CROSSCHECK PHYSICIANS | OKLAHOMA TELE-EMERGENCY MEASUREMENT PLAN Version: September 25, 2026 https://crosscheckphysicians.com/resources/tele-emergency-program-measurement Oklahoma hospital/network: Clinical review owner: Baseline period / follow-up period: Included population and exclusions: FOR EACH MEASURE: definition, numerator, denominator, data source, owner, frequency, target or review threshold, missing-data limitations. Access: requests, completed consultations, unanswered requests: Response time: request to live physician contact: Use: consultation reason and stage in care: Disposition: local discharge, local admission, transfer with rationale: Transfer: decision to acceptance; acceptance to departure; door-in-door-out: Safety: returns, escalation, delays, adverse events; approved follow-up window: Experience: usefulness, workflow fit, local clinician feedback: Economics: actual costs and operational effects, separate from modeled savings: How case mix and other concurrent changes will be considered: Clinical review definition for potentially avoidable transfers: How safety will be reviewed alongside local retention: Review schedule and decisions for continuation or improvement: Use aggregate information. This worksheet is not a patient record.