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Zephyrus

Live Demo

Real-time hospital operations at your command.

Zephyrus consolidates the workflows that usually live in five separate systems — Emergency Department, Real-Time Demand & Capacity, perioperative management, and nursing operations — into one command center with real-time dashboards and predictive signals. Designed to supplement your EHR over HL7 and FHIR, not replace it, so leaders can see where flow breaks down and act before a capacity crisis.

4
Operations modules
Real-time
+ predictive
HL7 / FHIR
Integration-ready
Spatie RBAC
Role-scoped views

The Problem

Operations are fragmented and reactive

Bed placement stretches for hours. Emergency Departments board admitted patients while ORs sit idle. Capacity is managed through manual huddles, spreadsheets, and siloed dashboards that show yesterday's data. Process-improvement work stalls for lack of visibility into where, exactly, the delay accumulates.

Zephyrus replaces reactive, fragmented operations with one real-time picture — showing where flow breaks down, predicting capacity constraints before they hit, and pointing teams at the specific bottleneck to fix.

Modules

One command center, four workflows

Emergency Department

Live visibility into ED census by triage level, phase wait times (door-to-provider, triage-to-treatment, departure), and resource allocation — with a status board and trending to surface triage and staffing bottlenecks.

Real-Time Demand & Capacity

Hospital-wide bed tracking across unit types with real-time occupancy, discharge predictions, and pending admissions — plus red/yellow/green capacity status and department huddle views.

Perioperative & OR

OR analytics across block utilization, prime-time utilization, and room-running — with case timing, turnover breakdowns, first-case on-time starts, and block-optimization recommendations.

Nursing operations

Nurse-to-patient ratios by unit with variance from target, care-response times, and staffing demand forecasting — tied to length-of-stay and satisfaction signals.

Patient-flow mining

Render care journeys (ED → Imaging → ICU → Discharge) as interactive diagrams with time-at-stage metrics, ranking bottlenecks by patient impact so teams can pilot a fix before scaling.

Predictive alerts

Threshold and forecast signals fire ahead of time — arrival surges, discharge backlogs, ICU census nearing capacity, OR turnover trending slow — scoped to each role.

Predictive census

Project demand 24–72 hours out from scheduled surgeries, ED arrival patterns, and discharge timing — so capacity decisions happen before, not after.

Experience & quality

Integrate satisfaction and quality signals (HCAHPS, readmissions, deterioration scores) and correlate them with operational data to quantify the cost of a delay.

Product Tour

Inside the operations cockpit

From the live demo on Summit Regional, a synthetic 500-bed health system — click any view to enlarge.

zephyrus.acumenus.net/dashboard
Zephyrus house-wide operations command center
House-wide command center. Real-time demand, capacity, and flow across a 500-bed system — occupancy, boarding, discharges, and unit-by-unit status on one Donabedian-structured wall.
zephyrus.acumenus.net/dashboard/perioperative
Zephyrus perioperative management dashboard
Perioperative management. OR utilization, block compliance, and case status at a glance — surfacing the idle-room and turnover time that drives surgical throughput.
zephyrus.acumenus.net/rtdc/predictions/demand
Zephyrus demand and capacity forecasting
Demand & capacity forecasting. Predicted census, admissions, and discharges by service line — the quantitative core of a Real-Time Demand & Capacity huddle.
zephyrus.acumenus.net/dashboard/emergency
Zephyrus emergency department board
Emergency department board. Live ED status — triage acuity mix, door-to-provider, wait trends, and a patient board built to attack boarding and left-without-being-seen.
zephyrus.acumenus.net/dashboard/improvement
Zephyrus process-improvement dashboard with throughput metrics and control charts
Process improvement. Throughput, length-of-stay, and flow metrics tracked over time — the SPC and PDSA layer that turns operational data into measurable, sustained change.

Architecture

How it works

React 19 + Inertia

A component-driven UI bridged to Laravel by Inertia — no separate REST tax — with Nivo and Recharts visualizations and a command palette.

Laravel 11 service layer

Controllers call services call repositories — clean separation, FormRequest validation, and Eloquent relationships with eager loading.

PostgreSQL multi-schema

A layered design (raw → staging → prod → star → fhir) isolates ingestion from the application and from an analytics star schema.

Real-time events

Laravel broadcasting pushes live metric updates to connected dashboards, with polling fallback where WebSockets aren't available.

Spatie RBAC

Roles scope every view — an ED director sees ED data, a surgeon sees their own cases — gated at route, resource, and row level.

HL7 / FHIR ingestion

Designed to ingest ADT/ORM feeds and FHIR R4 resources into the raw layer, transform in staging, and serve the app — coexisting with Epic, Cerner, or Meditech.

Who It's For

Use cases

ED director

See door-to-provider trending up, identify imaging turnaround as the bottleneck impacting waiting patients, escalate discharge candidates, and watch left-without-being-seen fall over the shift.

OR manager

Find the service running a low block utilization, drill into turnover broken down by cleaning, setup, and staffing, and reallocate time to a higher-utilization service — with first-case on-time starts as the scoreboard.

Capacity command center

Get an early signal that ICU census will reach capacity in hours, initiate early discharge rounds, and avoid going on diversion — with the specific upstream bottleneck named.

Nursing leadership

Tie care-response times and discharge-documentation delays to length-of-stay and satisfaction, then target the one workflow that moves the metric.

Lineage

Deterioration scoring off the real-time lane

Zephyrus productizes the real-time operational discipline of the Geisinger CDS Compendium — the MEWS early-warning program that scored vital deterioration continuously off the HL7 lane and escalated before the code, and the glucometrics worklist triaged daily. The same idea applied to flow: stream, score, act.

Read the Compendium

Maturity

Zephyrus is an actively developed platform with all four workflows rendering as functional dashboards in the live demo (on representative data). Production deployment connects the HL7/FHIR ingestion pipeline to your EHR and enables audit logging and encryption at rest — the architecture is built for it; the connectors are part of implementation, not a finished plug-and-play feature.

Under the Hood

Tech stack

Laravel 11PHP 8.2+React 19Inertia.jsTypeScriptViteTailwindCSSNivoRechartsReact FlowZustandTanStack QueryPostgreSQLSpatie RBACDocker

FAQ

Common questions

Does Zephyrus replace my EHR?
No. It supplements your EHR (Epic, Cerner, Meditech), ingesting operational data via HL7/FHIR and presenting it in unified dashboards. Your EHR stays the system of record.
How does it integrate with our systems?
Through standard channels — HL7 v2 feeds (ADT, ORM), FHIR R4 resources, or bulk exports. Raw data lands untouched, is transformed in a staging layer, and serves the application.
Real-time or retrospective?
Both. Live metrics update as triage and OR cases change, and predictive signals forecast demand and bottlenecks 24–72 hours ahead — so decisions happen in the moment, not in a post-hoc huddle.
Who sees what?
Spatie role-based access scopes every view: ED directors see ED data, OR managers see surgical services, operations leadership sees the house-wide picture — enforced down to the row level.

See your hospital in real time

Explore the live demo, or talk to us about a Zephyrus deployment on your operational data.