Actions in plan
Complete
Awaiting a decision right
Technical, medical or joint decisions that software cannot make.
Reassessment due
Quarterly cycle.
First 30 days
Stop the measurable bleeding: schedule template, counting method and written technical authority.
| Action | Owner | Decision right | Measure | State |
|---|---|---|---|---|
| Separate turnover from appointment length in the schedule template (90 + 15). | Manager | administrative | Template published; slot length audited weekly. | Complete |
| Name a technical lead with written authority over technical standards and escalation. | Administrative director | joint | Responsibility matrix signed. | Open |
| Start counting ambulatory disconnects and multi-tech cases as workload units. | Manager | administrative | Hidden-work hours appear in the monthly report. | Complete |
First 60 days
Change the shape of coverage and protect training time.
| Action | Owner | Decision right | Measure | State |
|---|---|---|---|---|
| Pilot the staggered coverage model: early inpatient/cEEG, mid outpatient block, late urgent/flex. | Manager | joint | Outpatient slots per week and uncovered hours. | Open |
| Protect four preceptor hours per week on the schedule template. | Manager | administrative | Protected hours delivered vs planned. | Open |
| Write the overnight cEEG escalation path and target response time. | Medical director | medical | Policy approved; response time measured. | Open |
First 90 days
Close competency depth gaps and re-measure against baseline.
| Action | Owner | Decision right | Measure | State |
|---|---|---|---|---|
| Close the two expiring competencies and remove the single point of failure on ambulatory setup. | Technical lead | technical | Coverage depth ≥ 2 for every critical competency. | Open |
| Re-run the assessment and compare access, hidden work and callback burden to baseline. | Manager | joint | Quarterly reassessment published. | Open |
Decision rights, stated plainly
The governance bridge between an administrator who owns the budget and a technologist who owns the modality knowledge.
Administrative
Budget, headcount, schedule templates, productivity method, capital requests.
Technical
Recording standards, montage and equipment choices, competency signoff criteria, escalation behaviour.
Medical
Clinical criteria, interpretation, reading cadence, medical escalation and any policy with clinical content.
Joint
Coverage models, service expansion, and anything where operational feasibility and clinical requirement meet.