Clinical Decision Transparency

Before you decide,
know the score.

DecisionIndex translates clinical research into a transparent 0–100 score — so you and your physician can make the most informed healthcare decision possible.

Score My Decision Browse Evidence Library
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Decision Score
Hip Replacement (THA)
Grade A Evidence 62 Published Trials 220K Patients
Decision Scorer

Get your evidence score in 30 seconds.

Select your condition and proposed treatment. We pull the evidence, grade it, and show you alternatives — in plain language.

Decision Score
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Evidence Grade
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Published Trials
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Patients in Datasets
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Guideline Alignment
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Treatment Alternatives
How Scoring Works

Four pillars. One transparent number.

Every decision score is built from 25 points in each dimension — adding up to 100. No black boxes.

25 Points
Evidence Quality
Randomized controlled trials score highest. Cohort studies, case series, and expert opinion score progressively lower — the way evidence should work.
25 Points
Guideline Concordance
Does the proposed treatment align with AAOS, AHA, AAP, or other specialty guidelines? Concordance adds points. Off-label or guideline-contradicted approaches subtract them.
25 Points
Outcome Breadth
Large sample sizes, long follow-up, diverse populations, and patient-reported outcomes all increase confidence. Narrow or short studies score lower.
25 Points
Access Equity
Is this treatment widely accessible? Cost-effective? Covered by most insurance plans? Treatments that only work for the wealthy score lower on this dimension.
Evidence Library

20 conditions. Scored and cited.

Browse the top conditions in our index. Filter by score range or search by condition name.

Condition Best Treatment Score Grade Guideline
For Physicians

ClinicalSwipe Integration

Physicians on SurgeonValue can share decision scores with patients before a visit. Every attestation improves the index over time.

Shared decision-making at scale. Patients arrive informed. Consults start at a higher baseline. Less time explaining basics, more time on nuance.
Attestation feeds the index. When you review and attest to a decision score, it improves accuracy for every future patient with that condition.
Surgeon benchmarking. High-volume surgeons achieve statistically better outcomes. Patients can see where their surgeon stands — and why it matters.
Built for CJR-X compliance. As CMS moves toward mandatory bundled payments for joints, evidence-based decision documentation becomes table stakes.
SurgeonValue Integration
Connect your practice in 3 steps
1
Create your SurgeonValue profile at surgeonvalue.com
2
Enable DecisionIndex in your physician dashboard
3
Share decision score links with patients pre-visit
Learn more at surgeonvalue.com

In medicine, the best decision is not always the most aggressive one. It is the one that matches the evidence, fits the patient's life, and the patient actually understands.

— SolvingHealth Clinical Philosophy

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