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Cadence / Sample work A decision brief

What a clearer
media decision looks like.

Explore an original synthetic decision record, scenario comparison, measurement plan, and editable workbook. All examples are fictional and independent of real client work. They show the format and reasoning, not campaign results or promised outcomes.

Inspect the Sprint deliverables
CADENCE HEALTH MEDIAIllustrative example / September 2026

HCP launch / Planning decision

Depth or breadth?

A healthcare launch team must decide whether to concentrate activity on a defined HCP audience or expand the initial footprint.

Decision owner
Brand lead, with media and analytics
Planning stage
Before partner selection
Status
Conditional direction; validation required
01 / Frame the decision

Agree what the media needs to change.

For this example, the assumed objective is to build awareness and engagement among eligible HCPs within the launch footprint. The worked comparison below adds invented audience sizes, spending limits, and content gates to show how a decision changes. Historical response remains unknown.

First agree the audience eligibility rules, priority segments, geography, approved message, and what engagement means. Match rate alone will not establish whether the right HCPs were reached.

02 / Compare the options

Put both choices on the same terms.

Option A

Concentrate on priority HCPs.

Potential benefit: More opportunities for repeated contact within a narrower audience.

Trade-off: Lower total coverage and a greater risk of saturation.

Must validate: Priority rules, eligible reach, overlap, and frequency distribution.

Option B

Expand the eligible footprint.

Potential benefit: More eligible HCPs have an opportunity to encounter the launch.

Trade-off: Less repetition per HCP within the same budget.

Must validate: The value of the added audience, incremental cost, and available content.

These are directional trade-offs, not modeled forecasts. A client engagement would use authorized inputs and documented assumptions to size the alternatives.

03 / Give channels a job

Choose a role before a partner.

Professional education
Explain the clinical context using approved content. Evaluate audience relevance and meaningful content engagement.
Authenticated HCP media
Introduce and reinforce the message among eligible HCPs. Test identity methods and deduplicated delivery where available.
Point-of-care environments
Support appropriate exposure in relevant workflows. Validate setting, inventory control, overlap, and reporting access.

Channel inclusion depends on the brief, approved content, audience access, and client review. This example does not prescribe a live media mix.

04 / Separate evidence from assumptions

Show what is known before estimating outcomes.

Assumed for this example
A fixed launch budget and a choice between depth and breadth.
Needed from the team
Audience rules, current plan, approved content, prior results, and data access rights.
Needed from partners
Eligible match counts, identity method, overlap evidence, proposed costs, and reporting definitions.
Unknown until validated
Incremental qualified reach, achievable frequency, and the relationship between exposure and the business outcome.
05 / Make the call

Let the constraints determine the first allocation.

The worked assumptions below favor Balance: it fits the invented core spending ceiling and expansion launch gate. A sensitivity changes the choice to Depth when more core capacity is evidenced and expansion content is delayed. Neither choice is an effectiveness forecast.

Change the direction if: The priority audience is too narrow, overlap limits useful reach, frequency is already sufficient, or the added audience has stronger evidence of value.

Before activation: The brand lead approves the objective and audience; analytics confirms the measurement approach; procurement and the relevant medical, legal, and regulatory reviewers complete their reviews.

Sprint output example

Compare the decision, not just the totals.

Synthetic demonstration only. Every brand, audience size, cost, constraint, partner, and judgment below is invented. These are not benchmarks, client results, or a recommendation for a real campaign.

The reconciled question

For fictional Brand A in Market A, how should 100 media planning units support HCP awareness in one eight-week launch period?

Conditional choice: Balance. It is the only listed scenario that fits both the invented 50-unit core ceiling and 35-unit expansion ceiling. This establishes feasibility under the assumptions, not superior performance.

Three scenarios

Allocation of 100 synthetic media planning units
ScenarioCore audienceExpansionLearning
Depth702010
Balance503515
Breadth355015

Inspect the HCP reasoning

DEMO-02 / October 4, 2026: The assumptions and sensitivity below supplement the allocation-only workbook. They are invented teaching inputs, not observed evidence; no external data source or license. Qualified reach, overlap, response, and outcome effects remain unknown.

Constraints, costs, and the sensitivity that changes the choice

Fictional audience: 1,000 core specialists in the launch footprint and 2,000 expansion clinicians in relevant referral roles, mutually exclusive in the planning list. List size is not reachable audience size; partner eligibility and cross-partner overlap still need verification.

