Module 10 · Care Pathway Management · 10.3 · ORCHESTRATE
Conformance Command Center
Cohort conformance, gate status, and variance governance — every figure rolls up from node instances. Exception rates above 10% raise a pathway-redesign flag. Scoped to Full portfolio.
73.1%
critical gate vs 70% (pass · +3.1 pts)
101
exceptions in-window
2
nodes flagged for redesign
128
variances classified
Per-variant conformance · episode counts · PW-T2DM-001
V4 · Complex / Complications · 55 episodes64.2
V3 · Established–Uncontrolled · 92 episodes71.4
V1 · New Diagnosis · 52 episodes69.8
V2 · Established–Controlled · 141 episodes82.6
Cohort conformance funnel (SO-2) · same rendering as 3.4 L2-B
Diagnosis & classification340
Comprehensive medical evaluation325
Individualized glycemic target254
First-line pharmacotherapy232
Month-6 monitoring block218
Conditional intensification178
SO-1 reconciliation · N11 node open ⇄ 9.4 retinal gaps
N11 open from node instances (Due ∪ Missed of 320 evidenced)66
9.4 Care Gap Intelligence · retinal gaps open66
Identity holds. The node-open count and the Module 9 gap count derive from the same identity set — 66 ≡ 66.
Variant × RS-2 tier crosswalk (SO-4)
Node conformance heat strip · nodes × periods · worst-first
| Node | Q1 | Q2 | Q3 | Q4 |
|---|---|---|---|---|
| N11 · Retinal exam | 58 | 61 | 63 | 66 |
| N04 · Intensification decision | 60 | 62 | 64 | 66 |
| N21 · Endocrinology referral | 55 | 60 | 64 | 68 |
| N13 · Renal panel | 70 | 71 | 73 | 75 |
| N06 · Self-management education | 72 | 73 | 74 | 76 |
| N07 · Depression screen (PHQ-9) | 74 | 76 | 77 | 78 |
| N09 · HbA1c retest | 79 | 80 | 82 | 83 |
| N02 · Baseline HbA1c | 88 | 90 | 91 | 93 |
Exception governance · rate > 10% → redesign flag
| Node | Scope | In-window | Exceptions | Rate | Governance |
|---|---|---|---|---|---|
| N04 · Medication intensification decision | V3 | 92 | 34 | 37% | redesign flag |
| N11 · Retinal exam (closed loop) | V4 | 51 | 6 | 11.8% | redesign flag |
| N13 · Renal panel (uACR + eGFR) | cohort | 280 | 22 | 7.9% | within tolerance |
| N07 · Depression screen (PHQ-9) | cohort | 300 | 24 | 8% | within tolerance |
| N05 · Dietitian referral (closed loop) | cohort | 210 | 15 | 7.1% | within tolerance |
Variance analytics · Pareto (128 classified)
Delay46 · 35.9%
Omission31 · 60.2%
System/Access22 · 77.3%
Sequence Deviation14 · 88.3%
Justified Exception9 · 95.3%
Unwarranted Addition6 · 100%