Dashboard
Active Patients
▲ 4.2% vs last month
Telehealth Today
▲ 3 live now
AI Tasks Today
▲ 6 agents active
FHIR Syncs Today
▲ All systems live
Patient Visits — Last 7 DaysView report →
Mon
Tue
Wed
Thu
Fri
Sat
Sun
In-person
164
Telehealth
68
New patients
23
No-shows
8
Diagnosis MixDetails →
2,481
Cardiology40%
Primary Care20%
Orthopedics13%
Neurology11%
Other16%
Today's ScheduleFull schedule →
9:00
Maria Gonzalez
Cardiology · Dr. Park
Checked in
9:30
James Wilson
Telehealth · Dr. Chen
Live now
10:00
Priya Sharma
Lab Results · Dr. Harper
Waiting
10:45
Robert Kim
Telehealth · New Patient
Confirmed
11:15
Susan Okafor
Physical · Dr. Chen
No-show
AI Agent ActivityView all →
AI
Triage Agent flagged Priya Sharma — elevated BP + headache
2 min ago
AI
FHIR Sync pulled 14 new lab results from Quest Diagnostics
7 min ago
AI
Prior Auth Agent submitted authorization for Maria Gonzalez
22 min ago
AI
HL7 ADT message received — Robert Kim admitted to Ward 3B
38 min ago
AI
PACS new MRI study linked to Priya Sharma #PT-00502
1 hr ago
PatientDOB / AgeDepartmentProviderLast VisitVisit TypeStatusActions
April 7 – 13, 2026
MON
7
TUE
8
WED
9
THU
10
FRI
11
SAT
12
SUN
13
■ Cardiology ■ Primary Care ■ Orthopedics ■ Neurology ■ Telehealth
No active session
Start a visit from the queue
DH
Blood Pressure
128/ 82 mmHg
▲ Slightly elevated
Heart Rate
74bpm
● Normal
SpO₂
98%
● Normal
Glucose
142mg/dL
▲ Above target
Live video via Jitsi (WebRTC). Public meet.jit.si is fine for testing but not HIPAA-compliant — set a self-hosted/BAA Jitsi domain for real PHI.
Visit Queue 5 waiting
JW
James Wilson
Primary Care · Follow-up
RK
Robert Kim
Orthopedics · New Patient
DT
David Torres
Primary Care · Check-in
AL
Angela Lee
Primary Care · Labs review
PS
Priya Sharma
Neurology · Urgent follow-up
Session Notes (AI Transcription)
Dr. Harper: How has your blood sugar been since we adjusted the metformin?
James Wilson: Better overall but still spiking after dinner. I've been checking twice a day.
Dr. Harper: Good discipline. Your glucose today is 142 which is above target. Let's review your evening meals...
AI transcribing… auto-generating SOAP note
Recent Telehealth Sessions
PatientProviderDateDurationTypeRecordingStatusActions
Referral Intake 6
Robert Kim
Orthopedics · Referred by Dr. Patel
Marcus Webb
Cardiology · ER transfer
Linda Chen
Neurology · Self-referred
Initial Assessment 8
Priya Sharma
Neurology · MRI ordered · PACS linked
Tom Nakamura
Primary Care · Blood work · HL7 pending
Active Treatment 14
Maria Gonzalez
Cardiology · Medication phase 2
James Wilson
Primary Care · Diabetes mgmt
Monitoring 11
David Torres
Primary Care · 3-month check-in
Susan Okafor
Cardiology · Reactivation due
Discharged 42
Kevin Shah
Orthopedics · Recovery complete
Messages
Priya Sharma 9:41 AM
My headache got worse overnight…
James Wilson 8:22 AM
Can I reschedule my Thursday…
Front Desk 7:55 AM
3 no-show alerts for today's…
Angela Lee Yesterday
Thank you for the quick response!
Maria Gonzalez Yesterday
Intake forms submitted, all done
PS
Priya Sharma
#PT-00502 · Neurology · Dr. Harper
PS
Hi Dr. Harper, the headache has gotten worse overnight and I am now experiencing some blurred vision.
9:41 AM
DH
Priya, please come in today immediately. I am escalating this and our triage AI has already flagged your vitals.
9:48 AM · Read
2 live agents · 6 in preview
Clinical Triage Agent
Monitors incoming patient data, flags at-risk patients, prioritizes cases by severity score, and routes urgent escalations to on-call providers.
Follow-up Coordinator
Automatically schedules post-visit follow-ups, sends reminders to patients with chronic conditions, and surfaces patients overdue for check-ins.
