Healthcare · Moraph software

Hospital Command Center Dashboard

See beds, ED waits and discharges across the hospital, and act on the bottlenecks together

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Overview

What you are buying

The Hospital Command Center Dashboard brings bed status, emergency department waits, pending admissions, transfers and expected discharges into one live view for your capacity team and unit leaders. It highlights where patients are waiting and why, so the people who can unblock a discharge, a bed clean or a transfer see it and record what they did. Decisions about patients stay with your clinicians and bed managers; the dashboard keeps the picture current and the history on record.

The problem it solves

On a busy day, the house supervisor pieces together capacity from the EHR bed board, phone calls to units, the ED tracking board and a whiteboard. Boarded patients wait in the ED while beds sit dirty or discharges wait for a ride, a prescription or a final note. Each department sees its own part, nobody sees the whole flow, and the reasons for delays are lost once the day is over, so the same bottlenecks return.

  • Bed, ED and discharge information sits in separate systems and on phone calls
  • Boarding patients wait while beds are blocked by cleaning, transport or paperwork
  • Expected discharges are not known early enough to plan admissions
  • Delay reasons are not recorded, so recurring bottlenecks are hard to prove

Who uses it

  • Hospitals and health systems running a capacity or transfer center
  • House supervisors, bed managers and patient flow coordinators
  • Emergency department and inpatient unit leaders
  • Case management, environmental services and transport teams
  • Executives who answer for throughput and patient experience

Requirements it supports

Emergency Medical Treatment and Labor Act (EMTALA, 42 U.S.C. 1395dd and 42 CFR 489.24)Medicare Conditions of Participation for hospitals (42 CFR Part 482)Discharge planning Condition of Participation (42 CFR 482.43)Emergency preparedness Condition of Participation (42 CFR 482.15)HIPAA Privacy Rule (45 CFR Part 164, Subpart E)HIPAA Security Rule (45 CFR Part 164, Subpart C)

The product supports these requirements; meeting them remains your organization’s responsibility.

See how it works

A short walkthrough

Illustrative screens with fictional sample data. They show the workflow, not any client’s data or configuration, and the layout of the product itself differs. A live demonstration uses the product with sample data.

  1. Step 1

    Hospital capacity at a glance

    The capacity manager starts with every unit's beds, census and pending admissions in one table.

    UnitStaffed bedsOccupiedClean and openDirtyPending admitsExpected discharges
    4 West Medical32310145
    5 East Surgical28242223
    ICU16151021
    Telemetry24221114
    Pediatrics18116102
    The capacity manager starts with every unit's beds, census and pending admissions in one table.

  2. Step 2

    Patients boarding in the ED

    ED patients waiting for a bed are listed by time since the admit decision.

    PatientRequested serviceSince admit decisionBed requestStatus
    Patient 2208Medicine, telemetry6 h 40 mTelemetryWaiting for clean bed
    Patient 2215Medicine4 h 15 m4 WestWaiting for discharge
    Patient 2219ICU2 h 05 mICUBed assigned
    Patient 2224Surgery1 h 10 m5 EastRequested
    ED patients waiting for a bed are listed by time since the admit decision.

  3. Step 3

    Discharge barriers on a unit

    The unit leader sees expected discharges and the barriers that stand in the way, each with an owner.

    4 West Medical · Expected today

    Expected today
    5
    Ready now
    1
    With barriers
    4
    Discharge orders written
    1

    Open barriers

    • Patient 1407: awaiting skilled nursing facility acceptance (case manager)
    • Patient 1412: echo result pending (cardiology)
    • Patient 1419: ride home after 3 pm (family)
    • Patient 1423: medications to bring home (pharmacy)
    The unit leader sees expected discharges and the barriers that stand in the way, each with an owner.

  4. Step 4

    A bed turning over

    The bed's history shows each step from discharge to the next patient, so delays are visible.

