Hospital Executive Command Dashboard

This section provides an exhaustive, production-grade guide to the Hospital Executive Command Dashboard in MOANA EHR. Serving as the primary command center for Hospital Administrators, Medical Directors, and Nursing Supervisors, the dashboard aggregates real-time patient census metrics, clinical deterioration alerts, the active patient worklist, inter-facility referral queues, ward occupancy snapshots, and AI-assisted bed demand forecasts.

• Authorized Roles: Hospital Administrator, Medical Director, Chief of Nursing / Ward Sister, Triage Officer, Admission & Discharge Coordinator.
• Module Identifier: Module 01 (Executive Dashboard & Hospital Command Center).

---

1. Module Overview & Command Architecture

The Executive Dashboard consolidates clinical, diagnostic, and administrative workflows into a unified, high-density command console:

graph TD
    A[Hospital Executive Command Dashboard] --> B[1. Real-Time Census & KPI Cards]
    A --> C[2. Smart Action Queue & Patient Worklist]
    A --> D[3. Rapid Patient Intake & QR Health ID Scanner]
    A --> E[4. MEWS Clinical Deterioration Alerts]
    A --> F[5. Inter-Facility Referral Inbox]
    A --> G[6. Cross-Departmental Clinical Tasks]
    A --> H[7. Ward Snapshot & AI Capacity Forecast]
    A --> I[8. Live Chronological Activity Stream]
    A --> J[9. Inpatient & ED Discharge Processor]

Hospital Executive Command Dashboard showing real-time census, worklist, and ward snapshots🔍 Click to enlarge

---

2. Header Bar & Rapid Action Controls

The top header bar provides facility context and rapid clinical intake shortcuts:

Rapid intake buttons and QR Code Health ID Card scanner🔍 Click to enlarge

Core Header Controls:

1. Facility Context Indicator: Displays the active hospital or health center name and National Facility Identifier (NFI).
2. Dynamic Period Filter: Toggle between Daily, Weekly, Monthly, and Yearly to calculate census volumes, admission deltas, and outpatient trends dynamically across all cards.
3. + New Patient: Launches the comprehensive OPD/IPD Patient Registration Modal with Master Patient Index (MPI) deduplication.
4. + Emergency: Launches the STAT Emergency Trauma Intake Modal for immediate red/yellow triage cases without demographic delays.
5. Scan Health ID Card (QR Code Engine):
   • Built-in client-side QR decoder.
   • Supports uploading scanned National Health ID cards or digital PDF vouchers.
   • Resolves the patient's encrypted Health ID token and automatically links them to the active facility.

---

3. Top Census & Key Performance Indicators (5 Core Stat Cards)

The top census bar calculates real-time patient volumes and facility capacity:

Metric Card	Data Source & Calculation	Operational Significance
IPD Patients	Active inpatient admissions with % trend delta vs. previous period.	Live hospitalized patient census across all clinical wards.
OPD Patients	Total outpatient triage and consultation encounters registered today.	Ambulatory volume and outpatient clinic throughput.
ED Patients	Active Emergency Department and acute trauma cases currently under observation.	Emergency room congestion and immediate resuscitation load.
Expected Today	Checked-In / Total Scheduled appointment ratio.	Tracks clinic attendance and no-show rates.
Bed Occupancy	Overall hospital percentage, calculated as (Occupied Beds / Total Capacity) * 100.	Macro capacity strain; triggers escalation protocols when ≥ 80%.

Bed Capacity & ICU Buffer Panel:

• Total Hospital Beds: Total operational bed inventory.
• Beds Occupied: Currently admitted patient count.
• ICU Beds Allocated: Active patients in Intensive Care Units.
• ICU Beds Remaining (Headroom): Critical life-support buffer available for emergency surgical or respiratory intake.

---

4. Patient Worklist & Action Queue

The Patient Worklist is the hospital's operational workhorse, structured into two distinct viewing modes:

Patient Worklist with Action Queue filter, Vitals popover, and Clinical Risk Flags🔍 Click to enlarge

Viewing Scopes:

1. Action Queue (Today's Action Required - Default):
   • Smart triage filter that isolates patients requiring immediate clinical or administrative action:
     • Discharges ready for clinical summary sign-off.
     • Inpatients with pending critical laboratory or radiological orders.
     • High-acuity patients with deteriorating MEWS scores.
2. All Active Census:
   • Full facility roster displaying every patient currently registered in OPD, IPD, or ED.

Encounter Type Filters:

• Filter chips allow 1-click isolation of All, OPD (Outpatient), IPD (Inpatient), or ED (Emergency) cohorts.

Patient Row Data Architecture:

• Patient Identity: Photo Avatar, Full Name, Gender, Calculated Age, and unique Moana ID / MRN (MOA-XXXXX).
• Encounter Badge: Color-coded OPD (Purple), IPD (Orange), or ED (Red) tag.
• Bed & Ward Location: Assigned ward and bed identifier (e.g., Bed 04 · Female Surgical).
• Care Team: Assigned Attending Physician and Primary Floor Nurse.
• Interactive Vitals Popover: Real-time physiological readout (Blood Pressure, Heart Rate, Temperature, SpO2, Respiratory Rate, Blood Glucose).
• Clinical Risk & Precautions Badges: Real-time flags for Allergies, Fall Risk, Contact/Airborne Isolation Precautions, and Chronic Comorbidities.

