08:12
67
84
6
83

Mission Control

One live operating picture: census & surge, the brain's ranked action queue, anomaly watchtower, and the closed-loop command feed.

Capacity Index
67
house strain
Occupancy
83%
152 census
ED Boarders
6
+20 in 4h
Avg Wait p50
20min
door-to-provider
Ratio Compliance
83%
2 open gaps
D/C by Noon
70%
11 clean beds

Capacity & Surge

Strained
67
capacity index
Surge risk
84
Boarding forecast
20
+4h
51
+12h
6
now

Watchtower

anomaly & threshold breaches
Wait SLA
20m
ED Boarding
6
Deterioration
0
Ratio Breaches
1
EVS Stalls
1
Bed Discrepancy
4

Closed-Loop Impact

trust ledger
0.0
Boarding hrs avoided
0
Moves saved
0
Agency shifts avoided
13
Proposed
→
0
Executed
→
0
Overridden

Action Queue

13 ranked

Place Maria Cohen → TEL-23

86

Admitted patient boarding 4.6h; best-fit clean bed on Telemetry.

~5.6 boarding hrs avoided

Backfill Emergency Dept RN → Yuki Castillo

86

surge gap; Yuki Castillo ranks first (Tier 1) on fit, cost, and fatigue.

~$1.4k agency cost avoided

Activate surge playbook

84

Surge risk 84 with 6 boarders. Open flex capacity, pull discharge-by-noon list, pre-stage EVS.

Coordinated multi-unit response

Place Ethan Nguyen → FLX-06

80

High-acuity patient boarding 4.7h; best-fit clean bed on Flex / Overflow.

~5.7 boarding hrs avoided

Backfill Telemetry RN → Grace Castillo

79

sick call gap; Grace Castillo ranks first (Tier 1) on fit, cost, and fatigue.

~$1.4k agency cost avoided

Place John Mercer → TEL-23

83

Admitted patient boarding 2.8h; best-fit clean bed on Telemetry.

~3.8 boarding hrs avoided

Place Imani Patel → TEL-23

75

High-acuity patient boarding 3.6h; best-fit clean bed on Telemetry.

~4.6 boarding hrs avoided

Expedite discharge · John Yamamoto

72

2 open barriers (SNF bed pending, SNF bed pending) — clearing frees a bed for ED demand.

~1 bed freed · 2 barriers

Expedite discharge · Imani Yamamoto

72

2 open barriers (Pending pharmacy, SNF bed pending) — clearing frees a bed for ED demand.

~1 bed freed · 2 barriers

Expedite discharge · Imani Haddad

72

2 open barriers (Pending MRI read, Awaiting transport) — clearing frees a bed for ED demand.

~1 bed freed · 2 barriers

Expedite discharge · Nadia Santos

66

1 open barrier (Awaiting transport) — clearing frees a bed for ED demand.

~1 bed freed · 1 barrier

Expedite discharge · Zara Patel

66

1 open barrier (Ride home not arranged) — clearing frees a bed for ED demand.

~1 bed freed · 1 barrier

Place Pavel Okafor → TEL-23

83

Admitted patient boarding 1.4h; best-fit clean bed on Telemetry.

~2.4 boarding hrs avoided

Command Feed

3 open

ED boarding pressure · 6 holding

urgent

Forecast 20 boarders in 4h. Prioritize placements + discharge-by-noon.

flow·Ops Command·0s agoSLA45mopen

Recommended: Open flex capacity; expedite discharges

Bed ManagerHouse Supervisor

Ratio breach · ICU

urgent

Acuity-weighted ratio 2.4 vs target 2 (10 RN on shift).

staffing·Staffing Coordinator·0s agoSLA30mopen

Recommended: Run backfill cascade or rebalance float pool

Charge RNNursing SupervisorHouse Supervisor

EVS turnover stalled

watch

ED-16 cleaning past ETA — blocking placement.

beds·EVS Lead·0s agoSLA20mopen

Recommended: Reassign EVS tech

EVS LeadEVS Manager