Overdue
6
Past expected action window
Due Soon
4
Approaching deadline
Elevated Risk
2
Escalation review needed
Unreachable
3
Repeated unsuccessful contact
On Track
19
No current exception flags
Priority Worklist
Ranked by urgency rather than alphabetically
| Priority | Patient | Coordination Gap | Time / Status | Evidence | Next Action |
|---|---|---|---|---|---|
| Critical | Patient 104 | No post-discharge contact + TCU attendance unknown | 4 days post-discharge | Documented data missing | |
| Critical | Patient 238 | Handoff acknowledged, ownership not accepted | 51 hrs | Receipt confirmed only | |
| High | Patient 092 | Unsuccessful contact attempt #2 | Due today | 2 documented attempts | |
| Medium | Patient 311 | Conflicting TCU attendance data | 12 hrs unresolved | Conflicting sources | |
| On Track | Patient 145 | No active coordination gap | Complete | Verified |
Alerts & Exceptions
Problems requiring coordination attention
Patient 104 — Follow-up overdue
No documented contact within the expected post-discharge window. Scheduled TCU appointment has already passed.
Patient 238 — Ownership not confirmed
Receiving team acknowledged receipt, but no explicit ownership acceptance is documented.
Patient 311 — Attendance data conflict
Two sources disagree about whether the first TCU visit occurred. Manual verification is needed.
Coordination Metrics
Caseload-level trend view
Contacted within expected window82%
Handoffs ownership accepted88%
First TCU attendance verified85%
Unresolved data discrepancies3
Elevated-risk escalations open2
Metrics support prioritization, but they do not independently prove clinical accuracy, human understanding, or patient follow-through.
Patient 104
Discharged 4 days ago • 2 unresolved coordination gaps
Step 1
Discharge
Information complete.
Accuracy not independently verified.
Accuracy not independently verified.
Step 2
Handoff
Receipt acknowledged.
Ownership accepted.
Ownership accepted.
Step 3
Patient Contact
Overdue
No contact documented.
No contact documented.
Step 4
TCU Follow-Up
Unverified
Appointment was yesterday; no attendance record.
Appointment was yesterday; no attendance record.
Step 5
Next Steps
Pending contact and attendance verification.
Evidence Strength
Prevents process completion from being mistaken for verified outcomes
| Item | Status | Evidence Type | Interpretation |
|---|---|---|---|
| Medication access | Patient-reported | Self-report | Intent/ability reported; pickup not verified |
| Handoff | Accepted | Receiving team action | Ownership accepted |
| TCU attendance | Unknown | No record | Cannot conclude attended or missed |
Update Patient Coordination Status
Only enter information the system cannot already determine