Six situations programs bring to Arca.

Each arrives as a phone call about one thing that went wrong. Whichever one you start with, the boards, the task lists, and the decision record are the same.

Three things that go wrong inside the program.

Each is a silent failure today. On Arca each is a flag on someone's list until it is closed with evidence.

Cases that never get a board date.

Every new diagnosis entering Arca gets a board-date flag at day seven if no agenda has it. The coordinator's queue lists the unscheduled cases oldest first, and presentation rate becomes a monthly number the program watches.

diagnosisday 7day 14board-date flag at day seven52011-9 · new dx Aug 9board · day 352240-3 · new dx Aug 11board · day 552301-8 · new dx Aug 12flagged day 7 · coordinator’s queue52418-4 · new dx Aug 13board · day 652455-1 · new dx Aug 14board · day 2

Recommendations that leave the meeting without an owner.

A recommendation captured at the table leaves as tasks with owners and dates. The unowned and the overdue sit on the navigator's Monday list and the chair's program view until they close.

Recommendation · neoadjuvant chemoradiation, then resectioncaptured at the table · 07:41 · three next stepsRadiation oncology referraldue +5dnavigatorRestaging MRIdue +6wschedulingGenetics screeningdue +14dno ownergenetics clinicToday · a task with no owner is a line in the minutes.On Arca · it sits on Monday’s list until someone owns it. Owned on day 2.

Days lost between diagnosis and first treatment.

Every milestone carries a date, so the interval splits into its handoffs: diagnosis to board, board to referral, referral to treatment start. The slow handoff shows up as specific cases, with names.

Biopsy to first infusion · 44 daysone number, today9d4d12d7d12ddiagnosis to boardboard to referral sentreferral to clinic confirmationconfirmation to scheduledscheduled to first infusionThe slow handoff, with a nameRadiation oncology referral · case 51230-7 · 12 days waiting for the clinic to confirm · navigatorOn Arca · five dated handoffs. The days have a place, and the place has an owner.

Three people who rebuild the decision afterward.

The surveyor, the health plan, and the registrar each reconstruct the board's decision by hand today. Each reads the decision record.

The Commission on Cancer survey.

The record already holds every presentation with its date, every case that was and wasn't presented, and every navigation task with its closure. The survey evidence is an export for the period.

Twelve months of boardssurvey periodJanFebMarAprMayJunJulAugSepOctNovDeceach bar: cases presented that month, with datesAccreditation exportsurvey period · assembled from the recordPresentation rate0%Prospective share0%Navigation tasks closed0readyexport · 40 secondsToday · three weeks of chart pulls. On Arca · the survey evidence is an export.

A health plan that delegates treatment decisions to your network.

The delegated population runs through the same boards and lists, so each decision reaches the health plan as a documented plan with its evidence attached. The practice keeps the deliberation. The health plan reads the record.

The practiceThe health planthe boundarythe deliberation stays herereview queue0 requests for this caseDecision record · 44810-2pathway · follows owners · 3 of 3 treatment start · Sep 8 evidence attachedarrives documented · approved on receiptthe plan reads the record

The registrar's abstract, six months after the meeting.

The decision was written down at the table: recommendation, date, attendees, pathway status. The registrar reads the decision record, and the abstract's coordination fields start filled.

Decision record · Aug 18Registry abstract · FebPresentedGI board · Aug 18Board dateAug 18 · GIRecommendationchemoradiation, then resectionTreatment recommendationchemoradiation, then resectionAttendees11 on recordAttendees11Pathwayfollows · documentedPathway statusfollowsSix months later, the abstract’s coordination fields start filled. The registrar reads the record.

Situations and figures are illustrative; case details invented.

Tell us where your oncology risk sits.

Which contracts, which sites, and who manages the follow-through today. We reply within two business days with how Arca would run alongside them, starting with one program.