Stanford Med · Unit 5B Medicine·Day shift·Mon · 9:42 AM

Discharge Command Center

30 patients · Unit 5B / S4 / B6 · 09:42 AM
Discharging today / soon
2
EDD ≤ 24h
By Estimated Discharge Date
Barriered patients
13
of 34
Manage by exception
Avoidable days (coded)
25
open barrier age
Sum of oldest open barrier per patient
Escalations
0
needs action now
Barrier escalation = ESCALATE
Payer-auth barriers
9
coded reason
PAYER_AUTH
Placement / legal blockers
3
coded reason
Bed availability + guardianship

Throughline · Board insights

Engine-computed from the live census — deriveBarriers · readiness · EDD.

09:42 AM · 4 insights
Readiness gap
13 patients likely clinically ready within 48 hours, but only 6 are operationally ready.

The gap concentrates in SNF preferences, prior authorizations, and DME delivery windows. Trigger caregiver intake + the PA queue for the bottom-quartile readiness patients.

Open task board
Barrier signal
Top board bottleneck: post-acute authorization and medication access.

0 active prior-auth blocks · 0 medication-access blocks (engine-coded). Submitting today protects mid-week discharges.

Open coverage matcher
Weekend forecast
Fri→Mon risk: 2 patients exposed to the weekend coverage gap.

Pre-staging Friday-morning tasks (caregiver coach, meds-to-beds, Sat speech eval) typically protects against the weekend hold.

Pre-stage weekend prep
Action-ready
1 conditional-DC criteria met — awaiting MD order.

James Thompson — discharge order ready for a one-click sign.