Prior Authorization Agent
Drafts and submits insurance prior authorization requests, tracks status, handles denials and appeals, and syncs results back to the patient record via FHIR.
Lab Results Interpreter
Ingests HL7 ORU messages and FHIR Observation resources, interprets abnormal results, generates plain-language summaries for providers, and updates patient timelines.
Billing & Coding Agent
Auto-generates ICD-10 and CPT codes from encounter notes, scrubs claims for errors, submits to payers via X12 EDI, and flags denials for review.
Smart Scheduler
Optimizes provider calendars using demand forecasting, suggests appointment slots to reduce no-shows, and balances telehealth versus in-person capacity.
Administrative Task Agent
Automates front-desk and back-office tasks: patient intake forms, insurance verification, referral routing, staff scheduling, compliance reminders, and document management.
Reporting Agent
Generates scheduled and on-demand clinical, operational, and financial reports. Surfaces AI-driven insights, anomaly detection, and trend narratives across all CRM modules.
Live Agent Activity Log
09:51:04TRIAGEFlagged Priya Sharma #PT-00502 — BP 158/96, headache + blurred vision → severity score 8.4/10 → escalated to Dr. Harper
09:50:38LABHL7 ORU^R01 received from Quest — 14 results parsed → 3 abnormal values flagged (HbA1c 7.8%, LDL 142, eGFR 61)
09:49:12PRIOR AUTHSubmitted PA request for Maria Gonzalez — Cardizem 240mg — Aetna ref #AET-20260408-9921
09:47:55BILLINGAuto-coded James Wilson encounter — ICD-10: E11.9, Z79.4 — CPT: 99213, 83036 — claim submitted $284
09:45:20FOLLOW-UPSent 6 appointment reminders via SMS — 3 confirmed, 2 pending, 1 failed
09:42:11FHIRFHIR R4 sync completed — Epic endpoint — 248 Patient, 1,340 Observation, 88 Condition resources updated
09:40:08TRIAGEReviewed 22 new vitals from IoT wearables — 1 alert generated for David Torres (resting HR 102 bpm)
09:38:44SCHEDULEPredictive model: 2 no-shows likely on Apr 10 (Thu) — suggested overbooking by 1 slot
09:35:02LABPACS DICOM SR received — Priya Sharma MRI Brain — study linked to FHIR DiagnosticReport #DR-20260408-0041
09:30:00SYSTEMAll 6 agents initialized — FHIR, HL7, PACS endpoints verified — system healthy
Agent Workflow — Patient Encounter Pipeline
Patient
Arrives
Triage
Agent
Lab
Agent
Prior Auth
Agent
Billing
Agent
Follow-up
Agent
Encounter
Closed ✓
Admin Task Agent
Runs in parallel — intake, insurance, scheduling, docs
Reporting Agent
Captures data at every stage — generates reports on demand
Tasks Automated Today
47
▲ 18% vs yesterday
Time Saved
6.2h
▲ Staff hours freed
Pending Verifications
9
▼ Insurance holds
Compliance Items
3
▼ Action required
Active Automations
Patient Intake
Run 112×
Auto-generates digital intake forms, pre-populates fields from FHIR Patient records, triggers e-signature via DocuSign, and archives to the EHR on submission.
Insurance Verification
Run 89×
Submits real-time eligibility checks (270/271 X12 EDI) to payers, validates coverage, deductibles, and copays, and flags patients with lapsed or insufficient insurance before their visit.
Referral Routing
Run 34×
Parses incoming referral faxes and HL7 REF messages, matches to best-fit specialist based on availability and specialty, and creates FHIR ServiceRequest resources automatically.
Staff Scheduling
Run 8×
Balances shift assignments using predicted patient volume, tracks PTO and on-call rotations, enforces nursing ratios, and publishes schedules to staff calendars via API.
Compliance Reminders
Run 21×
Tracks license renewals, mandatory training deadlines, HIPAA certification expirations, and Joint Commission audit dates. Sends escalating reminders 90, 30, and 7 days before deadlines.
Document Management
Run 58×
Classifies and routes incoming faxes, scanned documents, and uploaded files. Indexes content via OCR, links to patient records in the EHR via FHIR DocumentReference resources.
