High Output Management Framework
amplitude/builder-skills
Applies Andy Grove's High Output Management ideas to diagnose where a team loses output and to design meetings, processes and management decisions.
This skill should be used when the user asks "any new codes for [technology]", "did [product] get a Category I CPT / NTAP", "code changes affecting my names", "is the coding basis shifting", or…
Install Code Shift Monitor
$ npx skills add hh-health-AI/healthcare-equity --skill code-shift-monitor -a claude-codeProject install by default; add -g for ~/.claude/skills/.
$ gh skill install hh-health-AI/healthcare-equity code-shift-monitor --agent claude-codeProject scope by default; add --scope user for a personal install. Needs GitHub CLI 2.90.0 or later (public preview).
$ git clone --depth 1 https://github.com/hh-health-AI/healthcare-equity.git skills-src && mkdir -p .claude/skills && cp -r skills-src/modules/procedure-exposure/skills/code-shift-monitor .claude/skills/code-shift-monitor && rm -rf skills-srcUse ~/.claude/skills/ instead of .claude/skills for a personal install. The folder must contain SKILL.md.
Claude Code skills documentation · loads skills from .claude/skills/
Install the "code-shift-monitor" agent skill from https://github.com/hh-health-AI/healthcare-equity/tree/main/modules/procedure-exposure/skills/code-shift-monitor into .claude/skills/code-shift-monitor/ in this project. Copy the whole folder (SKILL.md and every file beside it), keep the folder name "code-shift-monitor", then confirm the skill loads.Claude Code copies the folder itself, the same result as the manual copy. Check what it changed before you commit it.
$skill-installer install https://github.com/hh-health-AI/healthcare-equity/tree/main/modules/procedure-exposure/skills/code-shift-monitorType this inside Codex. $skill-installer <name> installs a curated skill from openai/skills. The installer writes to $CODEX_HOME/skills (default ~/.codex/skills). Restart Codex if the skill does not show up.
$ npx skills add hh-health-AI/healthcare-equity --skill code-shift-monitor -a codexProject install goes to .agents/skills/; add -g for ~/.codex/skills/.
$ gh skill install hh-health-AI/healthcare-equity code-shift-monitor --agent codexProject scope by default (.agents/skills/); add --scope user for a personal install.
$ git clone --depth 1 https://github.com/hh-health-AI/healthcare-equity.git skills-src && mkdir -p .agents/skills && cp -r skills-src/modules/procedure-exposure/skills/code-shift-monitor .agents/skills/code-shift-monitor && rm -rf skills-srcUse ~/.agents/skills/ instead of .agents/skills for a personal install.
Codex skills documentation · loads skills from .agents/skills/
Install the "code-shift-monitor" agent skill from https://github.com/hh-health-AI/healthcare-equity/tree/main/modules/procedure-exposure/skills/code-shift-monitor into .agents/skills/code-shift-monitor/ in this project. Copy the whole folder (SKILL.md and every file beside it), keep the folder name "code-shift-monitor", then confirm the skill loads.Codex copies the folder itself, the same result as the manual copy. Check what it changed before you commit it.
$ npx skills add hh-health-AI/healthcare-equity --skill code-shift-monitor -a cursorProject install goes to .agents/skills/; add -g for ~/.cursor/skills/.
$ gh skill install hh-health-AI/healthcare-equity code-shift-monitor --agent cursorProject scope by default (.agents/skills/); add --scope user for a personal install.
$ git clone --depth 1 https://github.com/hh-health-AI/healthcare-equity.git skills-src && mkdir -p .cursor/skills && cp -r skills-src/modules/procedure-exposure/skills/code-shift-monitor .cursor/skills/code-shift-monitor && rm -rf skills-srcUse ~/.cursor/skills/ instead of .cursor/skills for a personal install.