Open patient cockpit

Patient census

Sorted by delay risk · click any row to open the discharge cockpit

Auto-refresh every 30s
PatientStatusUnitServicePayerPredicted dispositionEDDClinicalOperationalDelay riskTop blockerOwnerNext best action
Michael Johnson
72 M · MRN-58231
Planning5BCardiologyBlueShield MA Advantage HMOSNFalt: Homein 1d
Tue 2:00 PM
81%
46%
HIGHSNF prefs + med PA
Maria Chen, RN
case manager
Send SNF preference form to caregiver
Linda Kowalski
68 F · MRN-58104
Ready · pending logistics5BOrthoMedicare FFSSNFin 1d
Tue 11:00 AM
92%
38%
HIGHSNF auth denied — peer-to-peer pending
Maria Chen, RN
case manager
Schedule MD peer-to-peer with BlueShield
James Thompson
64 M · MRN-58332
ReadyAppeal-paused5BCardiologyMedicare FFSHomeclock paused
Mon 5:00 PM
96%
88%
LOWQIO discharge appeal filed — clock paused (§405.1200)
Dr. Jordan Park
hospitalist
Await QIO determination; appeal days excluded from avoidable days
Rosa Mendez
71 F · MRN-57990
PlanningS4StrokeMedicare FFSIRF / ARUin 1d
Tue 3:00 PM
78%
60%
MEDSpeech eval + caregiver coaching pending
Maria Chen, RN
case manager
Fri→Mon prep: dispatch weekend tasks
Alma Singh
84 F · MRN-57810
BarrieredALC · complex-stay5BMedicineMedicaid pendingSNFin 5d
Sat 12:00 PM
70%
22%
HIGHGuardianship + Medicaid pending
Tara Liu, MSW
social worker
Escalate to legal partner — pro bono guardianship
Carlos Rivera
58 M · MRN-58410
Planning5BMedicineAetna PPOHomein 1d
Tue 1:00 PM
74%
52%
MEDHome O₂ vendor ETA Wed
Maria Chen, RN
case manager
Confirm Lincare delivery window + backup
Patricia O'Brien
79 F · MRN-58025
Planning5BCardiologyHumana MAHomein 1d
Tue 4:00 PM
84%
64%
MEDEliquis PA + HH agency capacity
Maria Chen, RN
case manager
Submit Eliquis PA via CoverMyMeds
Raymond Park
67 M · MRN-58455
Planning5BMedicineMedicare FFSHomein 2d
Wed 12:00 PM
58%
70%
LOWAwaiting IV → PO conversion
Dr. Jordan Park
hospitalist
Pharmacy: convert ceftriaxone → cefpodoxime
Evelyn Baker
76 F · MRN-57890
PlanningB6BMTBlueCross MAHomein 2d
Wed 11:00 AM
68%
54%
MEDInfusion pharmacy + caregiver education
Tara Liu, MSW
social worker
Coordinate Coram home infusion intake
George Wilson
82 M · MRN-58510
Ready · pending logistics5BMedicineMedicare FFSSNFin 1d
Tue 10:00 AM
88%
71%
MEDSNF bed for Mon AM
Maria Chen, RN
case manager
Confirm Bayview SNF intake slot
Anita Gomez
54 F · MRN-58220
Ready · pending logistics5BMedicineAnthem PPOHomeT-24h · 6:00 PM
Mon 6:00 PM
91%
76%
LOWInsulin pen teach-back + glucometer
Sara Khan, RN
nurse
Pharmacy meds-to-beds + 20-min teach
Frank DelaCruz
69 M · MRN-58118
Planning5BCardiologyMedicare FFSHomein 1d
Tue 12:00 PM
80%
80%
LOWCardiac rehab referral
Dr. Jordan Park
hospitalist
Submit Phase II rehab referral
Diane Hsu
75 F · MRN-58388
Ready · pending logisticsS4StrokeBlueShield MAHomeT-24h · 9:00 AM
Tue 9:00 AM
86%
82%
LOWAnticoag PA + neuro f/u
Maria Chen, RN
case manager
Submit Eliquis PA + book neuro 7 days
Henry Ford
60 M · MRN-58002
Planning5BMedicineKaiser MAHomein 1d
Tue 3:00 PM
72%
66%
MEDOutpatient nephrology slot
Maria Chen, RN
case manager
Book nephrology 48h via Kaiser referral desk
Rita Johnson
88 F · MRN-58444
Planning5BMedicineMedicare FFSHomein 1d
Tue 11:00 AM
76%
58%
MEDHome safety eval + walker
Liam Park, OT
ot
OT home safety + DME walker order
Marisol Vega
63 F · MRN-58531
Planning5BMedicineMedicare FFSHomein 1d
Tue 3:30 PM
79%
49%
HIGHPortable O2 CMN missing signature
Dr. Jordan Park
hospitalist
Sign CMN form 484 for home oxygen
Nathan Cooper
73 M · MRN-58542
Planning5BMedicineUnited MAHomein 2d
Wed 10:00 AM
67%
44%
HIGHHome health start-of-care unavailable
Maria Chen, RN
case manager
Book backup HH agency before noon
Celia Martin
82 F · MRN-58553
Ready · pending logistics5BOrthoBlueShield MASNFin 2d
Wed 1:00 PM
89%
33%
HIGHSNF auth pending clinical upload
Maria Chen, RN
case manager
Attach PT note and resubmit auth packet
Owen Li
77 M · MRN-58564