Active Task Queue47 today
INS
Insurance verification — Robert Kim
Aetna PPO eligibility check · New patient pre-visit
In progress
REF
Referral routing — Linda Chen
Incoming fax from Dr. Patel → Neurology
Queued
INT
Intake forms — Marcus Webb
ER patient · Pre-populated from Epic FHIR record
Complete
COMP
HIPAA training — Amy Torres, LPN
Annual re-certification due in 7 days
Due soon
DOC
Document OCR — Fax received 09:42
Lab report from Quest · Linked to PT-00502
Complete
SCHED
Schedule optimization — Week of Apr 14
Balancing 5 providers · 3 PTO conflicts resolved
Complete
INS
Prior auth status check — Maria Gonzalez
Aetna auth #AET-20260408-9921 · Pending 2hr
Pending
LIC
License renewal — Dr. James Park
Ohio medical license expires Jun 30, 2026
30 days
Compliance Dashboard
!
Joint Commission survey — overdue documentation
3 policies not updated since Jan 2026
Action needed
HIPAA certification — 2 staff pending
Amy Torres, Nina Kim · Due Apr 15
Due soon
DEA license — Dr. Arjun Patel
Expires May 31, 2026 · Renewal initiated
In progress
HIPAA Risk Assessment — completed
Annual assessment filed Apr 1, 2026
Complete
Agent Activity Log
09:51INTAKEMarcus Webb intake forms pre-filled from FHIR Patient/pat-00519
09:49INSRobert Kim — Aetna PPO eligibility confirmed · Deductible: $1,200 met
09:47DOCFax OCR complete — 2 pages → FHIR DocumentReference created #doc-00408
09:42REFReferral Linda Chen matched to Dr. Harper (Neurology) · ServiceRequest created
09:30COMPReminder sent — Amy Torres HIPAA cert due Apr 15 (7 days)
08:00SCHEDWeek of Apr 14 schedule published — 5 providers, 3 PTO conflicts auto-resolved
Reports Generated
12
▲ Today
Scheduled Reports
28
→ Next: 5:00 PM
AI Insights Found
7
▲ 3 new today
Data Sources
9
▲ All connected
AI-Generated Insights Updated 09:51 AM · Next refresh in 9 min
No-show rate trending upward — April cohort +3.2%
No-show rate reached 11.4% this week, up from 8.2% last month. Analysis of appointment type and lead time shows cancellations cluster in afternoon slots (>3 days lead time) among primary care patients aged 25–40. Recommend activating 48h reminder automation for this segment.
View full analysis →
High impact
Telehealth adoption up 37% MoM — primary care leading
Telehealth accounted for 37% of all visits this month, up from 27% in March. Primary care visits drove 61% of the increase. Patient satisfaction scores for telehealth encounters (96%) now exceed in-person (92%). Revenue per telehealth visit averaged $148 vs $184 in-person — consider mixed-modality bundled care pricing.
View telehealth report →
Positive trend
Avg. discharge time 4.1hrs — 0.9hrs above benchmark
Discharge processing time has increased over the past two weeks, with bottlenecks identified at physician co-sign (avg 48 min delay) and pharmacy discharge medication reconciliation (avg 62 min delay). Automating co-sign reminders and pre-generating discharge prescriptions could reduce LOS by an estimated 55 minutes per patient.
View operational report →
Attention needed
Report Builder
Metrics
Patient Volume
Telehealth Usage
Satisfaction Scores
Revenue & Billing
No-show Rate
Provider Utilization
FHIR Sync Health
Admin Task Metrics
Clinical Outcomes
Export As
Patient Volume — Apr 1–8, 2026
2,481
Total Patients
▲ 4.2%
187
This Week
▲ 8.1%
68
Telehealth
▲ 37%
8
No-shows
▲ 11.4%
Mon
Tue
Wed
Thu
Fri
Sat
Sun
Department Breakdown
Cardiology40%
Primary Care20%
Orthopedics13%
Neurology11%
Other16%
