KODA FLOW|Emergency Department · Demonstration Hospital
EMERGENCY
The front door — triage to bed, one flow
Who is arriving, who needs a bed, who is boarding?
The ED is the hospital's pressure gauge and the intake funnel for the bed engine. KODA turns every admit into bed search → reservation → boarding → handoff — and cuts ambulance diversion with real-time regional capacity.
ED census
30
Waiting
2
Boarding
6
avg 111min
Crowding (NEDOCS)
112
overcrowded
Door-to-provider
26min
target <30min
Admit rate
36%
typical 15–25%
New arrival? Run KODA triage — vitals + complaint become ESI, stream and target unit.
KODA Ops Copilot
Operational AI · fully automated, human in the loop
Continuity memoryHuman-in-the-loop · fallback ready
Autonomy
Autonomous actionsSimulation
Pull forward 3 likely discharges to free ward beds for boarders
MemoryBottleneck
AI Action Log · Dispatch
No actions yet — confirm a recommendation above.
Every decision is routed by role to a named person, delivered over a channel, and tracked to completion — each step on the tamper-evident audit trail.
KoLo continuity runtime · Nix-W weight-children (on-prem, PHI-safe) · agents since Mar 2025
INPUT → THROUGHPUT → OUTPUT
The bottleneck is output — beds, not triage
2Input
Arrival · triage · registration
22Throughput
Assessment · diagnostics · disposition
6Output
Admitted · boarding for a bed
Arrivals & in treatment
24 patientsESIChief complaintED length of stayAdmit prob.
Click a patient for KODA's explainable bed suggestion — the admit-to-bed action is in the detail card.
On-shift staff · availability
30 patients · 6 physicians on
6/7physicians9/11nurses4/5techs
EmergencyA. Tanaka · on call
EmergencyM. Silva · available
CardiologyK. Yamada · available
NeurologyR. Costa · on call
OrthopedicsH. Sato · available
GeneralJ. Almeida · available
PediatricsY. Mori · off
The specialty on call decides ambulance acceptance — not just the bed. The #1 cause of diversion: wrong specialty, no physician on.
Split-flow
Resus / horizontal
ESI 1–2 · stretcher
Vertical
ESI 3 · chair / obs
Fast-track
ESI 4–5 · quick
Boarding board — admitted, waiting for a bed
6 boardingESIChief complaintBoardingAdmit prob.
Every admit triggers KODA's allocation engine — bed search, reservation and boarding-SLA tracking in one flow.
ED length of stay by disposition
2h42
Discharged (median)
target <2h30
5h03
Admitted (median)
37% is boarding
Splitting LOS shows where the jam is: high discharged-LOS = throughput; high boarding share = output (beds).
Financial lens
Financial lens (CFO)
LWBS lost/mo$79K· modeled · assumptionboarding cost (now)$1.1K· modeled · assumptiondiversion value saved$60K· modeled · assumption
Modeled over live operations — tunable per hospital.
LWBS
2.4%
target <2%
AMBULANCE DIVERSION PREVENTION
Incoming ambulances — real-time acceptance
🚑 TraumaETA 5min
Level 2 trauma · 4 diverted✓ Accept · UTI
🚑 Stroke symptomsETA 7min
Level 3 trauma · 3 diverted✓ Accept · OBS
🚑 Chest painETA 9min
Level 2 traumaRoute on
🚑 FeverETA 15min
Level 2 trauma · 2 diverted✓ Accept · OBS
🚑 SyncopeETA 16min
Level 2 trauma · 3 diverted✓ Accept · ORT
12 ambulance diversions across the region this shift — KODA shows real capacity so EMS routes to a hospital that can take the patient.
Regional capacity · trauma levels
This hospital · L34 free
St. Mary's · L3full
Central General · L22 free
Riverside · L2full
Bayview Clinic · L16 free