Operational views
Review work, evidence, exceptions and authorised decisions within a defined operating scope.
Healthcare / APPLICATION BLUEPRINT
Allied Health Network Service Package Utilisation Review
Tracks delivered services against approved packages for rehabilitation service episodes, identifies unused or exceeded allocations and gathers supporting evidence.
14 workspace menus · 11 business workflows · 5 role profiles
Application blueprint only. This is a proposed design, not a deployed or production-tested system. Screens and sample figures are illustrative; workflows, business rules, approvals, permissions and integrations require confirmation before build.
Designed for care coordinators and the responsible business owners
Explore an illustrative interface.
Illustrative workspace and record review. Select a concept screen to inspect it in full.
Operational dashboards and work queues.
Dashboard measures
- Active operational records
Count of all records in the selected workspace. - Review queue
Records at the third stage of the business workflow. - Needs attention
Records with an assigned review requirement. - Final-stage records
Records in the fourth business workflow stage.
Business workflow and operating scope
Tracks delivered services against approved packages for rehabilitation service episodes, identifies unused or exceeded allocations and gathers supporting evidence. Routes amendments and billing adjustments for authorised review, preserving the original entitlement and any practitioner-approved service limitations.
The end-to-end business journey.
From intake to authorised completion, with evidence at each decision.
Register the operating requirement
Establish the scope of delivered services, capture the required records and assign the accountable team.
Coordinate records and evidence
Coordinate unused or exceeded allocations, gathers supporting evidence, with linked evidence and visible outstanding actions.
Review exceptions and authorise action
Review the relevant conditions and exceptions. Record the authorised outcome and its supporting evidence.
Track completion and follow-up
Confirm the resulting records and handovers. Track remaining obligations, later changes and follow-up actions.
Business workflows
Select a workflow to review the steps, responsibilities, approval and exception handling.
01 · Track delivered services
Coordinate delivered services within Allied Health Network Service Package Utilisation Review.
Trigger
Delivered services requires a new record, an agreed review or a controlled change.
Responsible role
Care coordinator
- Register delivered services and its operating scope
- Assign the accountable owner and required actions
- Review the relevant evidence and unresolved conditions
- Confirm the accepted outcome and retain its history
Approval
Service authoriser records the decision when the action changes an accepted commitment or requires delegated authority.
Exception handling
Required information or responsibility is missing, or an operating condition changes.
Outcome
A completed operating record with its linked evidence and remaining obligations.
02 · Identify unused or exceeded allocations
Coordinate unused or exceeded allocations within Allied Health Network Service Package Utilisation Review.
Trigger
Unused or exceeded allocations requires a new record, an agreed review or a controlled change.
Responsible role
Clinical reviewer
- Register unused or exceeded allocations and its operating scope
- Compare amounts, attribution and accepted conditions
- Route differences to the accountable finance reviewer
- Record authorised adjustments and the accepted position
Approval
Service authoriser records the decision when the action changes an accepted commitment or requires delegated authority.
Exception handling
Amounts, ownership or allocation evidence do not agree.
Outcome
A reconciled position, approved adjustments and separately owned outstanding items.
03 · Gather supporting evidence
Coordinate supporting evidence within Allied Health Network Service Package Utilisation Review.
Trigger
Supporting evidence requires a new record, an agreed review or a controlled change.
Responsible role
Clinical reviewer
- Register supporting evidence and its operating scope
- Collect the linked records and qualified evidence
- Assign the responsible reviewer and record findings
- Accept the outcome or assign corrective follow-up
Approval
Service authoriser records the decision when the action changes an accepted commitment or requires delegated authority.
Exception handling
Evidence is incomplete, disputed, expired or outside the reviewer’s authority.
Outcome
A review finding, its accepted evidence and any accountable corrective actions.
04 · Route amendments and billing adjustments
Coordinate amendments and billing adjustments within Allied Health Network Service Package Utilisation Review.
Trigger
Amendments and billing adjustments requires a new record, an agreed review or a controlled change.
Responsible role
Care coordinator
- Register amendments and billing adjustments and its operating scope
- Assign the accountable owner and required actions
- Review the relevant evidence and unresolved conditions
- Confirm the accepted outcome and retain its history
Approval
Service authoriser records the decision when the action changes an accepted commitment or requires delegated authority.
Exception handling
Required information or responsibility is missing, or an operating condition changes.
Outcome
A completed operating record with its linked evidence and remaining obligations.
05 · Coordinate preserving the original entitlement
Coordinate preserving the original entitlement within Allied Health Network Service Package Utilisation Review.
Trigger
Preserving the original entitlement requires a new record, an agreed review or a controlled change.