Scheduled Reports
Daily Operations Summary
Daily · 5:00 PM · Email to admin team
Active
Weekly Revenue & Billing Report
Monday 8:00 AM · PDF to CFO + billing team
Active
Patient Satisfaction Monthly
1st of month · Excel to quality team
Active
Provider Performance Quarterly
Quarterly · PDF + CSV · Medical director
Active
FHIR Sync Health Report
Daily · 6:00 AM · JSON to IT team
Active
HIPAA Audit Log Report
Weekly · Encrypted PDF · Compliance officer
Active
Admin Task Automation Summary
Daily · 5:30 PM · Slack + email to admin
Active
FHIR R4 Endpoint
1,340
LiveLast sync: 2 min ago
HL7 v2 / v3 Messages
284
LiveADT, ORM, ORU active
PACS / DICOM Studies
47
LiveOrthanc PACS connected
FHIR R4
HL7 v2 / v3
PACS / DICOM
Base URL
https://fhir.citymedical.org/fhir/R4
R4Version
OAuth 2.0Auth
Smart on FHIRLaunch
● OnlineStatus
248msLatency
Recent FHIR Resources
P
Patient
Priya Sharma — id: pat-00502
Updated 9:50 AM · Epic EHR source
Synced
O
Observation
BP 158/96 — #obs-20260408-004
Subject: pat-00502 · 9:49 AM
Flagged
DR
DiagnosticReport
MRI Brain — #DR-20260408-0041
PACS linked · Performer: Radiology
New
MR
MedicationRequest
Metformin 1000mg — #mr-00398-07
Subject: pat-00398 · Active
Synced
E
Encounter
Telehealth visit #enc-20260408-JW
Status: in-progress · Duration 8 min
Active
Sync Activity
09:51PUTPatient/pat-00502 updated — vitals added
09:50POSTObservation/obs-20260408-004 created — BP flagged
09:49POSTDiagnosticReport/DR-0041 created — PACS linked
09:47GETCondition?patient=pat-00398 — 3 resources returned
09:42GETPatient?_count=100 — 248 resources fetched
09:38WARNMedicationRequest/mr-00289 — unknown code system
09:35PUTEncounter/enc-20260408-JW started — Telehealth
09:30GETCapabilityStatement fetched — Epic R4 endpoint verified
Supported Resources
Patient Observation Condition MedicationRequest Encounter DiagnosticReport Procedure AllergyIntolerance Immunization CarePlan Coverage Appointment
Inbound Message Queue
ADT
ADT^A01 — Admit
Robert Kim admitted — Ward 3B
MRN: 00517 · 09:40 AM · LIS: Cerner
Processed
ORU
ORU^R01 — Lab Result
14 lab results — Quest Diagnostics
Patients: 8 · 09:50 AM
Processed
ORM
ORM^O01 — Order
MRI Brain ordered — Priya Sharma
Ordered by: Dr. Harper · 09:30 AM
Pending
MDM
MDM^T02 — Document
Discharge summary — Kevin Shah
Apr 2, 2026 · Epic source
Processed
Raw HL7 v2 Sample
MSH|^~\&|QUESTLAB|QDX|MEDCRM|CMC|20260408094900||ORU^R01|MSG-00417|P|2.5 PID|1||00502^^^CMC^MR||Sharma^Priya||19901105|F|||123 Oak St^^Columbus^OH^43215 OBR|1|ORD-2204|LAB-9982|58410-2^CBC^LN|||20260408090000 OBX|1|NM|718-7^Hemoglobin^LN||13.2|g/dL|12.0-16.0||||F OBX|2|NM|4544-3^Hematocrit^LN||39.8|%|36.0-48.0||||F OBX|3|NM|2160-0^Creatinine^LN||1.1|mg/dL|0.5-1.1||||F
Active HL7 Interfaces
LIS
Quest Diagnostics LIS
TCP/IP MLLP · Port 2575 · ORU, ORM
Active
ADT
Cerner ADT Feed
TCP/IP MLLP · Port 2576 · ADT, MDM
Active
PHR
Patient Portal HL7 Bridge
HTTP REST · v3 CDA documents
Setup needed
Recent Studies
MRI
Brain MRI w/ contrast
Priya Sharma · #PT-00502
Apr 8, 2026 · 24 series · 480 images
CT
Chest CT — PE protocol
Marcus Webb · #PT-00519
Apr 8, 2026 · 3 series · 210 images
XR
Right knee X-ray
Robert Kim · #PT-00517
Apr 7, 2026 · 2 series · 8 images
ECH
Echocardiogram
Maria Gonzalez · #PT-00441
Apr 5, 2026 · 1 series · 240 frames
PET
Whole-body PET scan
Linda Chen · #PT-00521
Apr 3, 2026 · 5 series · 850 images
Patient: Sharma, Priya
Study: MRI Brain w/contrast
Series: 3/24 · Image: 12/40
Date: 2026-04-08 09:30