    Bed 4W-12 · Discharge to next admission

    1. Discharge order writtenHospitalist
    2. Patient left unitUnit staff
    3. Bed marked dirty; cleaning requested as prioritySystem
    4. Cleaning completedEnvironmental services
    5. Bed assigned to Patient 2215 from EDCapacity manager
    6. Patient arrived on unitTransport
    The bed's history shows each step from discharge to the next patient, so delays are visible.

  5. Step 5

    Capacity huddle

    The huddle view records the surge level and the actions agreed, each with an owner.

    Midday capacity huddle · Example Medical Center (fictional)

    Surge level
    Level 2 (from your plan)
    ED boarding
    6 patients
    Expected discharges remaining
    14
    Open transfer requests
    3

    Actions agreed

    • Open 4 overflow beds on 6 North (nursing supervisor)
    • Prioritize cleaning on telemetry (environmental services lead)
    • Call skilled nursing facilities for two pending placements (case management)
    The huddle view records the surge level and the actions agreed, each with an owner.

  6. Step 6

    Why discharges were delayed

    Over a month, recorded barriers show which causes recur and how long they take to clear.

    BarrierTimes recordedMedian time to clearMost affected unit
    Post-acute placement11219 h4 West Medical
    Pending test result965 hTelemetry
    Transport home713 h5 East Surgical
    Discharge medications482 h4 West Medical
    Over a month, recorded barriers show which causes recur and how long they take to clear.

Workflows

The principal workflows

  1. See capacity

    Bed status, census, pending admissions, ED arrivals and transfers are drawn from your EHR and operational systems and shown on one view, by unit and service, as they change.

    • ADT, bed and ED tracking events arrive from your systems
    • Each bed shows occupied, clean, dirty, blocked or assigned
    • ED patients waiting for beds shown with time since the admit decision
    • Pending transfers in and out shown with their status
    • Units over the thresholds you set are highlighted

  2. Plan discharges

    Units record expected discharge dates and the barriers that stand in the way, so case management and the capacity team can work the barriers early.

    • Expected discharge date entered or confirmed by the care team
    • Barriers recorded, such as pending tests, transport or placement
    • Barrier owners see their open items
    • Barriers cleared and timed as they are resolved
    • Discharge order and departure times captured from the EHR

  3. Huddle and escalate

    Regular capacity huddles run from the same view. Actions are assigned to named people, and escalations follow the surge plan your organization sets.

    • Huddle view shows capacity, ED boarding and expected discharges
    • Actions assigned with an owner and due time
    • Escalation level recorded against your surge plan
    • Leaders notified when the level changes
    • Huddle notes and actions kept for the day's record

  4. Learn

    Daily and weekly reviews use the recorded data on waits, delay reasons and actions, so improvement work targets the causes that recur.

    • Daily summary of boarding, discharges and delays produced
    • Delay reasons compared by unit and service
    • Patterns by day of week and time of day reviewed
    • Improvement actions tracked to completion

Roles and permissions

Who does what in the product

Each role below is a starting point. During implementation we set them up to match your teams, and every action anyone takes is recorded in the audit trail.

Capacity manager

House supervisor, bed manager, patient flow coordinator, transfer center lead

Sees the whole hospital and coordinates beds, transfers and escalation.

Sees

  • Every unit's beds, census and expected discharges
  • ED boarding and pending admissions
  • Transfer requests in and out
  • Open barriers and huddle actions

Does

  • Assigns or approves bed placements where your process uses the dashboard for it
  • Runs capacity huddles and assigns actions
  • Records surge level changes with a reason
  • Escalates blocked discharges and transfers
  • Sets thresholds for highlights with leadership approval

Cannot

  • Enter clinical orders or change the EHR record
  • Change surge plan definitions without leadership approval
  • Edit history after the day has closed
Approvals
Surge level changes above the level your plan names are confirmed by the administrator on call.
Notified about
Thresholds crossed, boarding times over your limits, transfer requests waiting, and surge level changes.

