What the data shows
SEP-1 physician performance over the past six months.
Executive Summary · SEP-1
Overall SEP-1 compliance is 86.9% — below the 90% organizational goal and declining 5.1 points since January. Of 25 physicians managing eligible cases, 7 are below goal and 4 continue to fail after documented education. The quality team has completed three rounds of education; these four physicians have not demonstrated sustained improvement. Leadership intervention is recommended.
Repeat Noncompliance
4 physicians account for 61% of all fallouts despite completing education sessions in January, March, and May.
Declining Trend
System compliance has dropped from 92% in January to 87% in June — a 5-point decline over six months.
Education Working
18 of 25 physicians are at or above goal. Education sessions in Q1 produced measurable improvement in 14 of 18 cases.
Financial Signal
Estimated reimbursement at risk from 28 fallouts this period: $196,000 – $224,000.
Overall Compliance
86.9%
↓ 5.1 pts since January
Cases Reviewed
214
Jan – Jun 2026
Total Fallouts
28
↑ 6 more than Q1
Est. Financial Impact
$210K
reimbursement at risk
Physicians at Goal
18
72% of active physicians
Below Goal
7
4 with repeat issues
Compliance trend — 6 months
Goal: 90%
Compliance distribution
25 physicians
Top fallout reasons
28 fallouts · Jan–Jun 2026
Physician Accountability Matrix
Click any row to see the full physician profile — cases, education timeline, failure modes, and recommended next steps.
Access noticeRestricted to Quality Leadership, CMO, Department Chairs, and the CEO. Do not share in open department meetings.
| Physician |
Department |
Cases |
Failures |
Compliance |
Edu Sessions |
Last Education |
Repeat Issues |
Status |
Risk Prioritization Matrix
High-volume physicians with high failure rates command the most attention. Click any bubble to open the physician profile.
SEP-1 volume vs. failure rate
Bubble size = number of fallouts · Click to open profile
Leadership Review
No Sustained Improvement
Improving
Monitoring
Fallout Analysis
Understanding whether failures are workflow, documentation, knowledge, or compliance problems determines the right intervention.
Fallout reasons — all physicians
28 events
Education effectiveness
Compliance before vs. after sessions
Financial impact by physician
Estimated reimbursement at risk