Healthcare · Moraph software
Hospital Command Center Dashboard
See beds, ED waits and discharges across the hospital, and act on the bottlenecks together
Overview
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.
Who it’s for
- 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
How the work flows
- See capacityBed 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 dischargesUnits 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 escalateRegular capacity huddles run from the same view. Actions are assigned to named people, and escalations follow the surge plan your organization sets.
- LearnDaily and weekly reviews use the recorded data on waits, delay reasons and actions, so improvement work targets the causes that recur.
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.
Who uses it
- Capacity manager
- Runs the command center: assigns beds, leads huddles and sets escalation levels
- Unit leader
- Keeps their unit's bed and discharge information current and works barriers
- ED charge nurse
- Follows boarding and bed requests for ED patients
- Case manager
- Owns discharge planning barriers such as placement and post-acute services
- Support services lead
- Sees bed cleaning and transport requests and records completion
- Executive viewer
- Sees capacity and trends without patient-level detail
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.
Security
- 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.
Hosting and 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.
Implementation
- 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.
What it doesn’t do
- 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.
How to evaluate it
- Compare a day of your ADT and ED data in the dashboard with what your house supervisor knew at the time
- Run a capacity huddle from the huddle view and check the actions are captured
- Ask unit leaders to record discharge barriers for a shift and give feedback
- Review wall display privacy settings with your privacy officer
- Check how a feed interruption is flagged and who is told
- Confirm role separation: who can assign beds, change surge levels and see patient detail
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.