Cursor skills documentation · loads skills from .cursor/skills/, .agents/skills/, .claude/skills/, .codex/skills/
Install the "code-shift-monitor" agent skill from https://github.com/hh-health-AI/healthcare-equity/tree/main/modules/procedure-exposure/skills/code-shift-monitor into .cursor/skills/code-shift-monitor/ in this project. Copy the whole folder (SKILL.md and every file beside it), keep the folder name "code-shift-monitor", then confirm the skill loads.Cursor copies the folder itself, the same result as the manual copy. Check what it changed before you commit it.
$ gemini skills install https://github.com/hh-health-AI/healthcare-equity.git --path modules/procedure-exposure/skills/code-shift-monitor--scope user (default) or --scope workspace; --path is the subfolder of the repo that holds the skill; --consent skips the security confirmation prompt.
$ npx skills add hh-health-AI/healthcare-equity --skill code-shift-monitor -a gemini-cliProject install goes to .agents/skills/; add -g for ~/.gemini/skills/.
$ gh skill install hh-health-AI/healthcare-equity code-shift-monitor --agent gemini-cliProject scope by default (.agents/skills/); add --scope user for a personal install.
$ git clone --depth 1 https://github.com/hh-health-AI/healthcare-equity.git skills-src && mkdir -p .gemini/skills && cp -r skills-src/modules/procedure-exposure/skills/code-shift-monitor .gemini/skills/code-shift-monitor && rm -rf skills-srcUse ~/.gemini/skills/ instead of .gemini/skills for a personal install, then run /skills reload.
Gemini CLI skills documentation · loads skills from .gemini/skills/, .agents/skills/
Install the "code-shift-monitor" agent skill from https://github.com/hh-health-AI/healthcare-equity/tree/main/modules/procedure-exposure/skills/code-shift-monitor into .gemini/skills/code-shift-monitor/ in this project. Copy the whole folder (SKILL.md and every file beside it), keep the folder name "code-shift-monitor", then confirm the skill loads.Gemini CLI copies the folder itself, the same result as the manual copy. Check what it changed before you commit it.
$ gh skill install hh-health-AI/healthcare-equity code-shift-monitorInstalls for Copilot at project scope by default; add --scope user for a personal install. Preview a skill first with gh skill preview. Needs GitHub CLI 2.90.0 or later (public preview).
$ npx skills add hh-health-AI/healthcare-equity --skill code-shift-monitor -a github-copilotProject install goes to .agents/skills/; add -g for ~/.copilot/skills/.
$ git clone --depth 1 https://github.com/hh-health-AI/healthcare-equity.git skills-src && mkdir -p .github/skills && cp -r skills-src/modules/procedure-exposure/skills/code-shift-monitor .github/skills/code-shift-monitor && rm -rf skills-srcUse ~/.copilot/skills/ instead of .github/skills for a personal install. Commit .github/skills so cloud agent and code review can use it.
GitHub Copilot skills documentation · loads skills from .github/skills/, .claude/skills/, .agents/skills/
Install the "code-shift-monitor" agent skill from https://github.com/hh-health-AI/healthcare-equity/tree/main/modules/procedure-exposure/skills/code-shift-monitor into .github/skills/code-shift-monitor/ in this project. Copy the whole folder (SKILL.md and every file beside it), keep the folder name "code-shift-monitor", then confirm the skill loads.GitHub Copilot copies the folder itself, the same result as the manual copy. Check what it changed before you commit it.
$ npx skills add hh-health-AI/healthcare-equity --skill code-shift-monitor -a opencodeOpenCode documents no install command of its own. Project install goes to .agents/skills/; add -g for ~/.config/opencode/skills/.
$ gh skill install hh-health-AI/healthcare-equity code-shift-monitor --agent opencodeProject scope by default (.agents/skills/); add --scope user for a personal install.
$ git clone --depth 1 https://github.com/hh-health-AI/healthcare-equity.git skills-src && mkdir -p .opencode/skills && cp -r skills-src/modules/procedure-exposure/skills/code-shift-monitor .opencode/skills/code-shift-monitor && rm -rf skills-srcUse ~/.config/opencode/skills/ instead of .opencode/skills for a personal install.
