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Balam Labs
ISCO-08 1342

Health services managers

71.4%
ADI · 134th of 433 · 95% interval 48.0–94.2

An AI agent can at least partly carry out 71.4% of the task time of health services managers, and finish 6.0% alone. The barrier that holds most of the rest back is access to the systems the work runs on.

ADI · partial or full71.4%

134th of 433 · interval 48.0–94.2

ADI3 · full delegation6.0%

65th of 433 · interval 0.0–18.6

ADIs · share of time52.2%

111th of 433 · interval 45.1–59.2

Evidence18

task statements rated by two models and weighted by importance and frequency. World employment: 2.3 million.

Task weight by level

How the tasks rate

29%
65%
L0No meaningful role · 0.0%L1Augmentation · 28.6%L2Partial delegation · 65.4%L3Full delegation · 6.0%
Barriers

What stops the agent

Physical presence14%
Accountability47%
Trust and care51%
Access to systems74%

Share of task weight flagged by each barrier; a task can carry several.

18 task statements, heaviest first
Task statement (O*NET occupation)Sonnet · HaikuBarriers
Direct, supervise and evaluate work activities of medical, nursing, technical, clerical, service, maintenance, and other personnel.Medical and Health Services Managers9.1%L1L1L232%2.5 hPhysical presence, Accountability, Trust and care, Access to systems
Develop and maintain computerized record management systems to store and process data, such as personnel activities and information, and to produce reports.Medical and Health Services Managers7.7%L2L2L262%6.0 hAccountability, Access to systems
Plan, implement, and administer programs and services in a health care or medical facility, including personnel administration, training, and coordination of medical, nursing and physical plant staff.Medical and Health Services Managers7.5%L2L2L242%5.5 hPhysical presence, Accountability, Trust and care, Access to systems
Establish work schedules and assignments for staff, according to workload, space, and equipment availability.Medical and Health Services Managers7.0%L2L2L262%2.5 hAccess to systems
Monitor the use of diagnostic services, inpatient beds, facilities, and staff to ensure effective use of resources and assess the need for additional staff, equipment, and services.Medical and Health Services Managers6.5%L2L2L262%3.5 hAccess to systems
Maintain awareness of advances in medicine, computerized diagnostic and treatment equipment, data processing technology, government regulations, health insurance changes, and financing options.Medical and Health Services Managers6.0%L3L3L382%2.5 h–
Maintain communication between governing boards, medical staff, and department heads by attending board meetings and coordinating interdepartmental functioning.Medical and Health Services Managers5.7%L1L1L235%3.0 hAccountability, Trust and care, Access to systems
Conduct and administer fiscal operations, including accounting, planning budgets, authorizing expenditures, establishing rates for services, and coordinating financial reporting.Medical and Health Services Managers5.6%L2L2L258%5.5 hAccountability, Access to systems
Manage change in integrated health care delivery systems, such as work restructuring, technological innovations, and shifts in the focus of care.Medical and Health Services Managers5.4%L1L1L238%23 hAccountability, Trust and care, Access to systems
Establish objectives and evaluative or operational criteria for units managed.Medical and Health Services Managers5.1%L2L2L260%4.0 hTrust and care, Access to systems
Review and analyze facility activities and data to aid planning and cash and risk management and to improve service utilization.Medical and Health Services Managers4.8%L2L2L262%4.0 hAccess to systems
Prepare activity reports to inform management of the status and implementation plans of programs, services, and quality initiatives.Medical and Health Services Managers4.8%L2L2L268%3.5 hAccess to systems
Develop or expand and implement medical programs or health services that promote research, rehabilitation, and community health.Medical and Health Services Managers4.7%L2L2L248%28 hAccountability, Trust and care, Access to systems
Direct or conduct recruitment, hiring, and training of personnel.Medical and Health Services Managers4.3%L2L2L255%9.0 hAccountability, Trust and care, Access to systems
Inspect facilities and recommend building or equipment modifications to ensure emergency readiness and compliance to access, safety, and sanitation regulations.Medical and Health Services Managers · supplemental task4.2%L1L1L235%6.0 hPhysical presence, Accountability, Access to systems
Show the other 3 tasks
Task statement (O*NET occupation)Sonnet · HaikuBarriers
Consult with medical, business, and community groups to discuss service problems, respond to community needs, enhance public relations, coordinate activities and plans, and promote health programs.Medical and Health Services Managers4.2%L1L1L232%2.5 hTrust and care, Access to systems
Develop and implement organizational policies and procedures for the facility or medical unit.Medical and Health Services Managers4.2%L2L2L255%11 hAccountability, Trust and care, Access to systems
Develop instructional materials and conduct in-service and community-based educational programs.Medical and Health Services Managers3.3%L2L2L250%6.0 hPhysical presence, Trust and care

Level: consensus of the two models (the lower level when they disagree). Share: part of the task’s working time an agent could take over. Human time: minutes a competent person needs for one instance, as estimated by the models.

Against other measures

Exposure is not delegation

MeasureValuePercentilePct
ADI (this index)71.4%69
Eloundou et al. (2024), GPT exposure β0.42965
Felten et al. (2021), AI occupational exposure1.2691
Webb (2020), AI patent exposure8481
Eisfeldt et al. (2026), generative AI exposure0.30668
Anthropic Economic Index, observed use0.06665

Earlier indices measure whether AI can touch a task; ADI measures how much of it an agent can carry out from a goal. – : the source does not cover this occupation.

Same sub-major group (13)

Neighbouring occupations

Dashed line: health services managers (71.4%).

Cite this record
Text

Espinal Maya, Cristian, and Santiago Jiménez Londoño. 2026. ADI v2026.1: Agent Delegability Index data, code and MCP server. Zenodo. https://doi.org/10.5281/zenodo.23552918. Record: Health services managers (ISCO-08 1342), https://balamlabs.org/adi/occupations/1342

BibTeX
@misc{espinal2026adidata,
  title     = {{ADI} v2026.1: Agent Delegability Index data, code and {MCP} server},
  author    = {Espinal Maya, Cristian and Jim{\'e}nez Londo{\~n}o, Santiago},
  year      = {2026},
  publisher = {Zenodo},
  version   = {v2026.1},
  doi       = {10.5281/zenodo.23552918},
  url       = {https://doi.org/10.5281/zenodo.23552918},
  note      = {Record: Health services managers (ISCO-08 1342)}
}
Machine-readable

The same record as static JSON, with its citation: /adi/v2026.1/isco/1342.json.