Friday · July 17, 2026 · 5:20 PM · Dreams Medical Center

Elena Vasquez-Moreno

Chief Executive Officer3 Campuses · 640 BedsNetwork Online · All Sites

Live Occupancy: 81% · 334 beds
Staff on Duty: 299 clinical
Emergency Status: 1 dept critical

82%

Ops health

Executive decision required — Emergency Alert

ED at 92% capacity — surge wing decision needed within the hour.

Hospital Digital Twin

Optimal · 5Busy · 4Critical · 1

Emergency

28 bays

Critical92% load

Surge protocol ready

OPD

14 clinics

Busy78% load

Avg wait 22 min

IPD

412 beds

Optimal81% load

Discharges on track

ICU

48 beds

Busy88% load

2 step-downs pending

Operation Theatre

9 suites

Optimal67% load

On schedule

Laboratory

6 benches

Optimal74% load

TAT 2h 04m

Pharmacy

4 counters

Busy83% load

Insulin restock inbound

Radiology

5 modalities

Optimal58% load

MRI slots open

Billing

6 counters

Optimal62% load

93% collection

Reception

5 desks

Busy76% load

Queue 12 min

Hospital Operations Pipeline

512 patients through today

Patient Arrival
512
—
100% flow
Registration
496
4 min
97% flow
Consultation
431
18 min
12 waiting
Diagnosis
287
1h 40m
74% flow
Treatment
224
varies
OT-3 behind
Pharmacy
198
9 min
82% flow
Billing
171
6 min
88% flow
Discharge
143
32 min
5 pending docs

Executive Decision Center

6 insights

Attention

Emergency at 92% for 3+ hours. Recommend opening the 8-bay surge wing and diverting two ambulances to the North campus.

Bottleneck

Discharge documentation is the slowest step today (32 min avg). 5 patients are bed-blocking IPD — pharmacist review is the constraint.

Resource

Insulin cold-chain delivery arrived 1 day late. Pharmacy buffer now 36 hours — approve the standing safety-stock increase.

Incident

Refrigeration fault in lab RF-2 escalated and contained. No reagent loss. Full incident report due Monday.

Satisfaction

OPD satisfaction dipped to 4.1/5 (waiting time driven). Front-desk pilot of QR self-check-in lifts North campus to 4.6.

Recommendation

Friday elective OT utilization is 67% vs 84% midweek — moving 4 elective slots to Friday frees Monday's ICU step-down pressure.

Live Hospital Capacity

81% network occupancy

81%

Bed Occupancy

334 of 412 IPD beds

free

ICU Availability

42 of 48 in use

92%

Emergency Beds

26 of 28 bays

64%

Waiting Area

118 seated across lobbies

67%

OT Utilization

6 of 9 suites active

free

Ambulances

9 of 12 available

58%

Ventilators

21 of 36 in use

free

Isolation Rooms

8 of 13 occupied

Financial Health Center

Today · consolidated

Revenue Flow · Today

+9.2% vs yesterday

$142.4k

Collected · $96.4kInsurance pipeline · $31.2kOutstanding · $14.8k

Collection Status

93.4%

$96.4k of $103.2k billed

Insurance Claims

$31.2k

44 claims · 87% success rate

Top Department

IPD · $38.9k

27% of network revenue

Operating Margin

24.6%

+1.8 pts vs last quarter

Clinical Performance

11 critical patients

Active Admissions

334

41 today · 38 discharges

Surgeries Today

19 done · 4 in theatre

Avg Length of Stay

4.2 d

Target 4.5 · trending down

Readmission Rate

3.1%

30-day · below 3.5% target

Infection Alerts

1 CLABSI review · 1 isolation

Workforce Center

299 clinical on duty

Doctors on Duty

86 / 94

8 on leave · locums covering

Nurses on Duty

213 / 240

Night shift fully staffed

Staff Attendance

91%

91% network-wide today

Shift Coverage

96%

2 gaps in radiology evening

Leave Impact

14%

34 on leave · low risk

Intelligence Feed

Emergency Alert

5:12 PM

ED at 92% capacity — surge wing decision needed within the hour.

VIP Admission

4:48 PM

Board member's family admitted to Suite 7 — concierge protocol active.

Critical Lab Result

4:30 PM

Critical potassium flagged and resolved on Ward 4B — closed-loop confirmed.

Equipment Failure

3:55 PM

Lab refrigeration RF-2 fault — engineer on site, reagents relocated safely.

OT Delay

3:20 PM

OT-3 running 40 min behind — evening list compressed, no cancellations.

High Patient Volume

2:45 PM

OPD crossed 430 visits — 8% above forecast, staffing held.

Compliance Reminder

1:30 PM

NABH mock audit in 12 days — 3 open evidence items with quality team.

Revenue Milestone

12:10 PM

Network crossed $500k monthly revenue — 11.8% ahead of plan.

Compliance & Risk

Risk: LOW

Governance Status

NABH compliance96% · on track

Audit status2 open · 14 closed YTD

Data securityNo incidents · 30 days

Overall risk levelLOW · trending stable

Accreditation & Certifications

JCI accreditationValid · renews Mar 2027

ISO 15189 (Lab)Certified · audit 24 Jul

Fire & safety NOCValid · renews Dec 2026

Insurance empanelment18 active · 2 pending

Strategic Projects

6 active · avg 64%

East Wing Expansion

Expansion62%

Structure complete · MEP fit-outQ2 2027

NABH Accreditation

Accreditation84%

Mock audit in 12 daysSep 2026

Digital Transformation

Digital71%

e-ICU rollout at North campusDec 2026

MRI 3T Procurement

Equipment45%

Vendor shortlist to board FridayNov 2026

Sepsis Bundle Initiative

Quality90%

Mortality down 0.8 ptsAug 2026

Solar + HVAC Upgrade

Infrastructure33%

Phase 1 roof survey doneMar 2027

Executive Calendar

Next 7 days

Jul

Quarterly Board Meeting

9:00 AM · Boardroom A · Q2 results

Jul

Health Minister VIP Visit

11:30 AM · New cardiac wing tour

Jul

Emergency Dept Review

3:00 PM · Surge capacity + staffing

Jul

Internal Quality Audit

Full day · Wards 3–5 · ISO 15189

Recent Executive Activity

Finance5:05 PM

Q3 capital budget revision approved — $2.4M for imaging upgrade

Projects4:40 PM

East Wing expansion updated — MEP fit-out milestone signed off

Reviews4:15 PM

Pharmacy department review completed — margin plan accepted

Governance3:50 PM

Updated infection-control policy published network-wide

Incidents3:10 PM

Lab refrigeration incident resolved — corrective action logged

Governance2:30 PM

Fire-safety audit closed — zero critical findings

Reviews1:45 PM

Executive committee meeting completed — 6 decisions minuted

Finance12:20 PM

Monthly revenue milestone acknowledged to all department heads

Projects11:30 AM

e-ICU vendor contract executed — go-live scheduled October

Incidents10:15 AM

Overnight ED surge debrief — diversion protocol praised