorship. No paid listings.

092

Application waste calculator PROPOSED

Applications submitted to programmes whose own published screen excludes the applicant.

093

Filtering observatory PROPOSED

Which filters remove an applicant before any holistic review occurs.

094

Training money map PROPOSED

Who finances residency, and through which appropriation.

095

Slot expansion tracker PROPOSED

Which states and institutions are actually creating positions.

096

Visa workforce map PROPOSED

Waiver physicians by geography, where public data permit.

097

Alternative licensure tracker PROPOSED

Fifty-state legislation and implementation for internationally trained physicians.

Machine decisions, devices and evidence integrity

Accountability for systems that produce clinical text and coverage outcomes.

100

Incident registry PROPOSED

Documented healthcare failures: bias, fabricated text, erroneous denial, diagnostic error, security, model drift. Documented cases only.

101

Clinical provenance project PROPOSED

Who generated the text, who edited it, who adopted it, and who bears the consequence.

102

Scribe contract observatory PROPOSED

Vendor terms on data use, retention, training, privacy, indemnification and physician attestation.

103

The device boundary PROPOSED

Systems inside device regulation and systems outside it.

104

Algorithmic coverage registry PROPOSED

Public action and litigation involving automated coverage decisions.

105

Evidence quality scorecard PROPOSED

Prospective validation, external validation, trial evidence, post-market monitoring, subgroup analysis.

106

Device failure timeline PROPOSED

Clearance, signal, recall, litigation.

107

Warning-letter network PROPOSED

Company histories and recurring findings.

108

Trial noncompliance registry PROPOSED

Sponsor and institution patterns in results reporting.

109

Retraction tracker PROPOSED

High-impact clinical retractions and their guideline consequences.

110

Evidence lag observatory PROPOSED

Evidence to guideline to coverage to practice, measured in years.

111

Guideline politics PROPOSED

Conflicts, panel composition, evidence quality and strength of recommendation.

112

Consensus evolution PROPOSED

Where clinical consensus reversed, and what the reversal cost.

113

What medicine got wrong PROPOSED

Abandoned procedures, withdrawn medicines, reversed screening, and the policy that followed each.

Safety, harm and administrative injury

Harm that arrives through paperwork rather than through medicine.

114

Regulatory failure case studies PROPOSED

Signal, missed opportunity, harm, investigation, reform.

115

Never-event transparency PROPOSED

Where data permit publication.

116

Diagnostic delay observatory PROPOSED

System failure rather than individual fault.

117

Referral failure observatory PROPOSED

Where coordination structurally breaks.

123

Medical economics for physicians PROPOSED

Relative value units, conversion factors, capitation, shared savings, risk adjustment, facility fees and payment groupings, explained.

124

Productivity surveillance PROPOSED

How employers measure physicians, and what the measurement changes.

125

Metric gaming observatory PROPOSED

Documented incentives to improve the measure rather than the care.

126

Small practice survival PROPOSED

Reimbursement, security costs, credentialing, authorisation, records, malpractice, staffing, rent, compliance.

127

Independence versus consolidation PROPOSED

The economic comparison, done honestly.

128

The cost of being a physician PROPOSED

Training, licensure, registration, certification, education, malpractice, credentialing, dues.

129

Patient time as cost PROPOSED

Travel, waiting, authorisation, referral delay, appeals, paperwork.

130

Administrative harm PROPOSED

Harm arising from delay, denial, paperwork, credentialing error, network error, automated decision and regulatory lag.

What public records can and cannot support

Empirical work on institutional output is only as honest as its account of what the record leaves out. Six limits apply to almost every dataset in this program, and each one has to be stated on the face of the dataset rather than discovered by a reader later.

The denominator is usually missing

Published decisions are the visible end of a funnel whose earlier stages are not published. Complaints closed without action, investigations that go nowhere and accusations withdrawn before hearing are largely invisible. A count of outcomes is not a rate of anything until the denominator is identified or the absence of one is declared. This is the single most common defect in published enforcement analysis, and it has its own analysis on this site.

Settlement makes the reasoning disappear

A stipulated resolution can produce an order without findings, without evidence and without an explanation of why the sanction landed where it did. Datasets that read only reasoning-bearing documents will over-represent contested matters, which are systematically different from settled ones.