Unit leader

Nurse manager, charge nurse, unit medical director

Keeps their unit's picture accurate and clears the barriers that hold up discharges.

Sees

  • Their unit's beds, patients and expected discharges
  • Barriers and actions assigned to their unit
  • Incoming admissions to their unit

Does

  • Confirms expected discharge dates
  • Records and updates discharge barriers
  • Marks beds blocked or available with a reason
  • Takes and completes huddle actions

Cannot

  • Assign beds on other units
  • Change surge levels
Approvals
None; bed blocks over the time your policy sets are reviewed by the capacity manager.
Notified about
Admissions assigned to their unit, barrier updates, and huddle actions due.

ED charge nurse

ED charge nurse, ED flow coordinator, ED attending on duty

Follows the ED's patients who are waiting for inpatient beds and pushes for placement.

Sees

  • ED arrivals, waits and boarded patients
  • Bed requests and their status
  • Inpatient capacity by unit

Does

  • Follows up bed requests
  • Flags patients whose wait needs escalation
  • Records ED-side delays such as pending handoff

Cannot

  • Assign inpatient beds unless also a capacity manager
  • See inpatient discharge barriers beyond the summary
Approvals
None.
Notified about
Bed assigned for ED patients and boarding times over your limits.

Case manager

Case manager, social worker, discharge planner, utilization review nurse

Works the barriers that keep medically ready patients in hospital.

Sees

  • Patients on their caseload with expected discharge dates
  • Barriers assigned to case management
  • Delay reasons for their units

Does

  • Records post-acute placement, equipment, transport and authorization barriers
  • Updates status as barriers clear
  • Escalates barriers that need leadership help

Cannot

  • Change bed status
  • Close barriers owned by other teams
Approvals
None.
Notified about
New barriers assigned to them and escalated barriers.

Support services lead

Environmental services supervisor, patient transport supervisor

Keeps beds turning over and patients moving by seeing demand in advance.

Sees

  • Dirty beds and cleaning requests with priority
  • Transport requests and expected discharges
  • Turnaround times

Does

  • Records cleaning and transport completion where not captured automatically
  • Re-prioritizes work for beds needed for waiting admissions

Cannot

  • See clinical details
  • Change bed assignments
Approvals
None.
Notified about
Priority cleaning requests for beds with a waiting admission.

Executive viewer

Chief nursing officer, chief operating officer, administrator on call

Oversees capacity and throughput and acts on escalations.

Sees

  • Capacity, boarding and discharge summaries without patient names
  • Surge level history
  • Trend and delay reason reports

Does

  • Reviews daily and weekly reports
  • Confirms surge level changes when on call
  • Sponsors improvement actions

Cannot

  • See patient-level detail unless also given a clinical role
  • Change unit records
Approvals
Confirms surge level changes and threshold changes.
Notified about
Surge level changes and the daily summary.

Administrator

Clinical applications administrator, IT systems administrator

Manages users, units, displays and configuration.

Sees

  • Users, roles, units and display settings
  • Data feed status from source systems
  • The record of configuration changes

Does

  • Maps units, beds and services from your EHR
  • Adds users or maps them from single sign-on groups
  • Configures wall displays and their privacy settings
  • Monitors data feed health

Cannot

  • Change thresholds or surge plan settings without approval
  • Edit historical records
Approvals
Threshold and surge plan changes are approved by the executive viewer role.
Notified about
Data feed interruptions and access reviews due.

