---
asset_id: A1
title: Executive Sponsor Packet
tier: Green
status: Ready for internal review
owner: CNO office
audience: CNO, nursing director, behavioral health executive
generated_at: 2026-06-19
source_refs:
  - apps/sim-ariasos-com/nexus-pediatric-5min-sim-enterprise-plan.md
  - apps/sim-ariasos-com/nexus-pediatric-5min-sim-enterprise-plan.pdf
  - generated-local/nexus-pediatric-safety-studio-assets/aria-microphase-asset-buildout-20260619.md
  - generated-local/aria-research-substrate/nexus-5min-sim-budget-20260619/manifest.json
  - https://sim.ariasos.com
  - https://www.crisisprevention.com/en-GB/blog/general/cpi-crisis-development-model/
  - https://www.crisisprevention.com/blog/behavioral-health/risk-behaviors/
  - https://www.crisisprevention.com/en-AU/blog/general/understanding-the-importance-of-integrated-experience/
claim_boundary: "Executive and clinical review artifact. Not clinical policy. Not approved for rollout until Nexus/CPI/addendum/risk/legal validation."
---

# Executive Sponsor Packet

## Decision Ask

Approve a 90-day pediatric behavioral safety simulation pilot for Nexus Children's Hospital Dallas, with scale only after clinical validation, risk review, facilitator dry run, and measured pilot signals.

## Why This Matters

The program addresses the high-risk middle of pediatric behavioral escalation: moments that are too frequent for quarterly mock codes but too consequential to leave to memory after annual training. The operating goal is better staff judgment, safer children, lower injury risk, and stronger post-event repair.

## Pilot Scope

- One pediatric behavioral health unit.
- Four sim days per week where staffing permits.
- Three huddle windows per day where operationally realistic.
- One five-minute scenario per huddle.
- No simulation immediately after a serious safety event; that huddle becomes a debrief.

## Investment Logic

Planning assumptions only:

- Base pilot cost: approximately $34.6k.
- Fully loaded pilot cost: approximately $54.9k.
- Annual enterprise cost range: approximately $52k to $88k after launch.

Budget figures must be replaced with actual Nexus payroll, printing, coverage, and quality-reporting data before approval.

## Sponsor Decision

Approve Phase 0 clinical validation and Phase 1 pilot build. Do not approve clinical rollout until all validation gates pass.

## Required Sign-Off

- Executive sponsor: ____________________  Date: __________
- Clinical owner: ____________________  Date: __________
- Quality partner: ____________________  Date: __________
- Risk/compliance partner: ____________________  Date: __________