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HIPAA · 42 CFR Part 2 VETO GATE: CLEAR ● PHOENIX ACTIVE

Cloud: Healthy

GCP: Healthy

Next Maintenance 2:00am

Ask The Council

Patient: Auto-detected

Priority: System-assigned

Role: Admin

All requests are evaluated for safety, compliance, and execution capacity.

Data Integrity Alerts (2)

Epic HL7 Feed Disconnected

ADT Interface • Down 47 minutes

NOW

C Dr. Chen compliance alert: Patient data sync interrupted, manual reconciliation may be required

HL7 ADT feed from Epic lost connection. 23 admission records pending sync. Risk of duplicate MRNs if not resolved quickly.

Coding Backlog Exceeds SLA

127 Charts • 48-hour turnaround at risk

6h

T Dr. Taylor analytics: Backlog 34% above normal, recommend temporary coder assignment

ICD-10 coding queue backed up due to holiday staffing. Billing cycle at risk. 4 coders currently active, need 6.

Data Quality Tasks (4)

Release of Information Requests

14 Pending • HIPAA 30-day deadline

12 days

Patient records requests from attorneys, insurers, and transfer facilities. Verify authorization forms complete.

Chart Completeness Audit

Q4 Review • 847 records sampled

5 days

Quarterly documentation audit for Joint Commission readiness. Focus: treatment plans, progress notes, discharge summaries.

FHIR Mapping — Wearable Data

Biometric Integration • 45M daily points

Ongoing

Map incoming HRV, sleep, and activity data to FHIR Observation resources. Ensure proper LOINC codes assigned.

ICD-10 2025 Code Update

Annual Update • Effective 10/1/2025

9 months

Review new behavioral health codes for SUD, anxiety, and depression. Update encoder and train coding staff.

Resolved Today (2)

Duplicate MRN Merged

PT-4521 + PT-4523 • Same patient

Resolved

Cerner Query Optimized

Report runtime 45s → 8s

Resolved

HIPAA Privacy Alerts (1)

Unusual PHI Access Pattern

After-hours access • Nurse J. Smith • 23 records

4h

C Dr. Chen anomaly detection: Access volume 340% above baseline for this user

Nurse accessed 23 patient records between 2am-4am. Only 3 were assigned patients. May be legitimate (covering shift) or potential breach. Requires investigation per §164.308(a)(1)(ii)(D).

Compliance Tasks (3)

Annual HIPAA Training Compliance

23 staff overdue • Deadline: Dec 31

17 days

Staff must complete annual HIPAA privacy and security training. 23 employees have not completed. Auto-reminders sent.

BAA Review — Wearable Vendor

FitSync Inc. • New data sharing agreement

5 days

Business Associate Agreement for new wearable integration. Review data handling, breach notification terms, and subcontractor provisions.

Annual Risk Assessment

Q4 Security Risk Analysis • §164.308(a)(1)(ii)(A)

17 days

Annual assessment of potential risks and vulnerabilities to ePHI. Document administrative, physical, and technical safeguards.

Compliance Cleared (2)

OCR Inquiry — Case Closed

No violation found

Cleared

42 CFR Part 2 Audit

SUD records compliant

Passed

Clinical Decision Support Alerts (1)

Alert Fatigue Risk — Dr. Olivia

47 unread alerts • Clinician burnout indicator

Review

O Dr. Olivia self-assessment: Alert override rate 34% — threshold tuning recommended

Dr. Brennan has 47 unacknowledged behavioral health alerts. High override rate suggests alert thresholds may be too sensitive. Risk of missing genuine crisis.

Informatics Tasks (3)

AI Model Validation — Crisis Prediction

48-96hr Window • Monthly Review

5 days

Monthly accuracy review of The Council predictions. Current: 94% sensitivity, 87% specificity. Compare against clinician outcomes.

Workflow Integration — Discharge

Epic → RNI handoff automation

Ongoing

Map discharge workflow to trigger post-acute monitoring. Auto-enroll patients in wearable tracking with proper consent documentation.

CDS Rule Update — MAT Protocol

Buprenorphine dosing decision support

7 days

Update clinical decision support rules for MAT per ASAM 2024 guidelines. Add naloxone co-prescribing reminder.

Validated This Week (2)

HRV Algorithm Update

Accuracy improved to 94%

Validated

PHQ-9 Auto-Scoring

100% accuracy vs manual

Live

Infrastructure Alerts (1)

Dr. Taylor Node — High Latency

Predictive AI • Response: 340ms (SLA: 200ms)

15m

T Dr. Taylor self-diagnostic: Memory pressure detected, recommend scale-up

Inference endpoint experiencing increased load. 45M daily biometric points causing queue backup. Auto-scaling triggered but not sufficient.

IT Infrastructure Tasks (3)

SSL Certificate Renewal

*.recoverynetwork.ai • Expires in 14 days

14 days

Auto-renewal configured via Let's Encrypt. Verify DNS challenge ready for all subdomains including Epic interface.

Quarterly DR Test

Cloud Failover • Dec 20

6 days

HIPAA requires documented DR testing. Schedule off-peak failover drill. RTO target: 4 minutes. RPO: 1 hour.

API Gateway Rate Limit Tuning

Pilot traffic increase expected

3 days

New pilot site launching Monday. Increase rate limits on biometric ingestion endpoints. Current: 1000/min, need: 2500/min.

System Health (2)

Platform Uptime

99.97% • 30 days

SLA Met

Backup Verification

4:00am • Restore test passed

Verified

Quality Alerts (1)

30-Day Readmission Rate Spike

Current: 18% (Target: 12%)

Analyze

T Dr. Taylor root cause analysis: 67% of readmits had <3 days post-discharge monitoring

Readmission rate up 6 points from last quarter. Pattern shows correlation with patients who declined wearable monitoring. SAMHSA reporting threshold at risk.

Quality Improvement Tasks (3)

CARF Accreditation Survey Prep

Scheduled: January 15-17, 2026

32 days

Prepare documentation for CARF Behavioral Health accreditation. Focus areas: treatment planning, patient rights, outcomes measurement.

PHQ-9 Completion Rate

Current: 87% (Target: 95%)

Ongoing

Depression screening completion below SAMHSA CCBHC standard. Gap analysis shows intake workflow issue. Recommend EHR prompt enhancement.

Patient Satisfaction Survey — Q4

CAHPS-BH • 234 responses pending

10 days

Q4 patient experience survey in progress. Current NPS: 72. Response rate: 43%. Send reminder to non-responders.

Quality Targets Met (2)

Program Completion Rate

76% (+4% vs Q3)

Target Met

MAT Adherence

94% • SAMHSA benchmark

Exceeds

DEMO DATA