Contextual Action Palette:

• View Dossier: Opens the slide-over patient drawer with full clinical summaries, active medications, and recent diagnostic procedures.
• Discharge Patient: Opens the formal Inpatient / ED Discharge Modal.
• Assign Doctor / Nurse: Fast care-team allocation modal.

---

5. Clinical Deterioration & Early Warning Alerts Panel

The Clinical Alerts panel continuously monitors real-time bedside vital entries using the NEWS2 / Modified Early Warning Score (MEWS) protocol:

Clinical Alerts Panel with MEWS Deterioration Score Badges🔍 Click to enlarge

Alert Tiers:

• 🟡 Warning Alert (MEWS 3–4):
  • Indicates moderate physiological drift (e.g., mild tachycardia, low-grade pyrexia, borderline tachypnea).
  • Requires nurse bedside re-assessment within 30 minutes and increased vitals monitoring frequency (q2h).
• 🔴 Critical Alert (MEWS ≥ 5):
  • Severe physiological instability (e.g., SBP < 90 mmHg, SpO2 < 92%, HR > 130 bpm, GCS < 13).
  • Automatically notifies the charge nurse and triggers immediate Medical Emergency Team (MET) / Doctor review.

Supervisors can click View All Alerts to open the dedicated search modal with filtering by department, acuity level, and timestamp.

---

6. Inter-Facility Referral Inbox

The Referral Inbox governs clinical care coordination between the hospital and referring district clinics or specialized tertiary centers:

Inter-Facility Referral Inbox with Accept and Delegate Actions🔍 Click to enlarge

Referral Management Workflow:

1. Incoming Referral Triage:
   • Displays referring clinician name, originating district/clinic, clinical justification, and priority tag (e.g., High Priority, Routine Specialist Consult).
2. Clinical Decision Actions:
   • Accept Referral:
     • Confirms intake, registers the patient into the facility Master Patient Index, and generates a pre-booked specialist appointment or direct ward bed reservation.
   • Delegate Referral:
     • Routes the case to an internal sub-specialty department (e.g., Orthopedics, Neurosurgery, High-Risk Obstetrics) with clinician handover notes.
   • Decline / Return:
     • Formally rejects referral with clinical justification transmitted back to the sending facility.

---

7. Cross-Departmental Clinical Task Center

The Clinical Tasks panel provides transparent workload tracking across medical, nursing, diagnostic, and support staff:

• Task Categorization: Medication administration due rounds, stat specimen draws, pre-op surgical checklists, radiology transport orders, and discharge counseling.
• Urgency Indicators: Color-coded priority badges (STAT Urgent, High Priority, Normal, Routine).
• Real-Time Statuses: Pending, In Progress, and Completed.
• Supervisory Rebalancing: Charge nurses and administrators can reassign overdue tasks to available on-duty staff.

---

8. Ward Snapshot & AI Capacity Demand Forecasting

The bottom analytical section provides immediate operational visibility into ward utilization and predictive strain:

Ward Snapshot utilization bars and AI Bed Capacity Demand Forecast🔍 Click to enlarge

1. Ward Snapshot Progress Matrix:

• High-density visual bars displaying live occupancy per ward (e.g., Male Medical 18/20 Beds [90% - Red], Pediatric 12/25 Beds [48% - Green], ICU 9/10 Beds [90% - Red]).
• Click any ward row to jump directly into the Beds & Wards module with that ward pre-selected.

2. Embedded AI Capacity Demand Forecast:

• Powered by MOANA's epidemiological surveillance engine.
• Analyzes 7-day admission velocity, planned surgical bookings, and emergency triage trends to generate an automated narrative forecast:
  • Predicts bed strain bottlenecks 24–48 hours in advance.
  • Identifies peak discharge windows to optimize housekeeping turnover.
  • Recommends early step-downs from ICU/HDU to general wards to maintain emergency resuscitation headroom.

---

9. Inpatient & ED Discharge Processor

Clicking Discharge Patient on any worklist row initiates the standardized discharge verification flow:

Inpatient and Emergency Department Discharge Verification Modal🔍 Click to enlarge

Inpatient and Emergency Department Discharge Verification Modal🔍 Click to enlarge

graph TD
    A[Click 'Discharge Patient'] --> B{Encounter Class Validation}
    B -->|Emergency ED| C[Execute ED Disposition: Discharge Home / Transfer / Left Against Advice]
    B -->|Inpatient IPD| D{Active Admission Check}
    D -->|No Active Admission| E[Blocked: Patient Never Formally Admitted]
    D -->|Active Admission Found| F{Attending Doctor Assigned?}
    F -->|No Doctor| G[Blocked: Assign Discharging Doctor]
    F -->|Doctor Verified| H[Enter ICD-10 Discharge Summary & Follow-Up Plan]
    H --> I[Commit Discharge -> Bed Transitions to 'Cleaning' -> Billing Triggered]

Discharge Rules:

1. Encounter Discrimination:
   • ED Patients: Processed via rapid emergency disposition (Discharged Home, Transferred to Tertiary Center, Left Against Medical Advice).
   • IPD Inpatients: Requires formal inpatient admission verification, assigned discharging physician, ICD-10 clinical summary, and structured follow-up instructions.
   • OPD Patients: OPD visits close automatically upon consultation sign-off and do not require formal discharge.
2. Automated Facility Updates:
   • Committing discharge immediately releases the bed, transitions its status to Cleaning (or Terminal Clean Required for isolation beds), closes the clinical encounter, and transmits the chart to Finance for final billing reconciliation.