OpenCode skills documentation · loads skills from .opencode/skills/, .claude/skills/, .agents/skills/
Install the "code-shift-monitor" agent skill from https://github.com/hh-health-AI/healthcare-equity/tree/main/modules/procedure-exposure/skills/code-shift-monitor into .opencode/skills/code-shift-monitor/ in this project. Copy the whole folder (SKILL.md and every file beside it), keep the folder name "code-shift-monitor", then confirm the skill loads.OpenCode copies the folder itself, the same result as the manual copy. Check what it changed before you commit it.
Facts
- Skill name
code-shift-monitor- GitHub stars
- 101
- Token cost
- ~606 tokens
- SKILL.md length
- 261 words
- Files
- 1
- Skills in repo
- 72
- Repo updated
- First seen
- Licence
- MIT
At a glance
This skill should be used when the user asks "any new codes for [technology]", "did [product] get a Category I CPT / NTAP", "code changes affecting my names", "is the coding basis shifting", or…
- Works in 5 steps: Inventory the watched exposures (from… → Sweep the change surfaces via the ICD10… → For each change: what changed ·… → …
- Asks any new codes for [technology]
- SKILL.md covers Why codes are signal and Workflow
- Instructions only: no scripts, shell commands, URLs or credentials in SKILL.md
What it does
Code Shift Monitor is an agent skill from hh-health-AI/healthcare-equity. This skill should be used when the user asks "any new codes for [technology]", "did [product] get a Category I CPT / NTAP", "code changes affecting my names", "is the coding basis shifting", or wants coding milestones treated as early adoption and reimbursement signals.
Its SKILL.md is about 610 tokens, which your agent loads only when the skill is triggered. It is a single SKILL.md file with no bundled scripts.
It sits in Product & Project Management, covering Accounting and bookkeeping and Project management. The repository describes itself as: Synthesis engine for buy-side healthcare equity research. The licence is MIT.
When your agent uses it
- Asks any new codes for [technology]
- Did [product] get a Category I CPT / NTAP
- Code changes affecting my names
- Is the coding basis shifting
Example prompts
- “any new codes for [technology]”
- “did [product] get a Category I CPT / NTAP”
- “code changes affecting my names”
- “/code-shift-monitor”
Workflow steps
5 steps, taken from the first numbered list in SKILL.md.
- Inventory the watched exposures (from exposure-map or the user): products on temporary codes, products billing unlisted codes, and mature…
- Sweep the change surfaces via the ICD10 Codes connector (dx-side updates) and web research: annual ICD-10-CM/PCS updates (effective Oct…
- For each change: what changed · effective date · which names are exposed · the mechanism (new trackability, payment-path opening…
- Translate honestly: a new code is access infrastructure, not demand — per funnel discipline, it moves the authorization/paid-conversion…
- End with the EVIDENCE BRIEF block (layer: commercial-volume/exposure). Feed dated milestones to the suite catalyst calendar; recommend…
What it can do on your machine
Read from SKILL.md and the folder at commit 6c7bda8. It shows what the files ask for, not the result of running them.
Tool permissions
Pre-approves nothing: there is no allowed-tools line, so your agent's usual permission prompts apply.
From allowed-tools in the SKILL.md frontmatter.
Runs code
No scripts in the folder and no shell commands in SKILL.md.
From the folder's file list and the shell code blocks in SKILL.md.
Network
No URLs in SKILL.md.
From URLs in SKILL.md, links to its own repository left out.
Credentials
Names no API keys, tokens, secrets or passwords.
From names ending in _API_KEY, _TOKEN, _SECRET, _KEY or _PASSWORD in SKILL.md.
Context cost
Code Shift Monitor loads about 606 tokens when it runs. Until then it costs about 72 tokens; SKILL.md has 261 words of instructions outside code blocks.
Estimates: characters ÷ 4, the usual rule of thumb; real counts depend on the model's tokenizer. Scripts and assets cost tokens only if the agent reads them.
