Hospital Command Center Dashboard

Principal workflows

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

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

Reporting

• Live bed status and census by unit
• ED boarding and time since admit decision
• Expected discharges and open barriers
• Bed turnaround times
• Discharge delay reasons over time
• Surge level history

Features

• 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

• EHR (ADT and orders): Admissions, discharges, transfers, bed assignments, admit decisions and discharge orders from your EHR, through HL7 v2 or FHIR.
• ED tracking board: Arrivals, triage times and bed requests from your ED tracking system.
• Environmental services and transport: Bed cleaning and patient transport requests and completion times from the systems your teams use.
• Transfer center: Incoming and outgoing transfer requests and their status.
• Integration engine: Feeds can be routed through your existing engine, including Moraph's Integration Engine service.
• Single sign-on: Staff sign in through your identity provider (SAML or OpenID Connect).
• Work API: Capacity, delay and action data available to your data warehouse through the Moraph Work API.

Deployment

• 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 and privacy

• 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.

Limitations

• 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.

Next steps

Book a demonstration or a technical briefing at www.moraph.com/solutions/hospital-command-center-dashboard. Purchasing routes and company information: www.moraph.com/how-to-buy.