7 Extended Consultation Analysis – Intradepartmental Consultation Analysis

7.1 Turnaround Service Levels

The 4-hour, 8-hour, and 24-hour thresholds below are used as practical benchmarks for intradepartmental consultation responsiveness. While no universal regulatory standard exists for intradepartmental consultation TAT, these values align with common institutional practice: 4 hours for urgent cases, 8 hours for same-day service, and 24 hours as a general timeliness target analogous to external second-opinion turnaround expectations.

Overall Turnaround Service Levels
SLA (Hours)	Percent Within SLA (%)
4	55.4
8	67.1
24	88.9

7.1.1 Service Levels by Responder (n ≥ 5)

Responder Service Levels (n ≥ 5 Consultations)
Responder	Consultations	≤4h	≤8h	≤24h	Median TAT (h)
P5	751	0.676	0.763	0.921	1.988
P9	696	0.330	0.708	0.895	5.135
P2	684	0.716	0.810	0.939	2.075
P11	522	0.743	0.810	0.960	1.673
P23	407	0.619	0.730	0.941	3.023
P21	399	0.539	0.632	0.852	3.705
P17	362	0.251	0.323	0.644	20.290
P8	348	0.603	0.695	0.856	3.358
P33	261	0.192	0.222	0.858	17.476
P6	254	0.311	0.350	0.799	14.247
P19	227	0.683	0.771	0.907	2.620
P10	216	0.731	0.773	0.935	1.357
P28	124	0.597	0.677	0.903	3.046
P24	120	0.767	0.867	0.950	1.301
P27	94	0.777	0.851	0.936	1.130
P18	83	0.470	0.723	0.904	4.008
P4	79	0.329	0.392	0.911	8.857
P16	75	0.267	0.360	0.747	18.099
P13	68	0.765	0.765	0.926	1.776
P1	29	0.310	0.310	0.931	13.905
P30	18	0.667	0.722	0.944	3.444
P25	17	0.471	0.529	0.882	6.068
P3	15	0.200	0.733	0.800	5.493
P14	8	1.000	1.000	1.000	0.456
P32	8	0.625	0.625	0.875	1.421
P26	6	0.333	0.500	0.667	9.769

7.2 Time-of-Week Effects

Median Turnaround Time by Hour of Day for Consultation Initiation

7.3 Asker and Pair Performance

Asker Turnaround Performance (n ≥ 5 Consultations)
Asker	Consultations	Median TAT (h)	IQR TAT (h)
P22	185	1.32	5.22
P21	197	1.39	3.95
P30	11	1.83	1.61
P13	684	1.89	4.03
P5	176	2.00	6.04
P31	17	2.10	5.90
P28	241	2.15	5.92
P9	194	2.16	5.81
P23	116	2.45	11.20
P29	99	2.51	11.71
P7	111	2.62	4.38
P26	50	2.69	6.25
P14	139	2.74	14.71
P25	56	2.96	27.93
P6	136	2.97	3.57
P4	345	3.02	13.37
P32	12	3.05	0.82
P17	207	3.12	13.55
P1	158	3.39	14.71
P10	434	3.49	19.25
P19	131	3.58	15.42
P16	111	4.01	7.37
P15	37	4.10	16.52
P27	133	4.62	13.77
P24	140	4.97	16.45
P2	275	5.04	16.17
P11	171	5.14	13.32
P8	754	5.14	16.03
P12	8	8.80	17.67
P18	319	8.86	16.41
P3	228	13.26	15.41

Fastest Asker→Responder Pairs (n ≥ 5, Top 15)
Asker	Responder	Consultations	Median TAT (h)	IQR TAT (h)
P19	P18	6	0.03	2.99
P5	P6	7	0.04	15.40
P4	P27	28	0.11	1.46
P13	P24	54	0.14	2.62
P10	P13	6	0.23	0.46
P22	P5	9	0.35	0.19
P11	P13	5	0.50	1.35
P28	P10	10	0.51	1.05
P11	P5	21	0.52	2.36
P4	P2	6	0.54	1.50
P21	P8	10	0.58	3.60
P28	P2	5	0.60	1.13
P21	P11	6	0.62	0.75
P23	P9	5	0.74	5.60
P27	P5	8	0.75	12.25

7.4 Case-Level Outliers vs Consultant Count

Maximum Turnaround Time by Number of Consultants Involved per Case

Top 10 Cases by Max Turnaround Time
Case ID	Consultants	Max TAT (h)
45127-23	1	103.48
32836-22	2	103.10
46474-25	1	102.40
30790-25	1	101.89
36838-24	1	101.80
A_7309-23	2	99.32
10156-23	1	99.27
A_11293-23	3	97.86
15118-23	1	97.52
4450-24	1	97.14