Modality: MR · 1.5T
ROI W B
SL
12
DICOM UID
1.2.840.10008.5.1
.4.1.1.4
Storage Class
MR Image Storage
DICOM 3.0
FHIR Link
DiagnosticReport/
DR-20260408-0041
Patient Volume — 12 Months
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
Provider Utilization
Dr. Park94%
Dr. Chen87%
Dr. Harper79%
Dr. Patel61%
Visit Modality Split
In-person63%
Telehealth37%
Patient Satisfaction
94%
Based on 312 responses
Very Satisfied68%
Satisfied26%
Dissatisfied6%
Revenue Breakdown
Insurance57%
Self-pay28%
Medicare15%
MTD Revenue
$84,220
YTD Total
$318,440
Loading care models…
Organization
Team & Providers
Notifications
Care Models
Integrations
Compliance & HIPAA
Organization Settings
Manage your clinic or hospital's core information
Organization Name
NPI Number
Primary Contact
Phone
Address
Team & Providers
Manage staff access and provider profiles
NameRoleDepartmentStatus
Notification Settings
Configure alerts and automated communications
Appointment reminders (24h)
Auto-send SMS/email to patients
AI agent alerts
Notify providers of AI-flagged critical events
FHIR sync errors
Alert admin when FHIR sync fails or times out
HL7 message failures
Notify when inbound HL7 messages cannot be parsed
PACS new study alert
Notify radiologist and ordering provider on new study
Loading…
Integrations
EHR, interoperability, billing, and telehealth connections
Epic EHR · FHIR R4
Patient records, observations, encounters
Connected
Quest Diagnostics · HL7
Lab results via ORU^R01 MLLP feed
Connected
Orthanc PACS · DICOM
Imaging studies, DICOMweb WADO-RS
Connected
Cerner ADT · HL7 v2
Admission/discharge/transfer feed
Connected
Twilio Video · Telehealth
WebRTC video sessions, recordings
Connected
Subscription & Plans
View plans, upgrade, or manage billing
View plans →
Compliance & HIPAA
Security and regulatory compliance settings
HIPAA Audit Logging
Log all access to protected health information
Two-factor authentication
Require 2FA for all staff logins
FHIR data encryption
TLS 1.3 for all FHIR API traffic, AES-256 at rest
Telehealth session encryption
End-to-end encryption for all video sessions
AI agent audit trail
Log all AI agent decisions for clinical review
✓ HIPAA Compliant · SOC 2 Type II · 21st Century Cures Act
Last audit: April 1, 2026 · Next scheduled: July 1, 2026
Total Encounters
47
▲ 9 today
Pending Orders
12
▼ 4 overdue
Avg. LOS (hrs)
3.2
▲ 0.4 vs target
Discharge Ready
6
→ Awaiting orders
Critical Alerts
3
▼ Needs review
ER
Emergency Dept.
Level I Trauma
Occupancy92%
18
Active cases
4
Critical
94 min
Avg wait
ICU
Intensive Care Unit
Ward 2A
Occupancy75%
9
Patients
2
Vented
12 beds
Capacity
OR
Operating Rooms
Surgical Suite
Utilization68%
4
Active ORs
3
Scheduled
6 rooms
Total
MED
Med/Surg Ward
Wards 3A–3C
Occupancy81%
20
Patients
6
Discharge ready
25 beds
Capacity
Triage & Check-in5
Marcus Webb
Chest pain, SOB · Cardiac rule-out
Critical Cardio
Priya Sharma
Severe headache, blurred vision
High Neuro
Yuki Tanaka
Laceration, right hand · Work injury
Normal Surgery
Assessment7
Linda Chen
Altered mental status · Neuro eval
Critical Neuro CT ordered
Tom Nakamura
Diabetic ketoacidosis · Endocrine
High Labs pending
Rachel Evans
Palpitations · Echo + Holter
Normal Cardio
Diagnostics & Orders9
Maria Gonzalez
Troponin series · 3hr repeat
Labs ×3 Cardio FHIR linked
Marcus Webb
STAT ECG + Chest CT-PA
STAT PACS ordered
Angela Lee
CBC, CMP, lipid panel
Routine HL7 ORU
Treatment & Procedures11
ICU Bed 4 — Anon.
