One operating surface for supply, value, and vendor action
Unified command center with color-coded subscription layers.
Every user enters the same HealthRift system. The selected user view changes access emphasis, row highlighting, and capability focus. SupplyLink, ValueConnect, and VendorBridge are represented as colored layers inside shared workflows, not separate applications to jump between.
Resolve readiness exceptions inside the operating queue.
Route exception requests with cost and decision controls.
Switch leadership lens and review system exposure.
Case risk lens
Seven service lines have active readiness watch items. Orthopedics and cardiac carry the highest next-72-hour exposure.
Spend governance lens
Thirty-one governed requests are open or recently approved, with $2.4M visible annualized exposure.
Vendor reliability lens
Six active commitments are tied to scheduled care. Two require leadership watch if ETA changes.
Respond through the vendor-safe boundary only.
Review case impact and request action from the same surface.
Run a service-line huddle from live readiness, value, and vendor signals.
Work scheduled cases, disruption alerts, exceptions, and vendor responses from one queue.
CASE-1048 operating packet
At-riskCemented hip implant tray has 2 on hand against 4 needed. Order is placed and expected before procedure, with approved substitute held as backup.
CASE-2190 operating packet
CriticalDrug-eluting balloon catheter has 1 on hand against 3 needed. No order is placed and no delivery is expected before the procedure.
CASE-3312 operating packet
SecureLaparoscopic access trocar has 21 on hand against 12 needed. Inventory covers scheduled cases and no external action is required.
Critical alert packet
SupplyLinkThe alert center links the critical readiness change to substitute search, clinician fit review, and surgical leadership escalation.
Exception approval packet
ValueConnectThe decision packet includes clinical rationale, annualized impact, contract variance, expiration date, and decision archive status.
Vendor ETA packet
VendorBridgeThe vendor commitment updates case readiness and flags leadership if the arrival window slips beyond the procedure cutoff.
Vendor ETA response
VendorBridgeVisible payload: product, substitute need, quantity, timeline, and de-identified urgency. PHI and broad hospital context remain hidden.
Substitute availability
VendorBridgeRespond with available substitute, earliest shipment, documentation status, and commitment confidence.
Documentation upload
VendorBridgeAttach IFU, compatibility, or regulatory documents to the product request without receiving patient-level information.
All scheduled procedures with department, provider, and readiness filters.
Calendar packet: total hip revision
At-riskOrthopedics, Dr. Nguyen. Clinician confirms Tray configuration B fit while surgical leadership protects the block unless the inbound tray slips.
Calendar packet: peripheral intervention
CriticalCardiology, Dr. Patel. Critical catheter readiness requires clinical substitute acceptance before start time or service-line escalation.
Calendar packet: shoulder arthroscopy
SecureOrthopedics, Dr. Brooks. Inventory covers scheduled needs and no substitute or vendor action is required.
Calendar packet: laparoscopic appendectomy
SecureGeneral surgery, Dr. Rivera. Inventory covers the scheduled case and the team can monitor preference-card drift only.
Calendar packet: ureteroscopy
At-riskUrology, Dr. Osei. Stone basket inventory is short, but distributor order is expected before procedure cutoff.
Calendar packet: neuro implant revision
CriticalNeuro, Dr. Chen. Critical implant readiness requires surgical huddle, clinical substitute review, and materials escalation before release time.
Calendar packet: bowel resection
CriticalGeneral surgery, Dr. Rivera. Stapler reload availability is insufficient and no timely order is confirmed.
Calendar packet: cardiac ablation
At-riskCardiology, Dr. Patel. Catheter inventory is short, but purchase order is expected before procedure cutoff.
Calendar packet: spine decompression
At-riskNeuro, Dr. Chen. Drill bit inventory is short with order expected before scheduled start.
Calendar packet: knee ligament repair
SecureOrthopedics, Dr. Nguyen. Implant and disposable inventory covers currently scheduled cases.
Calendar packet: pacemaker exchange
SecureCardiology, Dr. Brooks. Device and lead inventory covers the procedure and no escalation is active.
Calendar packet: robotic prostatectomy
CriticalUrology, Dr. Osei. Robotic disposable pack is insufficient and no delivery is confirmed before scheduled start.
