Ethos Strategic Frameworks
Clinical Intelligence for Complex Systems
Nurse-led systems design for AI, workflow, assessment, and healthcare innovation.
Ethos Strategic Frameworks is a clinical systems-design and AI consultancy led by Rachel West, MSN, RN — a senior nurse executive specializing in workflow engineering, assessment design, and AI-enabled operations.
We partner with health-tech companies, nursing programs, and clinical organizations to build safe, scalable, clinically sound systems
Our Focus
Clinical Systems Design
Smart, safe, real-world workflow design for healthcare and clinical operations.
Assessment & Educational Design
High-quality undergraduate curriculum design and NGN item development, case studies, blueprint mapping, and psychometric QC.
Regulatory & Compliance Architecture
HIPAA/PHI frameworks, BYOD policies, AI-safety, and audit-ready governance documentation.
AI in Healthcare
Use case development, prompt frameworks, ambient listening workflows, and implementation safeguards.
NCLEX-RN NGN Assessment Design
High-volume, blueprint-aligned exam development
Authored >550 NGN exam items across all Client Needs categories, including BowTie, Drop-down Cloze, Matrix/Grid, SATA, Highlighting, Hot Spot, and MCQs.
Developed 10 complete NCLEX-style case studies and completed QC on 100+ additional items for ingestion and psychometric alignment.
Clinical Workflow Architecture
Develop operational frameworks for robotics-assisted care, including pilot readiness, PHI safety, workflow mapping, ambient listening protocols, and clinical governance. Used in real-world pilot planning with frontline clinicians, administrators, and tech teams
AI-enabled Healthcare Frameworks
Design AI workflow maps, prompt frameworks, safety guardrails, and implementation pathways for clinical AI tools. Developed PHI/BYOD compliance documentation, risk frameworks, and governance models for early-stage products preparing for deployment.
What Ethos Brings
Nurse-Led Expertise
Clinical Insight That Actually Reflects Real Practice.
Ethos delivers systems and strategies grounded in real-world nursing, clinical decision-making, and operational realities—not theoretical models.
Systems- Level Thinking
Clear, Scalable Frameworks for Complex Problems
We architect workflows, governance models, and AI-enabled processes that hold up under regulatory oversight, clinical variability, and real-world constraints.
Execution-Level Precision
High-Quality Deliverables, Ready for Deployment
Ethos produces work that’s accurate, compliant, cleanly formatted, and implementation-ready—completed at a pace and precision that exceeds industry norms.
Our Capabilities
Note: Ethos provides independent, vendor-agnostic consulting and does not build proprietary software or clinical technology products.