IntelliCare

Hospital management and ERP

The whole hospital, in one record.

Registration, triage, consultation, wards, theatre, laboratory, pharmacy, maternity, billing, procurement and the general ledger. In one database, so the clinical record and the accounts describe the same events.

Thirteen seats, one click each, no password. A working system with invented patients.

IntelliCare Today's queue Dr. Joseph Weah

Waiting 7

003Abigail SumoFever and body aches1 h 1008:41
002Boakai KromahPersistent cough, one week55 min08:55
003Comfort WeahHeadache and dizziness46 min09:04
004Daniel GongloeAbdominal pain39 min09:11

Ready for consultation 6

ED001 urgentAbigail SumoStab wound to the chest2 h 1007:40
ED002 priorityBoakai KromahFever and vomiting1 h 3208:18
ED003Comfort WeahTwisted ankle25 min09:25
005Esther FlomoRash on both arms66 min08:44

In consultation 6

008Henry ZayzayBack pain after lifting2 h 3507:15
009Isatu KamnehSore throat and fever1 h 4508:05
010Abigail SumoDental abscess1 h 1008:40
014Abigail SumoFollow up, hypertension12 min09:38

Five things are waiting on you The notices desk →

CRITICAL: Haemoglobin 4.1 g/dLPost caesarean day 0, Ward B. Verified 09:12. Nobody has acknowledged it.
overdue
A red early warning score nobody has acted onNEWS2 recorded 51 minutes ago. Escalation route not yet answered.
overdue
No observations since admissionAdmitted 8 hours ago. No set recorded on this patient.
overdue
Telephone Fatu Weah on 0770 555 900Asked from the hospital website to be called back.
4 h

A morning

It tells somebody, and it keeps telling them.

A critical haemoglobin is not a row in a list. It is an obligation with a clock on it, addressed to a named person, that escalates when nobody answers and can still be seen a year later.

Most systems in this market can record that result. Very few can tell you whether anybody read it.

245Tables, clinical and business, in one database rather than two products with an interface between them.
13Seats on the demonstration, each a different view of the same hospital and the same record.
0Spreadsheets between the ward and the ledger.

The ward

How many beds will I have tomorrow?

The question a ward asks every morning, which decides whether the next admission is taken or turned away. It used to be answered by walking round and looking.

A discharge here is a plan that can be revised, not a status that appears once somebody has already gone. What is still outstanding travels with the patient, and it is recorded even when they leave anyway, because a patient who wants to go home may go home.

IntelliCareBed boardWard A, General
WA-01 occupiedHawa Massaquoi28 y/o, day 8Going home, 6 outstanding
WA-02 occupiedIsatu Kamneh27 y/o, day 3Going home, 7 outstanding
WA-03 availableNo one waiting
WA-04 availableNo one waiting
WA-05 cleaningAwaiting turnoverMark ready
WA-06 availableNo one waiting
Expected home todayPlanned, and revised on every round
2
Past the plan and still hereWhere a ward round should start
1
Ward roundPatients, observations and the drug round
held on device
Allergy checkRuns against the working set
ran
Interaction checkNeeds the server
did not run
Who is holding this deviceClaimed, checked server side, never assumed
Hawa Sherman
On reconnectFacts append. Claims on shared state resolve loudly.
14 queued

When the line goes down

The ward round survives the network.

A device that cannot reach the server holds its ward's patients, records what the nurse does, and sends it when the connection returns.

And a safety check that cannot run offline says so rather than passing quietly. A green tick that means "not checked" is worse than no tick at all, because somebody trusts it.

The month

Every number arrives with the rows that made it.

Most hospital systems can give you a figure. Very few can show you the cases behind it without somebody spending a fortnight in a spreadsheet.

The monthly brief names what moved and why. A service line that lost money is a decision to take, not an error to hide, and the ones worth keeping are usually the ones that lose.

IntelliCareFacility briefAdministrator
OutpatientAfter direct cost and consumables
+ 8,420
MaternityLoss making, and the reason it is kept
− 3,110
LaboratoryReagent cost moved with the exchange rate
+ 1,905
TheatreTwo lists cancelled for want of an anaesthetist
− 640
Returns within 72 hoursNamed, with the first visit attached
14
Did not attendCancellations counted as cancellations
9%

Published on purpose

What it does not do.

A system that claims everything is one nobody can plan around. This list stays on the site, and it is the reason to believe the rest of it.

not
A laboratory analyser driverResults arrive by HL7 or by hand. We do not talk to the instrument directly.
not
A PACSImages are stored, viewed and measured. A radiology department at scale needs more than that.
not
A national health information exchangeIt speaks FHIR and can join one. It is not one.
not
A telemedicine platformStore and forward teleconsultation only. No live video, and no clinician rostered to answer one.

Look at it rather than read about it.

The demonstration is the real system with invented patients. Choose a seat and you are straight in, no password. The queue above is that hospital, this morning.