Cost boundary: 100 units cover paid media only, including the Learning test placements. A separate invented 20 units cover data (5), measurement (4), production (8), and advisory fees (3): 120 units all-in. There is no dollar conversion. The workbook totals only the 100-unit allocation; it does not model these supplemental costs.

Invented buying constraints: Core placements require a 20-unit minimum; expansion requires 10; Learning requires 10. Until deduplicated delivery is evidenced, the brand owner caps core spend at 50 to manage concentration risk. Expansion content is assumed cleared for only part of the period, creating a 35-unit ceiling. These are fictional spending guardrails, not measured inventory capacity or frequency forecasts.

Content readiness: Assume a reviewed core overview and landing page are ready at launch. Expansion education clears in week three. Learning compares two cleared content routes using agreed engagement definitions. In real work, approval dates, trafficking, inventory and permitted data use must be confirmed before commitment.

One change in assumptions, a different feasible choice
Assumption setConstraint checkDecision
Base: core ceiling 50; expansion ceiling 35Depth core 70 exceeds 50. Breadth expansion 50 exceeds 35. Balance fits both and all minimums.Balance: 50 / 35 / 15
Sensitivity: core ceiling rises to 75; expansion ceiling falls to 20Assume new deduplicated delivery evidence supports a higher core guardrail, while expansion approval slips. Balance and Breadth exceed expansion 20. Depth fits all gates.Depth: 70 / 20 / 10
Expansion misses approval entirelyEvery listed scenario includes expansion. None is feasible.Hold that commitment and re-scope; do not force a 100-unit spend.

No choice is optimized for outcomes. If actual costs, content or audience evidence differ, rebuild the feasible set before ranking expected value.

Segment, barrier, message, and channel matrix
Invented segment hypotheses to validate before activation
Segment / sizeBarrier hypothesisMessage and next actionChannel role
Core specialists / 1,000Limited familiarity with the launch's approved clinical context.Reviewed clinical overview; visit the approved evidence page.Authenticated professional placements introduce the topic; professional education supports deeper review.
Expansion clinicians / 2,000Unclear relevance to their role in the care pathway.Reviewed role-specific education; open the approved pathway resource.Professional contextual inventory introduces the topic where role relevance can be demonstrated.

Learning is a test allocation across these segments, not a third audience or an additional audience count. Setting-based point-of-care inventory stays on hold until setting relevance, content fit and reporting can be evidenced.

Partner scorecard and measurement handoff
Invented evidence states; no real vendors or performance ratings
Selection gatePartner A / core candidatePartner B / expansion candidate
Audience provenance and eligibilityPass assumed: documented professional identity and eligibility rules.Conditional: professional context documented; individual qualification unverified.
Cost and content fitPass assumed: 20-unit minimum; cleared core format.Conditional: 10-unit minimum; week-three content gate.
Overlap and reportingConditional: reporting definitions supplied; cross-partner deduplication unresolved.Conditional: aggregate reporting only; cannot claim verified individual reach.
Permitted use and contractual reviewPending client and procurement review.Pending client and procurement review.
Selection judgmentShortlist for validation; no commitment.Hold pending content approval and acceptance of measurement limits.

Decision rule: A favorable cost cannot offset an unresolved permission or content gate. The brand lead owns audience and content decisions; analytics validates identity, overlap and reporting definitions; procurement owns commercial review. The execution owner receives the assumptions, allocation, cleared assets, partner gates and unresolved issues.

First review: Compare delivery to the agreed allocation, inspect qualified delivery where supported, and examine frequency and overlap where available. Keep aggregate or unknown delivery separately labeled. Revisit commitments when a gate fails. Exposure and engagement do not establish prescribing impact; any outcome study requires a separate design and authorized data.

Open the working record

The editable workbook contains the same three allocation scenarios, formula totals, and a source ledger. Change a synthetic allocation to see its total update. The expanded constraints, costs, sensitivity, scorecard, and HCC case on this page are supplemental examples and are not modeled in the workbook.

Excel workbook (.xlsx): editable allocations, total checks, and an evidence ledger. Synthetic demonstration only.

Patient / consumer (HCC) example

Make the next step useful and possible.

