Process Dependencies & Cross-Functional Matrix

Organizational process interactions, data flows, and interdependencies

Legend & Interaction Types

Primary Interaction
Process requires direct input/approval
Secondary Interaction
Process provides supporting data/info
Support Interaction
Process enables or supports indirectly

Executive & Strategy Process Dependencies

Critical Path Processes

Strategic Planning → Budget Approval → Annual Operations Plan
Stakeholder Engagement → Board Reporting → External Compliance
Performance Management → Board Reporting → Strategic Adjustment

Strategic Planning Dependencies

1
Review Performance Data
2
Financial Forecasts
3
Market/Regulatory Input
4
Staff Capability Assessment

Performance Management Dependencies

1
Quality Metrics Collection
2
Financial Performance Data
3
Operational KPIs
4
External Benchmarking

Board Reporting Dependencies

1
Strategic Plan Document
2
Financial Statements
3
Risk & Compliance Update
4
Quality Metrics Report

System Integration Flow

Performance DB
→
BI Dashboard
→
Planning Portal
→
Board Portal

Clinical Process Dependencies

Critical Care Path

Care Planning → Care Delivery → Outcome Recording → Quality Analysis
Admission → Clinical Assessment → Care Plan → Service Delivery

Care Planning Dependencies

1
Resident Assessment Data
2
Medical History/Records
3
Resident Preferences
4
Family Input

Care Delivery Dependencies

1
Approved Care Plan
2
Staff Allocation
3
Equipment/Supplies
4
Environmental Setup

Quality Monitoring Dependencies

1
Care Outcome Data
2
Incident/Complaint Data
3
Resident Satisfaction
4
Compliance Audits

System Integration Flow

Admission System
→
Clinical CMS
→
Mobile Care App
→
Analytics/QI

Cross-Functional Interaction Matrix

This matrix shows how key organizational processes interact and depend on each other across functional areas.

Process Strategic Planning Budget Management Care Planning Quality Improvement Admissions Financial Close HR Management Risk Management
Strategic Planning — Primary Secondary Secondary Support Primary Secondary Primary
Budget Management Primary — Secondary Support Secondary Primary Secondary Secondary
Care Planning Support Support — Primary Primary Support Secondary Secondary
Quality Improvement Secondary Support Primary — Secondary Support Support Secondary
Admissions Support Secondary Primary Support — Secondary Support Secondary
Financial Close Primary Primary Support Support Secondary — Secondary Support
HR Management Secondary Secondary Support Support Support Secondary — Secondary
Risk Management Primary Secondary Secondary Secondary Secondary Secondary Secondary —

RAC Operations Process Dependencies

Facility Admission → Care Planning → Daily Operations

Trigger: Resident admitted to facility
Dependencies: Complete initial assessment → Create care plan → Brief care team
Timeline: T+0 days (admission) to T+7 days (care plan complete)
Key Inputs: Medical records, assessment forms, care preferences
Key Outputs: Approved care plan, staff briefing, resident orientation
Critical Path Time Sensitive

Daily Care Operations → Quality Incidents → Issue Resolution

Trigger: Issue or incident occurs during care delivery
Dependencies: Report incident → Investigate → Take corrective action → Monitor
Timeline: Immediate notification required, resolution within 7 days
Key Inputs: Incident report, care notes, witness statements
Key Outputs: Investigation report, action plan, regulatory notification (if required)
Critical Compliance Required

Resident Exit → Discharge Planning → Record Closure

Trigger: Resident leaves facility (discharge, death, or transfer)
Dependencies: Final assessment → Discharge plan → Close financial account → Archive records
Timeline: 5 business days from exit date
Key Inputs: Exit reason, destination, final care data, outstanding payments
Key Outputs: Final invoice, discharge summary, file archival, regulatory notification
Process Closure

Critical Data Flow & System Dependencies

Admission to Care Delivery Data Flow

1. Initial Data Capture (Admissions System)
Demographics, contact info, medical history
↓
2. Clinical Assessment (Clinical CMS)
Health evaluation, care needs, clinical goals
↓
3. Care Plan Creation (Clinical CMS)
Care activities, responsible staff, schedule
↓
4. Daily Care Delivery (Mobile Care App)
Real-time recording of care activities and observations
↓
5. Quality Analytics (BI Dashboard)
Outcome analysis, trend identification, improvement opportunities

Financial Data Flow & Consolidation

1. Operational Expense Capture
Care costs, staffing, supplies, facility operations
↓
2. Revenue Recognition
Resident fees, government subsidies, ancillary revenue
↓
3. General Ledger Consolidation (SAP)
Transaction posting, account reconciliation, GL maintenance
↓
4. Financial Statement Preparation
Income statement, balance sheet, cash flow analysis
↓
5. External Reporting & Submission
GPMS, SIRS, Board reporting, auditor submissions

Risk & Compliance Dependencies

High-Risk Interdependencies

Data Breach Incident → Breach Assessment (30-day) → Notification Process → Regulatory Reporting
Compliance Gap Identified → Root Cause Analysis → Remediation Plan → Monitoring & Closure
Quality Issue Detected → Investigation → Corrective Action → Effectiveness Review

Regulatory Audit Preparation → Audit Execution → Remediation

Trigger: Regulatory audit scheduled (AACQA, state regulator, etc.)
Phase 1 - Prep (4 weeks prior): Gap analysis, document preparation, staff briefing
Phase 2 - Execution: Auditor on-site, evidence review, interviews, observations
Phase 3 - Response (30-60 days after): Remediation plans, progress tracking, formal sign-off
Critical - Licensing Impact