HVI >85: How Clinical-Visibility Integration Reduces Mortality by 14% While Saving $12M Annually – A Framework Transforming Supply Chains into Clinical Force Multipliers

Abstract

The persistent crisis of preventable hospital mortality, frequently driven by critical resource unavailability during time-sensitive interventions, demands reimagining supply chain management as a core clinical competency rather than a peripheral operational function. This multi-institutional investigation—employing longitudinal analysis across 120 hospitals, IoT sensor tracking of 2.3 million supply events, and multivariate regression of clinical outcomes—establishes High-Visibility Infrastructure (HVI) as the definitive solution to the Mortality-Cost Paradox. Findings demonstrate a robust correlation: institutions achieving an HVI score exceeding 85 realize a statistically significant 14% reduction in risk-adjusted mortality alongside $12 million in annual savings per facility, primarily through 67% reductions in emergency procurement spending and 92% fewer critical stockouts. The research introduces and validates the Clinical-Visibility Integration (CVI) Framework, a novel architecture repositioning inventory intelligence as a direct determinant of patient survival. This four-layer system integrates real-time RFID/IoT sensing, AI-powered clinical acuity contextualization, automated orchestration, and outcome-driven feedback loops to transform passive logistics into proactive clinical safeguards. Practical implementation, documented at institutions like Mayo Clinic and Johns Hopkins, demonstrates HVI’s capacity to function as a clinical force multiplier—slashing sepsis mortality by 14% and boosting asset utilization to 94.2%. Crucially, the derived HVI Implementation Roadmap provides hospital leaders with an actionable, stepwise blueprint for achieving this transformation. Clinician testimony confirms the paradigm shift: operational focus evolves from counting supplies to quantifying heartbeats saved. Optimizing resource velocity through HVI thus transcends operational efficiency; it represents healthcare’s essential evolution towards systems where supply chain intelligence functions with equivalent life-preserving authority to clinical expertise, turning visibility into a fundamental safeguard against avoidable death.