Pulse fuses patient flow, beds, staffing, and care coordination into one live operating picture, then runs a transparent optimization brain that turns the current state of the building into ranked, justified, one-tap actions — placing a boarder, backfilling a sick call, expediting a discharge. It alerts caregivers, connects to hospital systems, and continuously optimizes operations to remove the administrative overhead a hospital runs on today.
A hospital is a real-time logistics system pretending to be a set of departments. The work of coordinating it — who goes in which bed, who covers the sick call, what's blocking this discharge, which waiting patient is quietly deteriorating — is done today by phones, pagers, whiteboards, spreadsheets, and a morning huddle that's stale by mid-morning. That overhead is enormous, invisible, and exactly what software should absorb.
The primary user is the hospital operations command center — the charge nurses, bed managers, and staffing coordinators who keep the house moving. Everyone downstream benefits, and so do patients and families.
One role-aware operating picture: census forecast, surge index, the ranked action queue, and live KPIs — the place where the whole house is coordinated from.
A throughput board with live wait timers, door-to-provider forecasts, a deterioration watchlist, and one-tap rapid-response escalation — alerts that actually matter.
Constraint-aware ranked placement with one-tap assign on a reconciled real-time board — accepting a placement fans out EVS, transport, and the receiving-unit alert automatically.
Auto-detected coverage gaps run a cost-and-fit-ranked, fatigue-aware open-shift cascade — same-unit, float, OT, agency last — with one-tap fill and live ratio gauges.
Demand-prioritized cleaning and transport jobs with smart dispatch, ETAs, and stall escalation — the bed-turn loop closed instead of paged.
The closed-loop impact ledger — boarding hours avoided, moves and agency shifts saved — plus surge readiness and the KPIs that tie operations to outcomes and cost.
When the building runs smoothly, waits get shorter and more transparent, deterioration is caught earlier, placement is faster, and discharge is smoother. Pulse never touches the patient directly — it removes the friction that was slowing their care.
Each screen ends in an action, not a number to stare at. These five are built and clickable in the prototype; they share one store, one brain, and one urgency language.
The single operating picture: census & surge gauge, the brain's ranked action queue, the anomaly Watchtower, the closed-loop impact ledger, and the live command feed.
Per-patient and per-acuity predictive wait and door-to-provider forecasts (p50/p90), a deterioration watchlist with threshold auto-escalation, and an ED-boarding forecast.
Constraint-aware ranked bed placement with one-tap assign, a live 186-bed board, and an EVS smart-dispatch Kanban. Accepting fans out EVS, transport, and the receiving-unit alert.
Auto-detected coverage gaps run a cost-and-fit-ranked, fatigue-aware open-shift cascade (same-unit → float → OT → agency) with one-tap fill, plus live acuity-weighted ratio gauges.
Every alert and recommendation lifecycle event as one closed-loop stream — owner routing, SLA timers, acknowledgment, and auto-escalation ladders.
Discharge & barriers, perioperative, diagnostics/TAT, safety & quality, transport & assets, revenue & prior-auth and more — 27 modules across 12 domains, all wired to the same stores.
The measure of success isn't dashboards — it's administrative overhead removed and throughput recovered. Pulse runs one loop, continuously, and proves it.
Arrivals, admits, discharges, sick calls, deterioration, EVS completion — the signals that already exist, as one normalized stream.
Explainable predictors forecast where backups form hours ahead — census, boarding, wait quantiles, deterioration, surge.
Solvers turn the forecast into specific, ranked, fully justified recommendations — every one carries its reasoning.
Each action lands with the right person, an SLA timer, and an escalation ladder — no phone tag, no orphaned task.
One tap (human-gated) executes and cascades the downstream work: a placement spawns EVS, transport, and a receiving alert.
Every recommendation is tracked proposed → accepted/overridden → executed → outcome, tallying hours and shifts saved.
It is not a black box. Each predictor is an explainable weighted sum of normalized features, and every recommendation ships its score breakdown so the UI can render exactly why it ranked where it did.
Every action is always visible and always overridable. The brain ranks and justifies; a human decides. The one-tap accept is fast, but the authority — and the override — stays with the caregiver.
Human-in-the-loop, by designOne urgency language — ok · watch · urgent · critical — means a dirty-too-long bed, an SLA-at-risk wait, and a ratio breach all read identically across every board.
The same loop pays off three ways at once — for the institution, for the people who work in it, and for the patients and families it serves.
Pulse steers the operational metrics that compound into capacity, safety, and margin. These are representative of the dial it turns.
For a system that allocates scarce beds, shifts, and discharges, provable fairness and human authority aren't a footnote. A faithful concept also names what it does not yet handle.
Named honestly — these are not yet handled by the model.
The defensible bets that go past the obvious operational lens. None are built yet, but the architecture is designed so each slots into the same event bus and brain.
A distinct flow for the worst real boarding pathology — external psych-bed search, involuntary-hold legal clocks, elopement risk, sitter optimization, and ligature-safe placement constraints.
A first-class business-continuity posture: the wall switches to a downtime view, drives paper-fallback reconciliation, and orchestrates manual catch-up on recovery.
Mission-control of mission-controls — system-wide bed availability, EMS destination steering, outside-hospital transfer triage, and repatriation across nodes.
Turn the 30-day readmission KPI into an owned workflow — risk-driven interventions and PCP/SNF/home-health handoff for the most expensive failure mode.
A distinct command posture from ordinary surge — START triage, decon/lockdown/evacuation orchestration, external-event feeds — satisfying CMS Emergency Preparedness.
Subgroup calibration dashboards, override-rate as model health, and explicit autonomy boundaries — provable non-discrimination as an ethical necessity and a procurement edge.