Mechanical ventilation · Sedation protocol
ICU Vented
James Wilson
IV insulin drip · BG monitoring q1h
Med/Surg Insulin protocol
OR 3 — Kevin Shah
Right knee arthroplasty · In progress
OR Ortho
Observation & Monitoring8
David Torres
Post-procedure obs · HR monitoring
Stable Tele
Robert Kim
Post-op knee · Pain protocol
Pain: 6/10 Recovery
Discharge Planning6
Susan Okafor
Cleared · Awaiting transport
Discharge ready Instructions sent
Natalie Cross
Discharge orders signed · Rx sent
Discharge ready Follow-up booked
On-Shift Nurses
18
▲ Day shift full
Tasks Assigned
94
▲ 62 completed
Avg Patient Load
5.2
→ Recommended: 4
Overdue Tasks
8
▼ Escalation needed
Handoffs Today
14
▲ All documented
SR
Sarah Rodriguez, RN
Ward 3A · Charge Nurse
Workload85%
6
Patients
14
Tasks
2
Overdue
MP
Miguel Park, RN
ICU · Critical Care
Workload96%
3
Patients
22
Tasks
4
Overdue
AT
Amy Torres, LPN
Ward 3B · Med/Surg
Workload60%
4
Patients
11
Tasks
1
Overdue
NK
Nina Kim, RN
ER · Triage Nurse
Workload78%
5
Patients
18
Tasks
1
Overdue
Pending — Overdue8
ICU Bed 4 — Vent check
Ventilator settings review · q2h
Overdue 40 minMiguel P.
Ward 3A Bed 7 — Pain reassess
Robert Kim · Post-op pain protocol
Overdue 25 minSarah R.
ER Bay 3 — IV access
Priya Sharma · 18G PIV right AC
Overdue 10 minNina K.
Scheduled — Due Soon22
James Wilson — Insulin
Regular insulin 4 units IV · BG check first
Due 10:00Amy T.
Maria Gonzalez — Vitals
q4h BP, HR, SpO2, temp
Due 10:00Sarah R.
ICU Bed 2 — Line care
Central line dressing change
Due 10:30Miguel P.
In Progress14
Priya Sharma — Assessment
Neuro vitals, GCS, pupil check
In progressNina K.
Tom Nakamura — IV fluids
Normal saline 1L bolus · Rate 500 mL/hr
RunningAmy T.
OR Recovery — Robert Kim
PACU monitoring, O2 sat, anesthesia wean
In progressSarah R.
Completed62
Angela Lee — Morning meds
Metoprolol 25mg, Lisinopril 10mg given
CompletedeMAR signed
David Torres — Wound care
Surgical site cleaned, sterile dressing applied
CompletedPhoto logged
Maria Gonzalez — Blood draw
Troponin I, BNP sent to lab
CompletedHL7 sent
Documentation11
Shift Handoff — 3A
Day to evening · SBAR report pending
SBARDue 14:00
ICU Flow Sheet Update
Hourly I&O, vent parameters
I/O chartFHIR push
Fall Risk Assessment
Susan Okafor · Morse Fall Scale
Morse scaleScore: 35
Handoff / Escalation4
ICU Bed 4 — Rapid response
BP drop 88/54 · RRT called
RRT activeEscalated to Dr. Harper
Priya Sharma → Neurology
Transfer to neuro floor ordered
Pending bedHL7 ADT
Active Physicians
8
▲ 6 on rounds
Pending Orders
16
▼ Signature needed
Consults Today
9
▲ 3 responded
Discharge Orders
6
→ Ready to sign
Critical Results
4
▼ Requires action
DH
Dr. Sarah Harper
Neurology · Attending
Schedule88%
7
Patients
3
Consults
4
Orders
JP
Dr. James Park
Cardiology · Attending
Schedule72%
5
Patients
2
Consults
6
Orders
LC
Dr. Linda Chen
Primary Care · Attending
Schedule80%
8
Patients
1
Consults
5
Orders
AP
Dr. Arjun Patel
Orthopedics · Surgeon
Schedule95%
4
Patients
3
Surgeries
1
Orders
Morning Rounds12
ICU Bed 4 — Critical review
Sepsis protocol · Vasopressors running
CriticalDr. Harper
Marcus Webb — Chest pain eval
NSTEMI workup · Troponin trending up
HighDr. Park
Maria Gonzalez — Cardiology
EF review, medication adjustment
RoutineDr. Park
Pending Orders16
STAT — Norepinephrine drip
ICU Bed 4 · 0.1 mcg/kg/min IV
STATAwaiting co-sign
Heparin infusion — Marcus Webb
60 units/kg bolus then 12 units/kg/hr
UrgentPharmacy review
MRI Brain w/ contrast
Priya Sharma · Headache + visual changes
ImagingPACS
Consults9
Neuro consult — Marcus Webb
Requested: stroke evaluation
Consult sentAwaiting response
Cardio consult — Priya Sharma
BP management, rule out hypertensive emergency
RespondedDr. Park
Endocrine consult — Tom Nakamura
DKA management, insulin titration
AwaitingDr. Chen
Procedures5
OR 3 — Knee arthroplasty
