Governance Infrastructure for Structured ADHD Shared Care
AOA supports structured ADHD care pathways through intake coordination, clinical governance standards, CP365 workflows, escalation pathways and case conferencing support for independent participating practitioners.
AOA provides governance infrastructure, not employment control.
Participating GPs and specialists operate as independent medical practitioners. AOA supports structured shared-care coordination through standards, workflows, escalation frameworks, documentation support and quality review processes.
What Governance Means in the AOA Model
Governance helps create consistency, safety and clarity across distributed ADHD shared-care pathways while preserving independent practitioner responsibility.
Structured Pathways
AOA supports defined care pathways for intake, triage, shared care, psychiatrist escalation and ongoing monitoring.
Clear Escalation Standards
Participating practitioners are supported with escalation triggers for complexity, risk, diagnostic uncertainty and case review.
Documentation Consistency
CP365 workflows support care planning, communication, case review records and shared-care documentation.
Case Conferencing
AOA supports structured case conferencing pathways between participating GPs and psychiatrists where clinically appropriate.
Quality Review
Governance processes may include documentation review, pathway compliance review and shared-care quality monitoring.
Independent Practice
Practitioners remain responsible for their own clinical decisions, professional obligations and patient care.
The Governance Framework
AOA’s governance framework is designed to support distributed ADHD care without creating an employment relationship with participating practitioners.
Intake & Pathway Screening
AOA coordinates structured intake information to support care pathway planning, risk identification and appropriate practitioner matching.
Accreditation Standards
Independent GPs may participate in the AOA shared-care model after completing onboarding, training and governance alignment.
CP365 Workflows
CP365 supports documentation, care coordination, case review and communication workflows.
Escalation & Case Conferencing
Where clinically appropriate, participating practitioners may use structured escalation and case conferencing pathways to access psychiatrist-supported input.
Quality Review & Improvement
AOA supports ongoing review of care pathway processes, documentation standards and shared-care coordination quality.
Risk Screening & Escalation
ADHD care often requires careful review of complexity, comorbidity and safety factors. AOA’s model supports structured escalation when additional input may be required.
Examples of Escalation Triggers
- Diagnostic uncertainty
- Possible bipolar disorder or psychosis
- Active substance misuse concerns
- Complex psychiatric comorbidity
- Significant cardiovascular concerns
- Medication non-response or adverse effects
- Complex polypharmacy
- Safety concerns requiring specialist review
Escalation Pathways May Include
- Psychiatrist-supported case review
- Structured case conferencing
- Direct specialist consultation pathway
- Shared-care plan update
- Review of monitoring requirements
- Higher-acuity external referral where appropriate
Governance Without Employment Control
AOA’s governance role is designed to support standards and coordination while independent practitioners retain control over their clinical practice.
AOA Supports
- Care coordination infrastructure
- CP365 workflow systems
- Shared-care documentation templates
- Accreditation standards
- Case conferencing pathways
- Escalation frameworks
- Quality review processes
Independent Practitioners Control
- Their own calendar and availability
- Their own consultation fees
- Their own clinical decision-making
- Their own professional obligations
- Their own patient relationships
- Their own indemnity and registration requirements
CP365 as the Coordination Layer
CP365 supports the practical workflows required for structured shared care across independent participating practitioners.
Documentation
Supports structured care plans, shared-care records and case review documentation.
Communication
Supports communication between participating practitioners involved in a patient’s care pathway.
Payments
Supports payment workflows where patient consultation fees may be paid directly to independent practitioners.
Case Review
Supports coordination of case conferencing and psychiatrist-supported escalation where required.
Audit Support
Supports review of documentation, workflow participation and shared-care pathway processes.
Care Coordination
Supports structured coordination between patients, independent GPs and participating specialists.
Quality Review & Continuous Improvement
AOA’s governance model is designed to support ongoing quality improvement across shared-care pathways.
Documentation Review
Review of whether shared-care documentation is complete, clear and aligned with pathway expectations.
Escalation Review
Review of whether appropriate escalation occurred when complexity or risk indicators were present.
Case Conference Review
Review of case conference participation, recommendations and follow-up documentation.
Pathway Review
Review of whether patients were guided through an appropriate shared-care or specialist-supported pathway.
Education Updates
Ongoing education, shared learning and governance updates for participating practitioners.
Framework Improvement
Continuous improvement of pathways, documentation standards and coordination processes.
Independent Practitioner Notice
AOA-accredited GPs and participating specialists operate as independent medical practitioners. They are not employees, agents or representatives of AOA. Clinical services are provided by the individual practitioner, who remains responsible for clinical decision-making, patient care and professional obligations.
AOA provides coordination, administration, governance infrastructure, CP365 workflows and shared-care support services. Practitioner availability, consultation fees and clinical services are managed by the independent practitioner.
Governance FAQ
Common questions about the AOA governance model.
Does AOA employ participating GPs?
No. Participating GPs operate as independent medical practitioners. AOA provides coordination, administration and governance infrastructure.
Does governance replace clinical judgement?
No. Governance supports structured care pathways, but each practitioner remains responsible for their own clinical decision-making and professional obligations.
What is CP365 used for?
CP365 supports documentation, shared-care coordination, communication, case review and payment workflows.
When is psychiatrist input used?
Psychiatrist input may be used where clinically appropriate, including diagnostic uncertainty, complexity, escalation triggers or case conferencing needs.
Structured ADHD care requires clear coordination.
AOA supports shared-care pathways through governance infrastructure, CP365 workflows and independent practitioner participation.