Note

Six Weeks To Live

Control Switch · 29 Apr 2026 · 1 min read

#delivery #process

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Most of our agents go from kickoff to production in about six weeks. Some take longer. None are off the shelf.

Here is what fits in that window.

Week 1-2: Discover

We sit with the team doing the work. We do not interview them. We watch them. The agent's specification falls out of the watching, not the meeting.

Week 3-4: Design and integrate

We write the prompts, the tools, the integrations, the handoffs to a human. We connect to the EHR, the practice management system, the comms stack, the chart of record. Compliance is in the architecture, not bolted on at the end.

Week 5: Shadow

The agent runs in parallel with the human, producing outputs that nobody acts on. We compare. We tune. We do not launch the first version we ship.

Week 6: Production

Limited cohort first. Full rollout once the metrics hold for a week.

After week 6

We monitor. We tune. We stay on the line. The agents that get worse over time are the ones with no engineer behind them. Ours have engineers behind them.