Clinical & Operational Compliance
1. Overview & Mandate
Business Unit Purpose Clinical & Operational Compliance is responsible for ensuring that MorgueBoard® products, implementations, and operational practices align with clinical workflows, hospital operations, and institutional change-management realities. This business unit provides clinical credibility, operational guardrails, and adoption-focused oversight distinct from technical security or regulatory compliance.
While clinical healthcare environments remain the primary focus, this business unit is intentionally structured to support potential expansion into adjacent local, state, and federal government domains related to death care, including medical examiners, coroner offices, and vital statistics agencies. Should MorgueBoard® pursue such markets, Clinical & Operational Compliance will serve as the primary internal function responsible for understanding and contextualizing the operational, institutional, and compliance landscape of those environments.
Mandate Statement Clinical & Operational Compliance exists to ensure that MorgueBoard® solutions are deployable, adoptable, and sustainable within healthcare environments by grounding decisions in clinical practice, operational constraints, and institutional governance norms.
Primary Accountability Owner
- Primary: Clinical & Operational Compliance Owner (John Baci)
- Supporting: Implementation / Professional Services, Product Management, Customer Success & Support, Executive Leadership
2. Core Functions & Responsibilities
Core Functions
- Clinical workflow validation
- Operational readiness and change-management guidance
- Institutional credibility with healthcare stakeholders
- Risk identification related to clinical adoption and operational workflow
- Advisory input on deployment pacing and rollout strategies
- Forward-looking assessment of operational and compliance considerations in adjacent government or public-sector death care environments, if applicable
Explicit Responsibilities
- Validate that product features and implementation approaches align with clinical workflows
- Advise on hospital operational constraints and governance expectations
- Identify adoption risks tied to staffing, workflow disruption, or institutional change
- Support implementation teams with clinical context and credibility
- Serve as escalation point for clinical or operational feasibility concerns
- If MorgueBoard® enters government or public-sector death care markets, develop institutional understanding of applicable state-level laws, operational norms, and compliance expectations affecting funeral homes, hospitals, academic institutions, medical examiners, coroners, and vital records workflows
Explicit Non-Responsibilities
- Technical security, privacy, or regulatory compliance
- Product roadmap ownership
- Direct implementation execution
- Customer contract negotiation
- Acting as the primary owner of statutory or regulatory compliance regimes unless explicitly chartered to do so by Executive Leadership
3. Fractional & Embedded Capability Partners
This section documents ongoing fractional or embedded partners that support Clinical & Operational Compliance execution. These partners provide advisory capability while accountability remains internal.
| Partner | Capability Provided | Engagement Type | Accountability Boundary | Primary Engagement Contact | Notes |
|---|---|---|---|---|---|
| — | — | — | — | — | Reserved for future clinical advisory support if required |
4. Decision Rights & Authority Boundaries
Decisions the Primary Owner Can Make Unilaterally
The Primary Owner has full authority to make the following decisions without prior approval:
- Interpretation of Institutional Standards
- Interpret Joint Commission, CAP, hospital policy, and pathology-specific standards as they relate to customer workflows.
- Interpret analogous institutional standards and operating norms applicable to public-sector death care entities (e.g., medical examiners, coroners, vital statistics agencies) if and when applicable.
- Decide how institutional expectations should be operationally reflected in customer-facing guidance.
- Determine what constitutes acceptable operational compliance versus customer preference across healthcare and adjacent death care environments.
- Workflow Governance
- Define compliant customer workflows within the bounds of existing product capabilities.
- Approve recommended operational practices for hospitals, pathology departments, and related institutions.
- Where relevant, define compliant workflows for local, state, or federal government entities, informed by state-specific operational realities rather than legal interpretation.
- Decide when a customer’s suggested workflow introduces unacceptable institutional, operational, or credibility risk.
- Customer-Facing Compliance Credibility
- Serve as the authoritative voice on clinical and operational compliance in customer interactions.
- Serve as the authoritative voice on institutional and operational expectations when engaging with public-sector death care stakeholders, if applicable.
- Decide how compliance topics are framed during sales support, implementation, and support escalations.
- Determine when compliance positioning strengthens or weakens customer trust and institutional credibility.
