Scattered across levels
A law, a regulation, an order, a tariff and a list sit in different documents and change at different times.
NOMOVITARegulatory Pathways Lab
Every lawful goal has a pathway through the rules. We build it and measure it.
For each goal we assemble the applicable rules into one pathway, measure its length and cost, and show where rules conflict or add cost. We start with health.
Request accessOur tools run in a closed environment. Access is granted on request.
THE PROBLEM
The path to a goal through the rules is long, costly and rarely measured.
To open a clinic, get paid for a treatment or launch a new service, you pass through laws, regulations, standards, tariffs and lists at different levels. Each act is published on its own. The pathway as a whole is rarely put together from the rules themselves: how many mandatory steps it has, how many days and how much money it takes, where one rule contradicts another. Surveys such as the World Bank Doing Business counted steps, days and costs for a few standard goals from expert answers; we build the pathway from the acts, clause by clause, and rebuild it when a rule changes.
Regulation is usually measured by the number of acts and requirements. That is a necessary first step, but it does not tell you what the path to a specific goal costs.
Cost found out too late
Those who must comply learn the cost of a step after the fact, not in advance.
Conflicts surface in practice
A mismatch between rules shows up when the goal has already been missed.
WHAT WE DO
We build the pathway for a goal and measure it.
Pathway
We take a goal with a clear owner and a checkable result, and assemble every rule on the way in the order it is passed, each tied to its act, clause and version.
Length and cost
We count the mandatory steps, the calendar days, and the money the owner and the budget spend to get through.
Update
When a rule changes or new data arrives, the pathway is rebuilt and the difference is visible.
Finding with a proposal
Where a step costs time and money, we show what it requires, what risk it is meant to address, and a draft option with its expected effect. The decision belongs to the body that owns the rule.
HOW WE USE AIAI helps read the rules; it does not decide.
Every finding shows the rule and the version it rests on. A person checks the work and makes the decision. Every proposed amendment remains a draft for discussion.
FIRST MARKET
Health: our first market and the test of the method.
We started with health care in Kazakhstan. Payment rules here change often, the acts are published openly, and a regulatory error is measured in people’s access to care. Three working tools are built on this material, using open data and published regulation.
Health Services Map
Brings health services and patient pathways into one map: which rule sets each step, and which source pays for it.
Primary Care Builder
Shows which primary care duties each service’s rules create, which of them are paid separately, and where the money comes from.
Regulation Atlas
Keeps the acts with their versions, so any rule on a pathway can be opened down to the clause and the version date.
The tools are available by password only. We show them when we grant access.
METHOD AND STANDARD
We work to our own standard.
Beneath the tools is the NomoVita standard: how to break a rule into checkable parts, how to link rules into a pathway, and how to label every statement. The standard is not for sale. What we offer are the tools and the reports built on it.
- 01Every statement is labelled: a fact with its act and clause, a calculation from facts, or an assumption.
- 02A version we have not verified is marked unverified and does not become a conclusion.
- 03If something is absent from the sources we checked, we say exactly that, and do not claim it does not exist.
- 04A report follows a written protocol, so the same input gives the same result.
Registered copyright
The texts of the NomoVita standard, its programs and its database are registered under 11 copyright certificates in Kazakhstan (August and September 2026) in the name of the founder: 3 computer programs, 7 literary works and 1 database. Copyright protects these works, not the method as such; these are not patents or trademarks.
- Certificate No. 77821Computer program27.08.2026
- Certificate No. 77909Computer program31.08.2026
- Certificate No. 77922Computer program31.08.2026
- Certificate No. 77962Literary work01.09.2026
- Certificate No. 77964Literary work01.09.2026
- Certificate No. 77981Literary work01.09.2026
- Certificate No. 77982Literary work01.09.2026
- Certificate No. 77983Literary work01.09.2026
- Certificate No. 77984Literary work01.09.2026
- Certificate No. 78032Database03.09.2026
- Certificate No. 78047Literary work03.09.2026
WHERE NEXT
Any goal whose path is set by rules.
The core of the standard is not tied to one sector; sector modules are built on top of it. We choose the next areas by the cost of an error and the length of the path, not by the name of the industry. Outside health and outside Kazakhstan the method has not been tested yet.
01Build a facility02Launch a service or a production line03Bring a new technology to patients04Carry out a public programme
FOUNDER
“I am a researcher and a physician. I treat people and I treat systems.”
In healthcare leadership since 1995.
Leila Ishbayeva is a physician and pharmacist with an MBA in Public Health; she is a Skolkovo alumna. She has held leadership roles in healthcare since 1995. NomoVita grew out of that work: she has seen the rules on payment and on how medical organisations operate from the side of those who must follow them. Disclosure: she also leads a primary care organisation and chairs a public association of medical organisations; NomoVita works separately from their interests.