Permissions at a glance

ActionCapacity mgrUnit leaderED chargeCase managerSupport svcsExecutiveAdmin
View hospital-wide capacityFullView onlyView onlyView onlyView onlyView onlyView only
View patient-level detailFullOwn work onlyOwn work onlyOwn work onlyNo accessNo accessNo access
Assign a bedFullNo accessNo accessNo accessNo accessNo accessNo access
Block or release a bedFullOwn work onlyNo accessNo accessNo accessNo accessNo access
Update expected dischargeFullOwn work onlyNo accessOwn work onlyNo accessNo accessNo access
Record discharge barriersFullOwn work onlyNo accessOwn work onlyNo accessNo accessNo access
Record cleaning or transportView onlyNo accessNo accessNo accessFullNo accessNo access
Assign huddle actionsFullOwn work onlyOwn work onlyOwn work onlyNo accessView onlyNo access
Change surge levelFullNo accessNo accessNo accessNo accessApprovesNo access
Change thresholdsOwn work onlyNo accessNo accessNo accessNo accessApprovesNo access
Manage users and displaysNo accessNo accessNo accessNo accessNo accessApprovesFull
  • Full
  • Own work only
  • Approves
  • View only
  • No access

How access is controlled

  • The dashboard supports decisions; it does not make them. Bed assignments, discharge decisions and surge levels are made by people, and each one is recorded with who made it and when.
  • Roles are configured with you and can be limited by unit, service or campus, so a unit leader sees their own patients and the hospital-wide summary.
  • Shared wall displays show the least patient detail needed, such as bed numbers and initials or none at all, as your privacy officer decides.
  • Staff sign in through your identity provider and roles can follow its groups; access reviews list each person's roles for periodic certification.

Features

What it does

Live bed board

Every bed by unit with its status, time in status and whether it is assigned, from your EHR and environmental services systems.

ED boarding view

Patients waiting in the ED for an inpatient bed, with the time since the admit decision and the bed request status.

Expected discharges

Patients expected to leave today and tomorrow by unit, with discharge barriers and who owns each one.

Discharge barrier tracking

Barriers such as pending results, consults, transport, medications or post-acute placement recorded, assigned and timed.

Bed turnaround

Time from discharge to clean bed to next assignment, so delays in cleaning or assignment show up.

Transfer center view

Incoming and outgoing transfer requests with their status, accepting service and bed readiness.

Configurable thresholds

Unit and ED thresholds you set for census, waits and boarding, highlighted when crossed.

Huddle mode

A view built for capacity huddles, with actions assigned to people and kept with the day's record.

Surge level tracking

Your surge or escalation plan levels recorded, with who changed the level, when and why.

Wall display and mobile

Large-screen displays for the command center, and mobile views for supervisors on the move, with limited patient detail on shared screens.

Forecast of demand

Expected admissions and discharges for the coming hours based on your recent history, shown as a planning aid for bed managers to judge.

Throughput history

Waits, delay reasons and actions kept over time for daily, weekly and committee reviews.

Integrations

How it connects to your systems

Connects toHowWhat flows
EHR (ADT and orders)Admissions, discharges, transfers, bed assignments, admit decisions and discharge orders from your EHR, through HL7 v2 or FHIR.In: ADT events, bed assignments, admit and discharge orders.
ED tracking boardArrivals, triage times and bed requests from your ED tracking system.In: arrival, triage and bed request events.
Environmental services and transportBed cleaning and patient transport requests and completion times from the systems your teams use.In: request and completion times. Out: priority flags.
Transfer centerIncoming and outgoing transfer requests and their status.In: transfer requests, acceptance and status.
Integration engineFeeds can be routed through your existing engine, including Moraph's Integration Engine service.In: the HL7 v2 and FHIR feeds above.
Single sign-onStaff sign in through your identity provider (SAML or OpenID Connect).In: user identity and group membership for role assignment.
Work APICapacity, delay and action data available to your data warehouse through the Moraph Work API.Out: capacity snapshots, waits, barriers and actions.

Each integration is confirmed in discovery and specified in the design. See how an engagement progresses.

Security and privacy

How your data is protected

Business associate agreement

Moraph signs a business associate agreement with you, since the dashboard handles PHI.

Single sign-on

Staff sign in through your identity provider, so your password and multi-factor policies apply.

Role-based access

Patient-level detail is limited to the roles and units that need it; executives and support services see summaries.

Encryption and keys

Data is encrypted, with keys Moraph staff cannot use without explicit, time-bound authorization.