Safety
Auto-check passed
The automated check found no risky patterns in SKILL.md.
Automated static check — not a guarantee. Review scripts before installing. It scans the text of SKILL.md for risky patterns (piping downloads into a shell, reading credential files, hidden Unicode, destructive commands); files beside SKILL.md are not scanned.
SKILL.md
The full file from hh-health-AI/healthcare-equity at commit 6c7bda8, republished under its MIT licence (© hh-health-AI). 261 words, ~606 tokens.
Download SKILL.mdSave it as
.claude/skills/code-shift-monitor/SKILL.md (or your agent's skills folder).- name
- code-shift-monitor
- description
- This skill should be used when the user asks "any new codes for [technology]", "did [product] get a Category I CPT / NTAP", "code changes affecting my names", "is the coding basis shifting", or wants coding milestones treated as early adoption and reimbursement signals.
- metadata.version
- 0.1.0
Code-Shift Monitor
Track coding-system changes as early, dated signals of adoption and reimbursement maturation.
Why codes are signal
New technologies climb a coding ladder — unlisted/miscellaneous → temporary codes (Category III CPT, HCPCS C/G-codes) → permanent Category I CPT / dedicated ICD-10 codes with volume-based criteria — and each rung is a public, dated event that precedes broad reimbursement and screens-in claims trackability. Category I promotion requires demonstrated clinical use and evidence: the promotion itself is third-party validation of volume. Code retirements, redefinitions, and DRG reassignments similarly reprice or re-gate existing revenue.
Workflow
- Inventory the watched exposures (from exposure-map or the user): products on temporary codes, products billing unlisted codes, and mature code families where redefinition would matter.
- Sweep the change surfaces via the ICD10 Codes connector (dx-side updates) and web research: annual ICD-10-CM/PCS updates (effective Oct 1), quarterly-to-annual CPT editorial actions (new Category I/III codes, effective dates), HCPCS updates, NTAP/TPT application and award cycles inside the IPPS/OPPS rules (coordinate with cms-reimbursement rule-cycle-calendar), and MedPAC/contractor coding guidance where relevant.
- For each change: what changed · effective date · which names are exposed · the mechanism (new trackability, payment-path opening, repricing, gating) · direction and rough magnitude. Distinguish signal value (validation of adoption) from economic value (payment change — quantify with cms-reimbursement reimbursement-impact).
- Translate honestly: a new code is access infrastructure, not demand — per funnel discipline, it moves the authorization/paid-conversion stage and trackability, not clinical adoption.
- End with the EVIDENCE BRIEF block (layer: commercial-volume/exposure). Feed dated milestones to the suite catalyst calendar; recommend scheduling the code-update-watcher agent for standing coverage (annual Oct 1 window plus quarterly sweeps).
© hh-health-AI, MIT. Rendered from Markdown: HTML in the file is shown as text, images as links, and headings moved down two levels. Raw file
Files
Just SKILL.md in modules/procedure-exposure/skills/code-shift-monitor of hh-health-AI/healthcare-equity.
Open the folder on GitHubat commit 6c7bda8
Compare with similar skills
Code Shift Monitor next to the 5 skills that share the most tags, products or categories with it. Stars are the repository's; “used in” counts other GitHub owners with a copy.
| Skill | Stars | Used in | Tokens | Auto-check | Licence | Repo updated |
|---|---|---|---|---|---|---|
| Code Shift Monitor this skillhh-health-AI/healthcare-equity | 101 | — | ~606 | Automated safety check: Pass | MIT | |
| High Output Management Frameworkamplitude/builder-skills | 159 | — | ~1.9k | Automated safety check: Pass | None | |
| Fmx Respondkunchenguid/firstmate | 7.8k | — | ~10k | Automated safety check: Notes | MIT | |
| Pm Skillsalirezarezvani/claude-skills | 28k | — | ~2.6k | Automated safety check: Pass | MIT | |
| Research Financealirezarezvani/claude-skills | 28k | — | ~2.7k | Automated safety check: Pass | MIT | |
| Team Composition Analysiswshobson/agents | 40k | — | ~1.9k | Automated safety check: Pass | MIT |
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Related
Questions about Code Shift Monitor
What does Code Shift Monitor do?