Responsible role
Care coordinator
- Register preserving the original entitlement and its operating scope
- Check permitted purpose, prerequisites and authority
- Record the delegated approval or refusal
- Track term, withdrawal and later changes
Approval
Service authoriser records the decision when the action changes an accepted commitment or requires delegated authority.
Exception handling
Authority is missing, permission changes or the requested purpose exceeds the accepted scope.
Outcome
A scoped permission or recorded refusal, its conditions and review history.
06 · Coordinate practitioner-approved service limitations
Coordinate practitioner-approved service limitations within Allied Health Network Service Package Utilisation Review.
Trigger
Practitioner-approved service limitations requires a new record, an agreed review or a controlled change.
Responsible role
Care coordinator
- Register practitioner-approved service limitations and its operating scope
- Gather the relevant evidence and review options
- Route the case to the delegated decision owner
- Record the outcome, conditions and follow-up obligations
Approval
Service authoriser records the decision when the action changes an accepted commitment or requires delegated authority.
Exception handling
The case exceeds delegation, contains a conflict or has disputed evidence.
Outcome
An authorised decision or escalation with accountable resolution actions.
07 · Register the operating requirement
Coordinate operating requirement within Allied Health Network Service Package Utilisation Review.
Trigger
Operating requirement requires a new record, an agreed review or a controlled change.
Responsible role
Care coordinator
- Register operating requirement and its operating scope
- Compare options, dependencies and operating constraints
- Review the selected option with its accountable owners
- Accept the plan and track its delivery conditions
Approval
Service authoriser records the decision when the action changes an accepted commitment or requires delegated authority.
Exception handling
An assumption changes, prerequisites are missing or stakeholders cannot accept the proposed commitment.
Outcome
An approved operating plan and owned actions for its accepted conditions.
08 · Resolve operating exceptions
Coordinate operating exceptions within Allied Health Network Service Package Utilisation Review.
Trigger
Operating exceptions requires a new record, an agreed review or a controlled change.
Responsible role
Care coordinator
- Register operating exceptions and its operating scope
- Gather the relevant evidence and review options
- Route the case to the delegated decision owner
- Record the outcome, conditions and follow-up obligations
Approval
Service authoriser records the decision when the action changes an accepted commitment or requires delegated authority.
Exception handling
The case exceeds delegation, contains a conflict or has disputed evidence.
Outcome
An authorised decision or escalation with accountable resolution actions.
09 · Verify completion and follow-up
Coordinate completion and follow-up within Allied Health Network Service Package Utilisation Review.
Trigger
Completion and follow-up requires a new record, an agreed review or a controlled change.
Responsible role
Clinical reviewer
- Register completion and follow-up and its operating scope
- Collect the linked records and qualified evidence
- Assign the responsible reviewer and record findings
- Accept the outcome or assign corrective follow-up
Approval
Service authoriser records the decision when the action changes an accepted commitment or requires delegated authority.
Exception handling
Evidence is incomplete, disputed, expired or outside the reviewer’s authority.
Outcome
A review finding, its accepted evidence and any accountable corrective actions.
10 · Review controlled operating changes
Coordinate controlled operating changes within Allied Health Network Service Package Utilisation Review.
Trigger
Controlled operating changes requires a new record, an agreed review or a controlled change.
Responsible role
Clinical reviewer
- Register controlled operating changes and its operating scope
- Collect the linked records and qualified evidence
- Assign the responsible reviewer and record findings
- Accept the outcome or assign corrective follow-up
Approval
Service authoriser records the decision when the action changes an accepted commitment or requires delegated authority.
Exception handling
Evidence is incomplete, disputed, expired or outside the reviewer’s authority.
Outcome
A review finding, its accepted evidence and any accountable corrective actions.
11 · Prepare scoped operational reports
Coordinate scoped operational reports within Allied Health Network Service Package Utilisation Review.
Trigger
Scoped operational reports requires a new record, an agreed review or a controlled change.
Responsible role
Care coordinator
- Register scoped operational reports and its operating scope
- Assign the accountable owner and required actions
- Review the relevant evidence and unresolved conditions
- Confirm the accepted outcome and retain its history
Approval
Service authoriser records the decision when the action changes an accepted commitment or requires delegated authority.
Exception handling
Required information or responsibility is missing, or an operating condition changes.
Outcome
A completed operating record with its linked evidence and remaining obligations.
Governance and control
- Role permissions reflect the agreed responsibilities and restricted record access.
- Sensitive information is restricted to the agreed roles and permitted sharing scope.
- Required information and evidence are checked before the relevant decision or handover.
- Exceptions have a named owner, recorded reason and an authorised resolution.
- Approved changes retain their previous values, accountable decisions and linked evidence.
- Integration mappings, business rules and acceptance criteria are reviewed with the customer.