Complete audit trail

Views of patient detail, bed changes, surge levels and exports are logged with the person and time.

Data residency

Data stays in the hosting region you choose: the United States, the United Kingdom or Australia.

Company-wide controls, independent audits (SOC 2 Type II and ISO/IEC 27001) and data residency are described in our Trust Center, where you can request the evidence pack.

Reporting

What you can report on

11 standard reports, grouped by who uses them. Each shows who it is for, how it can be broken down, how it is delivered and what it is used for. The data behind them is also available to your own reporting tools.

Real time

Hospital capacity

For capacity managers and unit leaders

Beds by status, census and pending admissions for each unit, as they change.

Break down by
Unit, Service, Bed status, Campus
Delivered as
Live dashboard; wall display
Used for
Placing patients and seeing where capacity is tight.

ED boarding

For eD charge nurses and capacity managers

Patients waiting in the ED for a bed, time since admit decision and bed request status.

Break down by
Requested service, Wait band, Bed request status
Delivered as
Live dashboard; wall display
Used for
Prioritizing placements for the longest waits.

Expected discharges

For unit leaders, case managers, capacity managers

Patients expected to leave today and tomorrow with their open barriers.

Break down by
Unit, Barrier type, Barrier owner
Delivered as
Live dashboard
Used for
Working barriers early in the day.

Daily

Daily capacity summary

For leadership and huddle participants

Census, admissions, discharges, boarding and surge level changes for the day.

Break down by
Unit, Service, Shift
Delivered as
Scheduled email; PDF
Used for
Starting the next day's huddle with the facts.

Huddle actions

For capacity managers and unit leaders

Actions assigned at huddles, their owners and whether they were completed.

Break down by
Owner, Unit, Status
Delivered as
Live view; CSV export
Used for
Following up on what was agreed.

Bed turnaround

For support services leads and capacity managers

Time from discharge to clean bed and from clean bed to next patient.

Break down by
Unit, Shift, Step
Delivered as
Live dashboard; CSV export
Used for
Finding cleaning and assignment delays.

Trends

Discharge delay reasons

For case management and leadership

Barriers recorded for delayed discharges and how long each took to clear.

Break down by
Barrier type, Unit, Service, Period
Delivered as
Live dashboard; PDF and CSV export
Used for
Targeting improvement work at the barriers that recur.

ED boarding trend

For eD and hospital leadership

Boarding counts and times by day and hour over a period you choose.

Break down by
Day of week, Hour, Service, Period
Delivered as
Live dashboard; PDF
Used for
Matching staffing and discharge timing to demand.

Discharge timing

For unit leaders and leadership

Time of discharge order and departure by unit, compared with admission demand.

Break down by
Unit, Day of week, Period
Delivered as
Live dashboard; CSV export
Used for
Supporting earlier-in-the-day discharge efforts.

Governance

Surge level history

For leadership and emergency management

Every surge level change with who made it, when, why and who confirmed it.

Break down by
Level, Campus, Period
Delivered as
Live view; PDF export
Used for
After-action reviews and emergency preparedness records.

Audit trail extract

For privacy officer and auditors

Who viewed patient detail or changed bed, barrier or surge records, and when.

Break down by
User, Action, Unit, Date range
Delivered as
On request; CSV and PDF export
Used for
Answering privacy and audit requests.

Exports, access and evidence

  • Live views refresh as events arrive from your systems; how current they are depends on how quickly those systems send updates.
  • Reports can be exported to CSV, and summaries to PDF, and daily summaries can be scheduled by email to the people entitled to see them.
  • Reports respect each viewer's role: trend and executive reports use counts and times without patient names.
  • Capacity, wait and barrier data is available through the Moraph Work API for your data warehouse or business intelligence tools.
  • Historical reports can be run as of a past date and give the same result each time. Running and exporting a report is recorded in the audit trail.

Deployment

Where and how it runs

Moraph cloud

Hosted and operated by Moraph in the United States region, with United Kingdom and Australia regions for organizations outside the US.