This skill should be used when the user asks "any new codes for [technology]", "did [product] get a Category I CPT / NTAP", "code changes affecting my names", "is the coding basis shifting", or…. Code Shift Monitor is an agent skill from hh-health-AI/healthcare-equity. This skill should be used when the user asks "any new codes for [technology]", "did [product] get a Category I CPT / NTAP", "code changes affecting my names", "is the coding basis shifting", or wants coding milestones treated as early adoption and reimbursement signals.
When should I use Code Shift Monitor?
Code Shift Monitor fits situations like: asks any new codes for [technology]; did [product] get a Category I CPT / NTAP; code changes affecting my names; is the coding basis shifting.
How do I install Code Shift Monitor in Claude Code?
Run `npx skills add hh-health-AI/healthcare-equity --skill code-shift-monitor -a claude-code`. Or copy the skill folder (modules/procedure-exposure/skills/code-shift-monitor in hh-health-AI/healthcare-equity) into .claude/skills/code-shift-monitor in your project. Claude Code loads it when a task matches its description.
How do I install Code Shift Monitor in Codex?
Run `npx skills add hh-health-AI/healthcare-equity --skill code-shift-monitor -a codex`. Or copy the skill folder (modules/procedure-exposure/skills/code-shift-monitor in hh-health-AI/healthcare-equity) into .agents/skills/code-shift-monitor in your project. Codex loads it when a task matches its description.
Can I use Code Shift Monitor in Cursor, Gemini CLI or GitHub Copilot?
Cursor, Gemini CLI, GitHub Copilot and OpenCode also load SKILL.md folders. With the skills CLI, run `npx skills add hh-health-AI/healthcare-equity --skill code-shift-monitor -a cursor` (or -a gemini-cli, github-copilot or opencode for the others). To copy it by hand, put the folder in .cursor/skills/code-shift-monitor, .gemini/skills/code-shift-monitor, .github/skills/code-shift-monitor and .opencode/skills/code-shift-monitor in your project.
What does Code Shift Monitor need to run?
SKILL.md names no scripts, command-line tools or credentials: Code Shift Monitor is instructions for the agent only.
Does Code Shift Monitor access the network?
SKILL.md contains no URLs. Any network use would come from the scripts or tools the agent runs. This is read from the text; nothing was executed.
Is Code Shift Monitor safe to install?
Our automated static check of SKILL.md found no risky patterns, such as piping downloads into a shell, reading credential files or hidden Unicode. It is not a guarantee. Review the folder before installing.
What licence does Code Shift Monitor use?
Code Shift Monitor is published under the MIT licence (the repository's licence). It allows redistribution, so the full SKILL.md is shown on this page.
How many tokens does Code Shift Monitor use?
About 606 tokens (SKILL.md is roughly 2.4k characters). Agents keep only the skill's name and description in context until a task matches; then they load SKILL.md in full.
What are the alternatives to Code Shift Monitor?
Skills that share tags, products or a category with Code Shift Monitor: High Output Management Framework (amplitude/builder-skills, 159 stars), Fmx Respond (kunchenguid/firstmate, 7.8k stars), Pm Skills (alirezarezvani/claude-skills, 28k stars) and Research Finance (alirezarezvani/claude-skills, 28k stars). The comparison table on this page puts their stars, adoption, token cost, safety result and licence side by side.
Who maintains Code Shift Monitor?
hh-health-AI (a GitHub user) maintains it in hh-health-AI/healthcare-equity, which has 101 GitHub stars. The repository holds 72 skills in this directory. The repository was last updated on October 8, 2026.
Source: hh-health-AI/healthcare-equity on GitHub. Facts on this page come from the repository at the commit we read; the author's words are quoted as theirs.