Sierra Valley Medical Center · Department command
What does this department need next?
Choose the job in front of you. NeuroOps carries the same evidence, assumptions and ownership through every path.
Operating picture
Today’s department signals
Outpatient wait
Target 14 days
From the operational diagnostic.
Staffing gap
3.0 filled vs 3.0 required
Includes the reliability buffer for PTO, sick and training.
Single-point competencies
2 attestations expiring within 90 days
A competency held independently by exactly one person on the roster.
Lab readiness
3 criteria not met
Readiness and gap analysis only. This is not accreditation and does not confer it.
Department health by domain
Ten operational domains with their evidence and owner. There is deliberately no single overall score — a department is not one number.
0 of 10 domains at or above target · average maturity 1.7 of 5
| Domain | Now | Target | Evidence | Owner |
|---|---|---|---|---|
| Outpatient access & scheduling | 2 — Reactive | 4 | 6-week wait; 90-minute slots; no protected outpatient block. | Manager |
| Staffing & coverage design | 2 — Reactive | 4 | 3 FT technologists clustered on weekdays; every-third-week call; minimal PRN. | Manager |
| Workload & productivity measurement | 1 — Ad hoc | 4 | Productivity counted per study; adaptive and ambulatory work invisible. | Administrative director |
| Competency & credentialing | 2 — Reactive | 4 | Competencies exist on paper; two expire within 60 days; one single point of failure. | Technical lead |
| Training pipeline | 1 — Ad hoc | 3 | One preceptor, unprotected hours; no defined time-to-independent-practice. | Education coordinator |
| Policy & standards | 2 — Reactive | 4 | Activation criteria written; escalation and weekend model unwritten. | Technical lead |
| cEEG program | 2 — Reactive | 4 | cEEG runs, but coverage after 18:00 depends on callback. | Technical lead |
| Service-line governance | 1 — Ad hoc | 4 | No neurodiagnostic technical authority defined inside the cardiopulmonary reporting line. | Administrative director |
| Quality & review | 2 — Reactive | 4 | Technical QA informal; no scheduled record review. | Medical director |
| Financial visibility | 2 — Reactive | 4 | Overtime and callback tracked; hidden labour not costed. | Administrative director |
Hidden work not counted in productivity
Real technologist hours that per-study counts miss. Model default minutes; replace with a local time study.
| Work | Hrs / week | Why it disappears |
|---|---|---|
| Ambulatory hook-up and disconnect | 1.7 | Disconnects are unscheduled, interrupt outpatient flow and rarely carry their own study count. |
| Multi-tech paediatric / sensory-adaptive cases | 0.9 | A second or third technologist is consumed by the same single study count. |
| cEEG setup and daily maintenance | 13 | Application, electrode maintenance and re-gelling recur daily for the life of the recording. |
| Preceptor and training hours | 4 | Teaching time is real technologist time and is currently unprotected. |
| Equipment, electrode and cart maintenance | 3 | Cleaning, charging, cabling and cart turnaround happen between studies. |
Total 22.6 uncounted hours per week — roughly 0.6 FTE of invisible work.
30/60/90 actions and alerts
What is moving, what is waiting on a decision right, and what needs attention now.
- Name a technical lead with written authority over technical standards and escalation.30d
Administrative director · joint decision
- Pilot the staggered coverage model: early inpatient/cEEG, mid outpatient block, late urgent/flex.60d
Manager · joint decision
- Protect four preceptor hours per week on the schedule template.60d
Manager · administrative decision
- Write the overnight cEEG escalation path and target response time.60d
Medical director · medical decision
- Close the two expiring competencies and remove the single point of failure on ambulatory setup.90d
Technical lead · technical decision
- • 2 competency attestations expire within 90 days.
- • 1 competencies are held independently by exactly one person.
- • cEEG readiness 29% across 7 assessed domains, 1 not yet assessed.
- • 1 skills checkoffs are waiting on a preceptor signoff.
This organization, across the platform
Everything below is the same Sierra Valley demo data seen from a different angle.
Assessments
Operational diagnostics in this workspace.
No PHI, no patient-level data
This platform holds aggregate operational counts, workforce records and competency attestations. It has no patient fields, no patient-level logs and no case records, and makes no compliance-certification claim.
Not legal advice
Regulatory records are research notes, not legal advice or a legal opinion. Confirm any statute, regulation or requirement with the issuing authority and your own counsel before acting.