Pathway adherence, measured on every case from the decision to the first treatment.

The program's pathway is the reference. The board's decision is recorded against it, with a reason when it deviates. Every pathway window is a due date, so a case outside its window is on someone's list the next morning, and adherence is a program number by board and by reason.

Case 44810-2 · rectal adenocarcinoma · stage IIIB · program rectal pathway, set at the decisionday 0day 14day 28day 42day 56day 70day 84Intendeddecidedday 0radiation oncology referralby day 5genetics screeningby day 14chemoradiation startby day 21restaging MRIweeks 6 to 8resectionweeks 10 to 12On recordreferral sent · day 3genetics · flagged day 15, closed day 16chemoradiation started · day 19MRI scheduled · week 7resection · pendingThe pathway is the reference. Each step on record is measured against it as it happens, and the one outside its window is flagged that morning.
One case, intended and on record, on the same day axis.Synthetic cases. Patient details invented.

Pathway status recorded at the decision, with the reason for any deviation.

The pathway recommends a treatment for the stage and the biomarkers on record. The board decides, and the coordinator records whether the decision follows or deviates, and why, while the physicians talk. The reason is part of the record from that moment. How the decision is captured

Case 44810-2 · rectal · stage IIIBpathway recommendsneoadjuvant chemoradiation, then resectionthe board decidedneoadjuvant chemoradiation, then resectionpathway statusfollows · documentedCase 44802-7 · breast · stage IIApathway recommendslumpectomy, then whole-breast radiationthe board decidedmastectomy · radiation omittedpathway statusdeviates · reason recordedpatient preference · recorded at the table, 12:14A deviation is a decision with a reason, recorded when it is made. The pathway status is on the record from that moment, for every reader.

Synthetic cases and figures. Patient details invented.

Care gap detection between visits.

Every step on the pathway has a window: the referral by day five, genetics by day fourteen, treatment by day twenty-one, the restaging scan in weeks six to eight, a visit every seven days during treatment. Arca reads the record against those windows every morning and flags what is outside them.

Case 44810-2 · pathway windows and where the case isday 0day 21day 42day 63day 84Genetics screeningby day 14day 16 · flagged day 15 · closed day 16Chemoradiation startby day 21day 19 · first fraction documentedWeekly visit during chemoradiationevery 7 dayslast visit day 31 · 9 days · flaggedRestaging MRIweeks 6 to 8scheduled day 47Every pathway window is a due date. A case outside its window is on someone's list the next morning, weeks before a claim could show it.

Synthetic cases and figures. Patient details invented.

Adherence reporting by board and by deviation reason.

Each board's adherence computes from its decisions. Each deviation carries the reason recorded at the table, so the quarter's deviations sort by patient preference, comorbidity, trial enrollment, and access. The health plan reads the same number the board reviews. Analytics

Pathway adherence by board · Q3GI94%Breast91%Thoracic82%Molecular96%Deviations this quarter, by reasonPatient preference6Comorbidity or performance status4Trial enrollment3Access or authorization2Adherence by board, and every deviation by reason. The number the health plan reads is the number the board reviews.

Synthetic cases and figures. Patient details invented.

Arca's other capabilities.

Each one works from the same decision record. How it works

Tumor boardIntake to first treatment, every step datedClinical trialsEligibility checked before the board meetsAnalyticsProgram figures computed from the record

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