Computed on unit census every 30s — narratives reviewed by CM before propagation.
The gap is concentrated in SNF preferences, prior authorizations, and DME delivery windows. Recommend triggering caregiver intake + PA queue for the bottom-quartile readiness patients.
Open task board →2 active prior-auth blocks · 1 medication access blocks. Avg payer TAT 22h. Submitting today protects Wednesday discharges.
Open coverage matcher →Dispatching pre-staged tasks (caregiver coach, meds-to-beds, Sat speech eval) Friday morning typically saves 1.4 avoidable days per patient.
Pre-stage weekend prep →James Thompson (CHF, Echo signed 11:31). One-click discharge order ready.
Open patient cockpit →Sorted by delay risk · click any row to open the discharge cockpit
| Patient | Unit | Service | Payer | Predicted disposition | EDD | Clinical | Operational | Delay risk | Top blocker | Owner | Next best action |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Michael Johnson 72 M · MRN-58231 | 5B | Cardiology | BlueShield MA Advantage HMO | SNFalt: Home + HH | Tue 2:00 PM | 81% | 46% | HIGH | SNF prefs + med PA | Maria Chen, RN case manager | Send SNF preference form to caregiver |
| Linda Kowalski 68 F · MRN-58104 | 5B | Ortho | Medicare FFS | SNF | Tue 11:00 AM | 92% | 38% | HIGH | SNF auth denied — peer-to-peer pending | Maria Chen, RN case manager | Schedule MD peer-to-peer with BlueShield |
| James Thompson 64 M · MRN-58332 | 5B | Cardiology | Medicare FFS | Home | Mon 5:00 PM | 96% | 88% | LOW | Echo read signed 11:31 — DC order pending | Dr. Jordan Park hospitalist | MD: place final DC order (conditional met) |
| Rosa Mendez 71 F · MRN-57990 | S4 | Stroke | Medicare FFS | ARU | Tue 3:00 PM | 78% | 60% | MED | Speech eval + caregiver coaching pending | Maria Chen, RN case manager | Fri→Mon prep: dispatch weekend tasks |
| Alma Singh 84 F · MRN-57810 | 5B | Medicine | Medicaid pending | SNF | Sat 12:00 PM | 70% | 22% | HIGH | Guardianship + Medicaid pending | Tara Liu, MSW social worker | Escalate to legal partner — pro bono guardianship |
| Carlos Rivera 58 M · MRN-58410 | 5B | Medicine | Aetna PPO | Home + HH | Tue 1:00 PM | 74% | 52% | MED | Home O₂ vendor ETA Wed | Maria Chen, RN case manager | Confirm Lincare delivery window + backup |
| Patricia O'Brien 79 F · MRN-58025 | 5B | Cardiology | Humana MA | Home + HH | Tue 4:00 PM | 84% | 64% | MED | Eliquis PA + HH agency capacity | Maria Chen, RN case manager | Submit Eliquis PA via CoverMyMeds |
| Raymond Park 67 M · MRN-58455 | 5B | Medicine | Medicare FFS | Home | Wed 12:00 PM | 58% | 70% | LOW | Awaiting IV → PO conversion | Dr. Jordan Park hospitalist | Pharmacy: convert ceftriaxone → cefpodoxime |
| Evelyn Baker 76 F · MRN-57890 | B6 | BMT | BlueCross MA | Home + HH | Wed 11:00 AM | 68% | 54% | MED | Infusion pharmacy + caregiver education | Tara Liu, MSW social worker | Coordinate Coram home infusion intake |
| George Wilson 82 M · MRN-58510 | 5B | Medicine | Medicare FFS | SNF | Tue 10:00 AM | 88% | 71% | MED | SNF bed for Mon AM | Maria Chen, RN case manager | Confirm Bayview SNF intake slot |
| Anita Gomez 54 F · MRN-58220 | 5B | Medicine | Anthem PPO | Home | Mon 6:00 PM | 91% | 76% | LOW | Insulin pen teach-back + glucometer | Sara Khan, RN nurse | Pharmacy meds-to-beds + 20-min teach |
| Frank DelaCruz 69 M · MRN-58118 | 5B | Cardiology | Medicare FFS | Home | Tue 12:00 PM | 80% | 80% | LOW | Cardiac rehab referral | Dr. Jordan Park hospitalist | Submit Phase II rehab referral |
| Diane Hsu 75 F · MRN-58388 | S4 | Stroke | BlueShield MA | Home | Tue 9:00 AM | 86% | 82% | LOW | Anticoag PA + neuro f/u | Maria Chen, RN case manager | Submit Eliquis PA + book neuro 7 days |
| Henry Ford 60 M · MRN-58002 | 5B | Medicine | Kaiser MA | Home | Tue 3:00 PM | 72% | 66% | MED | Outpatient nephrology slot | Maria Chen, RN case manager | Book nephrology 48h via Kaiser referral desk |
| Rita Johnson 88 F · MRN-58444 | 5B | Medicine | Medicare FFS | Home + HH | Tue 11:00 AM | 76% | 58% | MED | Home safety eval + walker | Liam Park, OT ot | OT home safety + DME walker order |