How would you challenge an outside provider’s reassuring dashboard when urgent cases are still late?

Instruction: Separate immediate patient recovery from provider performance review, define a complete denominator, and propose conditions for continued work or restriction.

Context: In this fictional service, the outside reporting provider’s dashboard measures turnaround only after a case is accepted. The hospital’s transmission log contains urgent CTs that the provider has not accepted, and clinical teams report unanswered clarification calls. Several consequential discrepancies also need review. The contract is still active and local overnight capacity is limited.

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I would begin with the unreported patients, not the monthly average. Tonight we need one reconciled list showing every examination sent, whether it was accepted, who is reading it, and whether a usable report and any urgent message reached the clinical team. A case missing from the provider’s denominator is still our patient...

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