Wholly synthetic case. Fictional Program B is an unbranded education initiative for adults preparing to discuss a newly identified chronic condition with a clinician, and caregivers they choose to involve. It is not client experience, clinical advice, or evidence of campaign impact.

The decision and recommendation

Should the team buy broad awareness now or first make its appointment-preparation resource usable?

Recommendation: Prioritize the destination and a bounded contextual media test. In this invented brief, awareness alone cannot resolve a difficult reading level, missing language support, or appointment access. Paid activity waits until the resource and review gates are ready.

The intended next action

Open an approved question guide, select questions to discuss, and save or print the guide for a future visit. A caregiver can help prepare it when invited by the patient.

The destination is an assumed sponsor-owned, approved education page with a printable guide and reviewed support links. It is a fictional destination, not an available patient service. No treatment choice or appointment booking is attributed to an impression.

Follow the HCC case through delivery

DEMO-HCC-01 / October 4, 2026: All journey barriers, resource gaps, readiness states and decisions here are invented planning hypotheses. Validate them with authorized research and the relevant owners; no audience size or performance benchmark is assumed.

Journey, information needs, and caregiver role
One unbranded appointment-preparation journey
Decision stageBarrier / information needContent and intended actionCaregiver role
Orient after a clinical conversationUnfamiliar terms and information overload.Plain-language, reviewed explanation; open the question guide.Help review information if invited; do not assume access to health information.
Prepare for another visitDifficulty identifying questions, language or digital-access barriers.Accessible, low-bandwidth guide in validated language versions; save or print selected questions.Help write questions or prepare a print copy at the patient's direction.
Try to take the next stepCost, referral requirements or appointment availability may prevent follow-through.Reviewed support routes and clear service limitations; contact the appropriate service if wanted.Assist with logistics when authorized; service owners resolve availability and eligibility.
Media choices, access requirements, and other owners

Media-addressable: Awareness of the resource and discoverability of preparation content. Use relevant contextual placements and carefully reviewed search topics to connect people with the guide. Context or a search signal does not verify a diagnosis; do not label exposed people as confirmed patients or infer a caregiver relationship.

Audience evidence: Document signal provenance, inferred versus observed status, permitted use and platform restrictions before selection. This example does not require condition-based audience lists or sensitive-event retargeting. Partner relevance and data use remain approval gates.

Content and access: Assess preferred languages, literacy and health literacy through authorized research. Require plain language, reviewed translations, descriptive links, keyboard and screen-reader usability, readable contrast, captions for any video, and a printable low-bandwidth version. Test comprehension and task completion with appropriate participants; availability of a translation alone does not prove understanding.

Other owners: The content owner resolves unclear instructions; accessibility and language specialists validate usability. Patient-support or access teams handle affordability and service eligibility. Clinical and referral teams own diagnosis and referrals; service operators own appointment capacity. Media can make approved routes discoverable but cannot promise these barriers are resolved.

Approval gates, measurement, and the decision at review

Before spend: The sponsor confirms the unbranded purpose and destination; medical, legal and regulatory reviewers approve the content and links. Privacy and data owners approve collection and reporting. Relevant safety teams define any required reporting process for responses. The execution owner validates assets, accessible versions, tracking and support-link availability. A later branded adaptation would need its own claim, fair-balance and destination review; this unbranded approval would not carry over.

Measure the intended action: Report delivered placements and available audience-relevance evidence separately from guide opens, save/print actions and voluntary usefulness feedback. Define unique versus total events, valid traffic and event denominators before launch. A print action is intent to prepare, not proof of a completed visit. Use only approved, minimized reporting; avoid collecting diagnoses or question text for media measurement.

At the agreed review: If people reach the page but cannot find or use the guide in usability checks, fix the destination before expanding spend. If approved measurement shows relevant visits and guide use while access checks pass, consider extending the test. Agree thresholds from the actual objective and evidence; none is invented here. If support capacity is unavailable, the service owner resolves it before promotion of that route resumes.

Outcome limit: Exposure, clicks and guide use do not demonstrate comprehension, adherence, prescribing, clinical benefit or improved health. Those questions require separate research, appropriate permissions and a design capable of supporting the claim.

Apply it to your brief

What decision is your team facing?

Discuss the situation with Michelle and agree what a useful first deliverable would look like.

Explore the Decision Sprint