Operating rules by business workflow
- For delivered services, the record retains an accountable owner, its supporting evidence and accepted outcome.
- For unused or exceeded allocations, adjustments require source evidence, a recorded reason and authorised financial review.
- For supporting evidence, evidence, reviewer authority and acceptance conditions are visible before a reviewed outcome is accepted.
- For amendments and billing adjustments, the record retains an accountable owner, its supporting evidence and accepted outcome.
- For preserving the original entitlement, the request stays within the recorded permission and delegated authority.
- For practitioner-approved service limitations, a decision retains its authority, reason, supporting evidence and resulting obligations.
- For operating requirement, the accepted plan records assumptions, rejected alternatives, dependencies and conditions.
- For operating exceptions, a decision retains its authority, reason, supporting evidence and resulting obligations.
- For completion and follow-up, evidence, reviewer authority and acceptance conditions are visible before a reviewed outcome is accepted.
- For controlled operating changes, evidence, reviewer authority and acceptance conditions are visible before a reviewed outcome is accepted.
- For scoped operational reports, the record retains an accountable owner, its supporting evidence and accepted outcome.
Data, interfaces and operating requirements.
Core records
Record fields and linked information
- Record identifier — Stable reference for the operating transaction.
- Service / care team — Business scope used for responsibility and reporting.
- Operating subject — The request, commitment or work item being handled.
- Accountable owner — Named responsibility for the next action.
- Workflow stage — Current position in the agreed business journey.
- Review requirement — Required review and outstanding decision.
- Due or review date — Agreed action window or review trigger.
- Linked evidence — Source records supporting the operating decision.
- Decision authority — The delegated authority relevant to the accepted outcome.
- Accepted outcome — Recorded decision and its business consequences.
- Follow-up obligation — Remaining responsibilities after an accepted action.
- Revision history — Trace of accepted changes and their evidence.
- Delivered services reference — Link the relevant delivered services to the operating transaction and its decision evidence.
- Unused or exceeded allocations reference — Link the relevant unused or exceeded allocations to the operating transaction and its decision evidence.
- Evidence reference — Link the relevant evidence to the operating transaction and its decision evidence.
- Amendments and billing adjustments reference — Link the relevant amendments and billing adjustments to the operating transaction and its decision evidence.
- Gathers supporting evidence reference — Link the relevant gathers supporting evidence to the operating transaction and its decision evidence.
Systems and interfaces
- Patient administration and care records
- Approved booking, clinical or service interfaces
- Identity and role-based access services
- Approved document and communication services
Interface scope, data mapping and testing are agreed for each engagement.
Implementation requirements
Confirm the operating boundaries, delivered services, responsible roles, review authority, record retention, interface mappings and acceptance scenarios.
Confirm the operating boundaries, delivered services, responsible roles, review authority, record retention, interface mappings and acceptance scenarios.
Mobile and tablet access
Authorised users can review delivered services, supporting records and assigned actions through mobile and tablet access. The relevant tasks and permissions are agreed for the deployment.
Access approved workflows through the Dalfin mobile app. Device tasks and permissions are confirmed for the deployment.
AI extensions
Core workflows and approval rules are defined with your business owners. Operational AI can be assessed separately against a specific business outcome and review requirements.
AI extensions are scoped around the required data, business outcome and review controls.
Engineered with Genesis.
Structured application engineering
Connect requirements, roles, records, workflows and interfaces through the agreed Genesis engineering process.
Controlled changes
Review dependency impact and validation requirements. Context Memory supports governed changes and accepted application revisions.
Deployment and support
Agree customer cloud or on-premises requirements, device access, implementation acceptance and ongoing engineering support.
Explore the platform
AN EXAMPLE OPERATING SCENARIO
What to validate in a scoped demonstration.
Start with delivered services and follow the record through coordinate records and evidence. Introduce a missing item or operating exception, record the authorised resolution and inspect the final handover, evidence and history.
What to review
- A saved end-to-end transaction
- An exception and its authorised resolution
- Different operator, approver and reviewer permissions
- Final records, history and the relevant report
Questions before implementation.
What can we review in a tailored demonstration?
Review a representative operational record, its workflow stages, accountable roles, an exception and the resulting operational report. Bring the business process and existing system requirements that matter to your organisation.
How is the solution adapted to our organisation?
The operating scope covers your records, role permissions, review authority, business rules and integration boundaries. These requirements are agreed with the responsible business owners.
How does the solution connect with existing systems?
Connection design defines interfaces, data ownership, mapping, authentication and exception handling. The agreed implementation includes validation against the selected systems and workflows.
How are subsequent changes controlled?
The agreed engineering approach covers review of change impact, bounded implementation, validation and accepted revisions. Discuss the relevant Genesis Context Memory and support requirements during solution scoping.
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