# DenQAI: clinical control matrix

File-specific companion · 2026-09-10

## Purpose

Who holds clinical decision rights, and who can constrain them in practice?

**Who:** Owner dentist and independent transaction/employment counsel

**Records:** Proposed agreements; management rights; budgets; staffing authority; amendment and employment consequences.

## Complete the file

1. For each clinical_or_operating_decision, record contractual_authority and practical_influence separately.
2. Link unilateral_change_right, budget_or_staff_dependency, and employment_consequence to a controlling_record.
3. Assign a reviewer and break_condition for every unresolved authority question.

## Definitions

- **Contractual authority:** Decision right described in the applicable agreement.
- **Practical influence:** Ability to shape a decision through budget, staffing, systems, or consequences.
- **Unilateral change right:** An asserted ability of one party to alter a relevant term without the other’s agreement.

## Fictional example

Fictional example: Treatment planning is assigned to the dentist, but appointment length can be changed by management; mark the scheduling row unresolved pending review.

## Review and next action

Resolve a material authority conflict in both agreement language and the operating arrangement.

The matrix records rights and constraints for review; it does not determine enforceability or guarantee clinical independence.

[Related DenQAI guide](https://denqai.com/succession)

## AI coach prompt

Help me use DenQAI’s clinical control matrix. My question is: Who holds clinical decision rights, and who can constrain them in practice? Explain these terms in plain language: Contractual authority, Practical influence, Unilateral change right. Ask one question at a time about the required records: Proposed agreements; management rights; budgets; staffing authority; amendment and employment consequences. Walk through the supplied fictional example before asking me for inputs. Treat every missing value as unknown, not zero. Do not invent source records, contract terms, legal conclusions, or clinical facts. Use only permitted fictional or aggregate, non-identifying information. Follow this boundary: The matrix records rights and constraints for review; it does not determine enforceability or guarantee clinical independence. End with the missing evidence and this next step: Resolve a material authority conflict in both agreement language and the operating arrangement.

## AI review prompt

Review my permitted fictional or aggregate draft of DenQAI’s clinical control matrix against the file instructions. Check each required field and period, units, evidence locator, assumptions, arithmetic where formulas are actually supplied, and unresolved contradictions. Check the sequence: For each clinical_or_operating_decision, record contractual_authority and practical_influence separately. Link unilateral_change_right, budget_or_staff_dependency, and employment_consequence to a controlling_record. Assign a reviewer and break_condition for every unresolved authority question. Separate facts from assumptions and missing records. Do not supply unsupported numbers or make a professional decision for me. Apply this limitation: The matrix records rights and constraints for review; it does not determine enforceability or guarantee clinical independence. Return corrections, questions for the responsible reviewer, and the next action.