Dedicated environment

A single-tenant environment for health systems whose policies require isolation, scoped in the proposal.

With a managed service

Optionally run alongside Moraph's Integration Engine service, which builds and monitors the feeds the dashboard depends on.

Security controls, independent audits and data residency are set out in our Trust Center. Engagement models and what drives a quotation are on Working with Moraph.

Implementation

What a rollout involves

The general phases are on Working with Moraph. For this product, they involve the following.

Data feeds

We connect ADT, bed, ED tracking, environmental services and transfer feeds and check them against your source systems. We need interface access and a contact from your integration team.

Units and beds

Units, beds, services and campuses are mapped from your EHR, with bed statuses matched to the ones your teams use.

Thresholds and surge plan

Your thresholds and surge levels are configured as your leadership defines them.

Barriers and workflow

Barrier categories, owners and huddle routines are set up to match how your hospital runs its day.

Displays and privacy

Wall displays, mobile views and the patient detail shown on each are agreed with your privacy officer.

Training and go-live

Capacity, unit, ED and support teams are trained on their own views, and the dashboard runs alongside existing tools until your teams are ready to switch.

Limitations

What it does not do

Worth knowing before you evaluate it.

  • The dashboard does not make clinical, admission, discharge or bed placement decisions. Your clinicians and bed managers do.
  • It is not the system of record for beds or patients; your EHR remains so, and the dashboard is only as current and accurate as the feeds it receives.
  • Demand forecasts are planning aids based on your history and can be wrong, especially during unusual events.
  • It does not replace your ED tracking board, transfer center software or EHR bed board; it brings their information together.
  • EMTALA obligations, surge plans and patient flow policies are your organization's; the dashboard records actions but does not ensure compliance.
  • It does not dispatch environmental services or transport staff unless those systems are connected.
  • It is not intended for regional or multi-hospital load balancing between unaffiliated organizations.

Evaluation checklist

What to test in a demonstration or pilot

Questions worth putting to us, and to any other vendor you are considering.

  1. Compare a day of your ADT and ED data in the dashboard with what your house supervisor knew at the time
  2. Run a capacity huddle from the huddle view and check the actions are captured
  3. Ask unit leaders to record discharge barriers for a shift and give feedback
  4. Review wall display privacy settings with your privacy officer
  5. Check how a feed interruption is flagged and who is told
  6. Confirm role separation: who can assign beds, change surge levels and see patient detail

Questions

Frequently asked questions

Does it replace our EHR bed board?

No. The EHR remains the system of record. The dashboard brings bed, ED, discharge and transfer information together so the whole picture is visible in one place.

How current is the information?

It updates as events arrive from your systems, so it is as current as the feeds those systems send. Feed health is monitored and interruptions are flagged.

Can we show it on a wall display without exposing patient names?

Yes. Each display has its own privacy setting, from bed numbers only to limited identifiers, as your privacy officer decides.

Does it decide which patient gets which bed?

No. It shows requests, waits and available beds; your bed managers decide and the decision is recorded.

How is it priced?

As a subscription, usually by hospital or staffed beds, with implementation charged separately. See Working with Moraph for what drives a quotation.

Is there an accessibility conformance report?

Ask for one through the procurement request form at /how-to-buy/request, naming the version you are evaluating.

Next steps

Evaluate Hospital Command Center Dashboard

Book a demonstration

See the product working with sample data, focused on your workflows.

Request a demonstration

Request a technical briefing

Architecture, integrations, security and hosting, with our engineers and your technical team.

Request a briefing

Factsheet

This page on two sides, to share with colleagues or add to your evaluation file.

Open the factsheet

Buying through a formal procurement? See How to buy for purchasing routes, accessibility conformance reports and company information. Documentation: Hospital Command Center Dashboard guides on docs.moraph.com (getting started and security guides are public; setup, administration and integration guides are for client accounts). Support: Hospital Command Center Dashboard support guide.

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