Decisions Requiring Consultation (Not Approval)
The Primary Owner retains final authority but must consult Supporting roles in the following areas:
- With Supporting Roles (Product Reality & Risk Alignment)
- Alignment between recommended workflows and actual product behavior.
- Situations where compliance interpretation pressures product scope or roadmap.
- Customer requests that may introduce business, reputational, delivery, or institutional risk across clinical or public-sector contexts.
- With Product Management
- Compliance-driven requirements that may imply future product enhancements.
- Tradeoffs between strict institutional alignment and pragmatic product constraints.
- Early signals that government or public-sector use cases may require product evolution.
- With Implementation / Professional Services
- Compliance considerations that materially affect deployment sequencing or go-live readiness.
- Consultation is expected to ensure coherence, not to dilute authority.
Decisions That Must Explicitly Escalate
The following decisions require explicit escalation and may not be made unilaterally:
- To Legal & Contract Management
- Formal regulatory interpretations, representations, or written assurances.
- Customer or agency requests that imply statutory compliance guarantees or legal certification.
- Interpretation of state-specific laws governing funeral homes, hospitals, medical examiners, coroners, or vital records systems.
- To Technical Compliance, Privacy & Security
- Issues where operational compliance intersects with technical safeguards, access controls, data handling, or record integrity.
- Any scenario where Electronic Death Record System (EDRS) or government data exchange introduces security or privacy implications.
- To Executive / Corporate Leadership
- Compliance positions that materially affect market posture, customer eligibility, or company risk exposure.
- Entry into government or public-sector environments with materially different compliance, institutional, or political risk profiles.
Boundaries & Explicit Non-Goals
To prevent role creep or ambiguity:
- Clinical & Operational Compliance does not define product functionality.
- Clinical & Operational Compliance does not negotiate contracts or pricing.
- Clinical & Operational Compliance does not act as a legal or regulatory authority.
- Supporting roles do not override institutional compliance judgments.
- Customer accommodation does not override institutional safety or credibility.
- This function governs interpretation and operational guidance, not statutory certification or legal compliance.
Operating Heuristic
- If a decision affects how hospitals or institutions should operate using the product, the Primary Owner decides.
- If a decision affects how public-sector death care entities should operationally interact with the product, the Primary Owner decides within interpretive bounds.
- If a decision creates legal guarantees, regulatory representations, product commitments, or technical obligations, it must be consulted or escalated accordingly.
5. Key Interfaces & Dependencies
| Interface | Nature of Interaction |
|---|---|
| Product Management | Workflow validation, feasibility feedback |
| Implementation / Professional Services | Deployment pacing, clinical credibility |
| Customer Success & Support | Adoption challenges, change management |
| Executive Leadership | Risk escalation, strategic trade-offs |
6. Budget Ownership & Cost Structure
Clinical & Operational Compliance Budget Scope
- Clinical advisory support (if engaged)
- Limited travel or stakeholder engagement expenses
Budget Ownership Model
- Budget managed conservatively and approved by Executive Leadership
- Spend justified by adoption risk mitigation and customer success impact
7. General KPIs & Performance Metrics
Adoption & Feasibility
- Implementation delays due to clinical workflow issues
- Adoption-related escalations
Operational Alignment
- Customer feedback on operational fit
- Change-management issues identified early
8. Initiatives & Goals Tracking
| Initiative / Goal | Description | Owner | Success Criteria | KPI(s) | Target Date | Status | Notes |
|---|---|---|---|---|---|---|---|
9. Maturity Roadmap
Current State Founder- and advisor-led clinical oversight with informal validation of workflows and operational fit.
Next State Consistent clinical and operational validation embedded into product and implementation decisions.
Future State Formalized clinical governance capability supporting scale across diverse healthcare environments, with optional extension into government and public-sector death care domains where operational, institutional, and compliance complexity requires structured internal expertise.
10. Document Revision History
| Version | Date | Description of Change | Author | Approved By | Approval Date |
|---|---|---|---|---|---|
| 1.0 | 2026-01-04 | Document Creation | Nic Bavetta | Managing Partners | 2026-01-05 |