Clickable procedure map
Eight-pillar episode system A longitudinal service map—not an eight-step pipeline. Select a seam or worked episode to see the nested sequence and its controlling source.
Every person or outside party resolves through the canonical actor directory and is paired with the work performed in this step. Software and records stay separate. Open people and software directory → Non-executable overview. This map routes work into the triggered procedure; it is not a chronological claim that every lane or person enters the episode. Each action links its exact task to the same canonical job role, participation category, or outside-party type; a different task never creates a different role.
START / REJOIN Begin with an attributable result or an accepted action; lateral entries and evidence controls do not become later chronological steps.
Follow every applicable branch
DECISION 01 What owning work should receive this result? Furnish the distinct service
↙ Affected assessment domain Open only the affected assessment work and return its result. open subprocess Receiving procedure Comprehensive Assessment procedure Assign the exact nonclinical or licensed task inside the nested procedure.
Continue to decision: return ↓ ↓ Accepted plan action or plan mismatch Open the accepted action or bounded Care Plan revision. open subprocess Receiving procedure Care Plan procedure Assign the exact planning or protected clinical task inside the nested procedure.
Continue to decision: return ↓ ↓ Distinct service need or unfinished promise Open the owning service; do not claim completion from the feed. open subprocess Receiving procedure Owning pillar procedure Assign the exact canonical role and task in the receiving SOP.
Continue to decision: return ↓ ↘ Context only or no downstream work Retain permitted context or close the feed without an acceptance gate. complete REACHED ONLY FROM owning-work: Affected assessment domain · owning-work: Accepted plan action or plan mismatch · owning-work: Distinct service need or unfinished promise
Choose the one supported outcome
DECISION 02 Did the owning service return a real result and next useful action? Return the result and the next useful action
Open the complete text procedure outline The outline preserves every source-bound review step. The decision flow above controls which action occurs and whether it stops, loops, escalates, or rejoins.
01 Establish an attributable baseline 02 Convert accepted choices into owned actions Human assignment decision needed · 1 affected act SOP DESIGN BLOCKED — do not execute the affected work · Controlled by O-PA-001, O-003 03 Offer the configured Proxi companion interaction Open nested procedure 04 Furnish the distinct service 05 Handoff is not completion Human assignment decision needed · 1 affected act SOP DESIGN BLOCKED — do not execute the affected work · Controlled by O-PA-001, O-008, O-021 Open nested procedure 06 Return the result and the next useful action 07 Attribute distinct services; count labor once Open nested procedure 08 Enter laterally through 24/7 Open nested procedure 09 Handle post-discharge medication confusion Open nested procedure 10 Respond to caregiver exhaustion or possible breakdown Open nested procedure Selected source-bound action
Furnish the distinct service
Action 24/7, Coordination, Referral, Medication, Caregiver, and other affected work keep their own authority and completion evidence.
Documentation and closure evidence The local SOP's real result—not a mention, schedule, transmission, or owner acknowledgement. 01 Canonical job roles and their tasks in this source step 5 role-task traces; conditions determine which one actually enters L1 Philippine 24/7 and coordination support
Work performed in this step Reviews the routed first-answer or administrative obligation, performs the authorized call, scheduling, record-pursuit, or endpoint-verification act, records the actual result or failed route, and escalates unresolved or out-of-scope work.
When this person enters Only when the distinct obligation is an L1-authorized first-answer or administrative act. L2 Puerto Rico GUIDE navigator
Work performed in this step Reviews the prepared nonclinical obligation, provides the assigned GUIDE navigation, caregiver, education, or relationship service, confirms the person's choice or understanding, and documents the result and next assigned canonical actor.
When this person enters Only when the distinct obligation requires or the person requests an L2 nonclinical GUIDE relationship, navigation, education, or caregiver-support act. L3-RN U.S. clinical support RN
Work performed in this step Reviews the prepared nursing question, performs the assigned assessment or intervention, documents the nursing disposition and person-facing instruction, and escalates work requiring higher medical authority.
When this person enters Only when the distinct obligation requires an L3-RN assessment, instruction, intervention, or review within beneficiary-location authority. L3-Behavioral U.S. LCSW or behavioral clinician
Work performed in this step Reviews the prepared behavioral, psychosocial, distress, or safeguarding question, performs the assigned assessment or intervention, documents the disposition and immediate action, and escalates when required.
When this person enters Only when the distinct obligation requires an L3 behavioral, psychosocial, distress, or safeguarding act. L4 U.S. prescribing or Part B E/M clinician
Work performed in this step Reviews the prepared medical question, makes the authorized diagnosis, treatment, medication, prescribing, or order decision, signs the instruction, and returns the medical disposition.
When this person enters Only when the distinct obligation requires diagnosis, treatment, prescribing, orders, reconciliation, or another L4 medical act. 02 Beneficiary, caregiver, authority, and outside-party participation 1 linked touchpoint; none is a Proxi employment role Outside party Outside endpoint named on the routed obligation Canonical participation category: External provider, service, or authority
Participation, input, receipt, or outside work Reviews the named routed obligation and permitted packet, accepts or declines it, performs the endpoint-specific act within its authority, and returns source-native evidence of completion, refusal, unavailability, or missing information.
When this person or outside party enters Only when the distinct result is controlled by the named outside endpoint. 03 Automated preparation and control 3 uses of the five canonical software services; these are functions, not roles 04 Records, evidence, and next work 1 source-linked record function local sop result service result. The distinct result required by the owning pillar, not a mention, schedule, transmission, or acknowledgement.
Review this exact source element
Flag for review Submit comment
Viewing Assessment → Care Plan → distinct service work → Ongoing return. Overview open.
Eight complete pillar maps
Every source task belongs to a visible phase. Select a pillar to open its task-complete phase map and nested high-risk procedure.
01 49 tasks
Comprehensive assessment All 49 tasks partitioned into eight source-bound phases, with urgent and dependency branches kept visible.
Open pillar sequence → 02 52 tasks
Person-centered care plan All 52 tasks partitioned from participation through action execution and revision.
Open pillar sequence → 03 37 tasks
Ongoing monitoring and support All 37 tasks partitioned around a useful contact, exact follow-through, and material-change routing.
Open pillar sequence → 04 29 tasks
24/7 access All 29 tasks partitioned across readiness, the live human-answer episode, follow-through, and service recovery.
Open pillar sequence → 05 63 tasks
Care coordination and transitions All 63 task titles partitioned into the four materially different source-defined routes.
Open pillar sequence → 06 57 tasks
Referral and services supports All 57 tasks partitioned across individual connection, inventory stewardship, AAA/Tribal, and Medicaid HCBS work.
Open pillar sequence → 07 38 tasks
Medication management and reconciliation All 38 tasks partitioned from source preparation through prescribing judgment, execution, support, and safety.
Open pillar sequence → 08 34 tasks
Caregiver education and support All 34 tasks partitioned across applicability, training, information, support, referral, and learning return.
Open pillar sequence →