Kevin Shah · Dr. Patel · In progress
OR active78 min elapsed
Bronchoscopy — ICU Bed 2
Diagnostic + BAL · Sedation required
Scheduled 11:00Dr. Harper
Echocardiogram — Rachel Evans
Bedside TTE · Cardiology
Scheduled 12:30Dr. Park
Critical Results4
K⁺ 6.2 mEq/L — Tom Nakamura
Critical hyperkalemia · Immediate action
Critical valueHL7 ORU notified
Troponin 0.8 ng/mL — Marcus Webb
Trending up · NSTEMI likely
CriticalDr. Park notified
MRI — New lesion · Priya Sharma
3mm right parietal signal change
Radiology readPACS linked
Discharge Orders6
Susan Okafor — Ready
Orders signed · Rx sent to Walgreens
SignedFHIR posted
Natalie Cross — Ready
Neurology cleared · Follow-up Apr 22
SignedPatient educated
David Torres — Pending co-sign
Orders drafted · Attending co-sign needed
Co-sign neededDr. Harper
Overall CSAT Score
4.7/5
▲ 0.2 vs last month
Net Promoter Score
+68
Promoters 78% · Detractors 10%
▲ +4 pts vs Q1
Responses This Month
312
Survey response rate
▲ 34% response rate
Open Complaints
7
3 escalated · 4 in review
▼ 2 new today
Sentiment OverviewFull report →
😊 Positive 68% 😐 Neutral 22% 😞 Negative 10%
Monthly Trend (CSAT)
Oct
Nov
Dec
Jan
Feb
Mar
Apr
By Department
Cardiology4.9
Primary Care4.7
Telehealth4.8
Orthopedics4.5
Neurology4.4
Survey Question ScoresEdit survey →
How satisfied were you with your care today?
4.7
Was your provider on time for your appointment?
3.8
Did staff communicate clearly and respectfully?
4.9
How easy was it to schedule your appointment?
4.1
How would you rate the cleanliness of our facility?
4.8
Did your provider explain your treatment plan clearly?
4.6
Would you recommend us to a friend or family member?
4.5
How satisfied were you with billing and checkout?
3.6
Feedback Pipeline
Active Alerts & Follow-ups3 urgent
Medication error complaint — Patient #COMP-2026-0041
Quality dept notified · Risk management review pending · 7 days open
Urgent
HIPAA privacy complaint — #COMP-2026-0038
Compliance officer review · IT audit requested · 9 days open
Urgent
Billing dispute — Robert Kim · Incorrect charge
Finance team reviewing · 2 days open
In progress
Discharge wait time — 3 complaints this week
AI flagged pattern · Operations review recommended
Pattern detected
1-star review — appointment cancellation · Neurology
Outreach call scheduled · Patient at risk of leaving
Follow-up due
Provider Satisfaction ScoresCompare trends →
DH
Dr. Sarah Harper
4.7
★★★★★
JP
Dr. James Park
4.9
★★★★★
LC
Dr. Linda Chen
4.5
★★★★½
AP
Dr. Arjun Patel
4.3
★★★★☆
CMS Overall Star Rating
4 /5 stars ▲ +1 star from 2025
Medicare Patients
841
Medicaid Patients
312
VBC Revenue
$184k
Shared Savings
$22k
Overview
Quality Measures
Value-Based Care
Compliance & Reporting
Deadlines & Submissions
MIPS Score (2026)
87.4
Exceptional Performance
ACO Shared Savings
$22,400
Track 1 · Qualifying
Penalty Risk
Low
1 measure below threshold
Star Rating Breakdown
Process of Care
90%
★★★★★ ▲ 5 star
Outcome Measures
78%
★★★★☆ ▲ 4 star
Patient Experience
82%
★★★★☆ ▲ 4 star
Efficiency & Cost
65%
★★★☆☆ → 3 star
Preventive Care
88%
★★★★★ ▲ 5 star
Penalty & Bonus Flags
Readmission Rate — 30-day · HF patients
Current rate 18.2% exceeds 15% CMS benchmark. Risk of HRRP penalty up to 3% of Medicare DRG payments. Requires care coordination intervention.
!
MIPS — Promoting Interoperability below threshold
Current PI score 68/100 — threshold is 75. FHIR patient access API attestation incomplete. Risk of 4% Medicare payment adjustment.
MIPS Exceptional Performance Bonus — Qualifying
Overall MIPS score 87.4 exceeds 85-point exceptional threshold. Eligible for positive payment adjustment up to +1.88% of Medicare reimbursements.
ACO MSSP Track 1 — Shared Savings Qualifying
Achieved quality score ≥ 30th percentile. Benchmark expenditure savings of $22,400 for current performance year.