Selection runs in both directions

The matters that reach a hearing are selected by the parties’ own assessments of risk. A physician with strong evidence may be more willing to contest; an agency with a strong case may be less willing to settle. Any association between contesting and outcome is therefore contaminated by the decision to contest.

Coding is interpretation

“Quality of care”, “dishonesty” and “boundary violation” are categories imposed on documents that were not written to be coded. Every frame in this program publishes its coding rules, and every ambiguous record is recorded as ambiguous rather than forced.

Absence of precedent is not absence of pattern

Administrative decisions are largely non-precedential. Patterns still form, but they form as institutional custom, which means a pattern is a description of behaviour and never an entitlement a later respondent can claim.

Correlation will be reported as correlation

Where a variable travels with an outcome, the dataset says so in those terms. This program will not report an association as a cause, and will not describe a departure from a guideline as favouritism without evidence of the mechanism. Enforcement data need context is the standing statement of that discipline.

None of this is a reason not to do the work. It is the reason the work has to be done carefully rather than quickly, and it is why an item stays a question on this page until its record set can carry an answer. A dataset that cannot state its own limits is not evidence; it is decoration with numbers on it.

Sequence

The order is not arbitrary. Four criteria decide what gets built first: whether the primary records exist in publishable form today, whether the question has a reader who is currently unserved, whether the dataset compounds — that is, whether later work can be built on top of it — and whether the subject is one where this institute’s existing published corpus already supplies the doctrinal groundwork.

First

The discipline observatory

Records exist, are public, and are almost unusable in their published form. The doctrinal groundwork is already published here, so the dataset can be read against it immediately.

Second

The training pipeline datasets

Four datasets this institute has already named as missing. The readership is specific, large and currently dependent on rumour.

Third

Decision-rights and cascade maps

These compound: once built, they organise every later vertical, because most of the remaining questions are questions about who decides and what follows.

Later

Everything measured across systems

The fifty-state atlases, the cross-profession comparisons and the influence trackers need the single-jurisdiction work to exist first, or there is nothing to compare.

Items outside that sequence are not dormant. Several will move early because a development forces them — a court decision, a rule, a closure, an enforcement action — and this institute’s standing rule is that a new development updates the existing record it affects rather than generating a fresh page beside it.

The point of view

A research program needs a stated position, or its choices of subject look arbitrary. Ten commitments, none of them partisan, all of them testable against this institute’s own output.

01

Evidence before institutional authority

An agency statement is evidence of the agency’s position. It is not proof that the position is correct.

02

Patient protection and physician due process are not opposites

A competent regulator does both. A regulator that trades one for the other has failed at both.

03

Clinical judgement should remain clinically accountable

Corporate, payer and administrative systems should not control clinical decisions invisibly.

04

Power should be traceable

Who decided? Under what authority? On what evidence? Subject to what review?

05

Allegation is not finding

The distinction is structural, not rhetorical, and it is coded into every dataset here.

06

Regulatory consequence should correspond to prospective risk

Where a sanction is justified by public protection, the risk it prevents should be identifiable.

07

Rules are judged by their operation

Not by their stated intent, and not by the intent of the people who wrote them.

08

Medicine should be explainable

Patients and physicians are entitled to understand the machinery that decides for them.

09

Institutional concentration deserves scrutiny

Conclusions come from documented structure and measured effect, never from the label attached to an owner.

10

Reform must be specific enough to implement

A proposal that cannot be drafted as text is a complaint, not a reform.

How an item becomes a published dataset

01

Question

The item is written as a question that a public record can answer. If no public record can answer it, it stays a question.

02

Source location

The issuing body’s own published documents are located and dated. Secondary summaries are leads, never citations.

03

Coding frame

Fields are defined before collection, including the fields that distinguish allegation from finding.

04

Record-level verification

Every record is checked against the primary document. A record that cannot be verified is not published.

05

Publication with limits

The dataset is published with its own account of what it does not cover and what it cannot establish.

06

Standing revision

New records are appended and dispositions added as dated entries. Nothing is overwritten, and no URL disappears.

The published corpus this program builds on: the policy library · research products · methodology · living dossiers · the event timeline · the enforcement ledger · intelligence · the reform agenda · the IMG institute · how medicine works · forecasts · search