Ready · pending logistics5BOrthoMedicare FFSSNFin 1d
Tue 12:30 PM
94%
62%
MEDFamily choosing between accepted SNFs
Maria Chen, RN
case manager
Send ranked SNF preference form
Beatrice Wong
80 F · MRN-58575
Planning5BOrthoAetna PPOIRF / ARUin 2d
Wed 2:30 PM
83%
55%
MEDARU medical director review pending
Aisha Patel, DPT
pt
Upload stair trial and endurance note
Terrence Brooks
69 M · MRN-58586
Ready · pending logistics5BCardiologyMedicare FFSHomein 1d
Tue 5:00 PM
91%
73%
MEDMeds-to-beds delivery after 4 PM
Sam Reyes, PharmD
pharmacy
Move pharmacy fill before 15:30 cutoff
Marian Adler
74 F · MRN-58597
Planning5BCardiologyHumana MAHomein 2d
Wed 9:30 AM
76%
47%
HIGHEntresto denied; alternate plan needed
Sam Reyes, PharmD
pharmacy
Draft payer exception or ARB fallback
Kevin Owens
59 M · MRN-58608
PlanningS4StrokeBlueCross MAIRF / ARUin 1d
Tue 4:00 PM
82%
57%
MEDSpeech eval delayed until afternoon
Aisha Patel, DPT
pt
Escalate SLP slot into weekend prep batch
Helen Yu
86 F · MRN-58619
Ready · pending logisticsS4StrokeMedicare FFSHomein 1d
Tue 10:30 AM
88%
52%
MEDCaregiver coaching not complete
Sara Khan, RN
nurse
Send stroke warning-sign education to daughter
Samir Patel
62 M · MRN-58630
PlanningS4StrokeAnthem PPOLTCH / LTACin 4d
Fri 11:00 AM
61%
29%
HIGHLTCH acceptance blocked by acuity review
Tara Liu, MSW
social worker
Escalate complex placement huddle
Joanne Keller
70 F · MRN-58641
PlanningB6BMTBlueCross MAHomein 3d
Thu 12:00 PM
64%
42%
HIGHHome infusion nursing unavailable
Tara Liu, MSW
social worker
Warm backup infusion vendor
Liam Murphy
66 M · MRN-58652
PlanningB6BMTMedicare FFSHomein 2d
Wed 3:00 PM
71%
58%
MEDCaregiver line-care teach-back pending
Sara Khan, RN
nurse
Schedule caregiver line-care session
Grace Nelson
78 F · MRN-58663
PlanningB6BMTKaiser MAHomein 3d
Thu 9:00 AM
69%
36%
HIGHSpecialty pharmacy delivery not confirmed
Sam Reyes, PharmD
pharmacy
Confirm same-day specialty courier
Wanda Price
89 F · MRN-58674
BarrieredALC · complex-stay5BMedicineMedicaid pendingMemory carein 8d
Tue 12:00 PM
73%
18%
HIGHMemory care funding path unresolved
Tara Liu, MSW
social worker
Start HCBS waiver + charity bridge screen
Yasmin Hassan
57 F · MRN-58696
Ready · pending logistics5BMedicineMedi-Cal managed careShelter / respitein 2d
Wed 4:30 PM
87%
26%
HIGHMedical respite bed unavailable
Tara Liu, MSW
social worker
Escalate respite waitlist and backup shelter plan
Maria Hernandez
67 F · MRN-58332
Planning5BCardiologyUninsured (charity-care pending)Homein 1d
Tue 4:00 PM
79%
32%
HIGH501(r) financial-assistance application pending; Entresto + Jardiena cash price ~$1.1k/mo
Tara Liu, MSW
social worker
Complete Stanford FAP application + enroll in Novartis Entresto Central + BI Jardiance PAP
Anthony Boyd
52 M · MRN-58401
Planning5BMedicineSelf-pay (Medi-Cal application pending)Shelter / respitein 3d
Thu 11:00 AM
74%
22%
HIGHMedical respite + IV-abx-capable site needed; standard shelters can't manage PICC
Tara Liu, MSW
social worker
Cherry Hill (Alameda) or ATAC (SF) medical respite — both accept PICC; secure Medi-Cal urgent-application
David Chen
38 M · MRN-58518
Barriered5BBehavioral HealthAnthem Blue Cross CA (Medi-Cal MCO)Homein 2d
Wed 3:00 PM
72%
18%
HIGHNo dialysis unit accepting behavioral comorbid; SNFs all declining; IOP scheduling collides with HD
Dr. Yuki Park
hospitalist
Confirm Satellite Healthcare San Jose or UCSF dialysis as accepting; coordinate IOP at HealthRIGHT 360 around T/Th/Sat HD
Eleanor Park
84 F · MRN-58608
Ready · pending logistics5BGeriatricsMedicare FFS + supplement (Plan G)Hospice · homein 1d
Tue 1:00 PM
88%
54%
MEDFamily wants home not facility; private-pay caregiver needed for 24h coverage
Tara Liu, MSW
social worker
Confirm Sutter Care at Home hospice intake; arrange 24h private-pay caregiver via Home Instead
34 of 34 patientsExport CSV · Raw FHIR · Audit log
Demo data · no PHI · mocked Epic + payer endpoints