02 — Capability · BC-1820.50
Patient Flow & Capacity
Move patients from arrival to discharge without avoidable waits by admitting, placing, transferring and transporting them, and see the capacity of every unit in time to act on it. Cleaning beds and running the buildings are facilities work.
- Patient Throughput
- Capacity Management
- ADT
- Patient Logistics
In scope
- Admission, discharge and transfer events, including transfers in from other hospitals
- Bed assignment and bed status
- Emergency department tracking and boarding
- Patient transport, unit staffing to census and acuity, and house-wide capacity command
Out of scope
- Registration and identity at arrival (see BC-1810.20)
- Environmental services and bed cleaning (see BC-370.40)
- Recording time worked and absence (see BC-350.60)
Realized by · 2
- Oracle Health · Service Line and Department Solutionsstrong via BC-1820.50.30
- MEDITECH Expanse · Care Setting Solutionsstrong via BC-1820.50.30
Used in · 2
Build it · 1
Decomposes into · 6
- BC-1820.50.10Admission, Discharge & TransferRecord admissions, transfers and discharges as they happen so every downstream system knows where each patient is, and run the transfer center that accepts and coordinates patients from other hospitals, with a log of each request and its outcome.
- BC-1820.50.20Inpatient Bed AssignmentAssign each admitted patient to an appropriate bed quickly, and keep the status of every bed current from occupied to dirty to ready.
- BC-1820.50.30Emergency Department TrackingTrack every patient in the emergency department from arrival through triage, treatment and disposition, and make boarding and wait times visible.
- BC-1820.50.40Patient Transport CoordinationDispatch and track internal patient transport between units and departments, and arrange transport to other facilities at discharge or transfer.
- BC-1820.50.50Hospital Capacity CommandWatch census, demand and discharges across the organization in one place, predict pressure points and coordinate surge and diversion decisions.
- BC-1820.50.60Nurse Staffing & AcuityMatch nurses and support staff to each unit's census and patient acuity every shift, using staffing plans, float pools and agency staff, and record actual staffing against plan.