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---
name: accelerate-site-activation
description: "Sequence site selection, contracting, and start-up as the schedule's critical path to cut the activation delay. Reach for this when sites are slow."
---
# Skill: Accelerate site activation
Activation is the schedule's long pole; delay can cost $0.6M–$8M/day.
## Step 1 — Map the activation steps
Selection, contracting, regulatory/IRB, and start-up (§3 #4).
## Step 2 — Find the bottleneck
Locate the step delaying first-patient-in.
## Step 3 — Parallelize where possible
Overlap contracting and start-up tasks.
## Step 4 — Recover the schedule
Build the activation-recovery plan against the timeline.
## Output
An activation-step map, the bottleneck, a parallelization plan, and a schedule recovery.
