This framework elegantly replaces the "shotgun approach" of excessive testing with a lean, hypothesis-driven logic that prioritizes clinical results over paperwork. It is a necessary pivot back to intellectual rigor in a field often bogged down by redundant metrics.
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If your assessment doesn't link to a clear hypothesis and a retest, your numbers will look good while your patients quietly plateau. Instead of blasting someone with six different scales, I focus on one meaningful task that hurts or fails. One specific input, one retest on the same task. That's value-based care in real life. The metric's embedded in a movement, not just in a form.
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