MIPS Quality Measures87.4 pts
Diabetes HbA1c Control
82%
10/10 ▲ Met
Hypertension Control
76%
8/10 ▲ Met
Breast Cancer Screening
88%
10/10 ▲ Met
Colorectal Cancer Screening
79%
8/10 ▲ Met
30-Day Readmissions (HF)
18.2%
3/10 ▼ Below
Depression Screening
91%
10/10 ▲ Met
Statin Therapy — CVD
85%
10/10 ▲ Met
Promoting Interoperability68 pts — Below threshold
e-Prescribing
95%
10/10 ▲ Met
Health Info Exchange
80%
10/10 ▲ Met
Patient Access API
Partial
5/10 ▼ Incomplete
Provider to Provider
88%
10/10 ▲ Met
Public Health Reporting
70%
7/10 → Borderline
ACO Beneficiaries
1,153
MSSP Track 1 Active
Per-Beneficiary PBPM
$742
Below benchmark $814
Attributed Providers
12
All participating
VBC Program Performance
ACO MSSP (Medicare)
Savings
$22.4k▲ On track
PCMH (Medicaid)
Tier 3
Tier 3▲ Recognized
CPC+ Track 2
$3.1k
$3.1k→ Partial
Merit-Based Incentive (MIPS)
+1.88%
+1.88%▲ Exceptional
High-Risk Patient Management28 patients
CHF
5 CHF patients — readmission risk high
AI flagged · Care coordinator outreach due
High risk
DM2
11 diabetes patients — HbA1c > 9%
Endocrine consult recommended · HEDIS flag
Moderate risk
HTN
8 hypertension patients — BP > 140/90
Medication adjustment flagged by AI agent
Moderate risk
PREV
4 patients — overdue preventive screenings
Colorectal + breast cancer screening due
Outreach sent
CMS Compliance Checklist2 items pending
HIPAA Privacy & Security — Compliant
Annual risk assessment completed Apr 1, 2026. All staff training current. BAAs in place with all covered entities.
CLIA Laboratory Standards — Certified
Certificate of Compliance issued Jan 2026. Proficiency testing participation 100%. Next inspection due Jan 2028.
!
21st Century Cures Act — Patient Access API
FHIR R4 Patient Access API partially implemented. SMART on FHIR launch context incomplete. Deadline: Jun 30, 2026. Risk of information blocking penalty.
!
OIG Exclusion Screening — Pending monthly run
Monthly exclusion list check due Apr 10, 2026. All staff and contractors must be verified against OIG, SAM.gov databases.
No Surprises Act — Billing Compliance
Good Faith Estimates provided for all self-pay patients. Advanced EOB process implemented. No open complaints.
Medicare & Medicaid Billing Compliance
Medicare Claim Accuracy
98.2%
98.2%▲ Excellent
Medicaid Denial Rate
4.1%
4.1%▲ Below 5% target
RAC Audit Exposure
Low
Low→ Monitor
Timely Filing Rate
99.1%
99.1%▲ Excellent
Upcoding Flags (AI)
2
2 flags▲ Under review
All CMS submission deadlines, reporting windows, and attestation due dates for City Medical Center — 2026
MIPS
MIPS 2025 Data Submission — Final deadline
Due: May 31, 2026 · Quality + PI + IA + Cost · CMS IPPS portal
In progress
API
21st Century Cures — Patient Access API Attestation
Due: Jun 30, 2026 · FHIR R4 SMART on FHIR · CMS Blue Button 2.0
Incomplete
OIG
OIG Exclusion Screening — Monthly run
Due: Apr 10, 2026 · All staff + vendors · SAM.gov + OIG LEIE
Due tomorrow
ACO
MSSP ACO Annual Quality Report
Due: Aug 1, 2026 · Performance Year 2025 · ACO REACH portal
On track
PQRS
HEDIS Measure Reporting — Medicaid
Due: Jul 15, 2026 · NCQA HEDIS 2026 · Managed care plans
On track
VBC
CPC+ Track 2 — Performance Year Report
Due: Sep 30, 2026 · Comprehensive Primary Care Plus
On track
HCAHPS
HCAHPS Survey — Q1 2026 Submission
Submitted: Apr 1, 2026 · 312 responses · 4.7/5 overall · ✓ Complete
Submitted
IQR
Inpatient Quality Reporting (IQR) — Q4 2025
Submitted: Feb 1, 2026 · QualityNet portal · ✓ Accepted
Submitted