Capability access changes by user, while the system stays unified.
Inventory factor
SupplyLinkSecure/green means sufficient inventory exists to cover currently scheduled cases. At-risk/yellow means inventory is insufficient but purchase orders are expected before the procedure. Critical/red means inventory is insufficient and no order is placed or arrival is too late.
Case disruption detection
SupplyLinkCompares ERP/MMIS inventory, distributor feeds, OR schedules, preference cards, and product alternatives so action happens before the day of surgery.
Alternative product search
SupplyLinkSurfaces clinically relevant substitute products with contract, preference card, and availability context in one review stream.
Exception request workflow
ValueConnectRoutes product exceptions through value analysis with clinical rationale, documentation, service-line impact, and approver history.
Cost impact analysis
ValueConnectCalculates annualized impact, contract variance, utilization drift, and downstream financial exposure for leadership review.
Decision archive and drift
ValueConnectMaintains approval memory, exception outcomes, audit trail, and preference-card drift signals after decisions are made.
Vendor-safe response queue
VendorBridgeGives vendors only the minimum operational payload: product, substitute, availability, timeline, documentation, and de-identified urgency.
ETA and commitment tracking
VendorBridgeCaptures vendor delivery commitments and timeline risk so materials and surgical leadership can protect scheduled care.
Documentation boundary
VendorBridgeStores vendor documentation with strict visibility boundaries and separates vendor collaboration from PHI and broad hospital context.
Surgical leadership huddles
SupplyLinkSummarizes red/yellow case exposure by block, service line, and procedure so teams can prioritize action without leaving the system.
FHIR and HL7 interface spine
SharedNormalizes clinical schedules, case context, materials feeds, and decision events through FHIR and HL7-aware interfaces.
User and subscription control
MasterMaster administrators create users, assign access boundaries, manage subscriptions, and review audit posture from the unified system.
Readiness language is shared across every user view.
| Unified queue item | Signal | System action | User emphasis |
|---|---|---|---|
| Orthopedic trauma tray | Critical | Suggest substitute, notify surgical leadership, open vendor ETA request. | Materials, clinician, surgical leadership, master admin |
| Cardiac ablation catheter | At-risk | Watch purchase order ETA, confirm alternative preference, prepare escalation if delivery slips. | Materials, clinician, surgical leadership |
| Neuro implant kit | Secure | Hold current plan, monitor utilization drift, maintain decision record. | Materials, value analysis, executive viewer |
Exception, cost, and approval work happen in the same operating stream.
Exception intake
WorkflowClinician rationale, product fit, supporting attachments, and service-line impact are routed to value analysis.
Financial model
AnalysisCurrent cost, proposed cost, annual volume, utilization shift, and contract impact are visible before approval.
Decision memory
ArchiveApproval, denial, exception expiration, drift detection, and audit record stay linked to the original case context.
External collaboration is part of the same flow, bounded by vendor-safe visibility.
Availability response
Vendor-safeVendors respond to availability, substitute, and documentation requests without seeing PHI or full hospital context.
ETA commitment
TimelineConfirmed delivery windows feed back into readiness status and surgical escalation logic.
Document control
BoundaryDocumentation uploads and commitment records stay tied to product and contract context, not patient-level detail.
Hospital and surgical leaders see the system as operational risk, spend, and case protection.
Clinical, materials, financial, and vendor data are normalized through FHIR and HL7-aware interfaces.
| Interface area | Standards | Unified system purpose | Primary users |
|---|---|---|---|
| Clinical schedule and case context | FHIR, HL7 SIU/ORM | Connect OR schedules, case urgency, service line, and procedure context to readiness workflows. | Clinician, surgical leadership, master admin |
| Materials and ERP/MMIS feeds | HL7-aware integration, API Gateway, ECS Fargate workers | Normalize inventory, order status, distributor updates, item master, and product substitutions. | Materials management, master admin |
| Governance and decision workflow | FHIR-linked context, Aurora, Step Functions, S3 | Attach exception rationale, cost analysis, approvals, archive records, and drift monitoring to care impact. | Value analysis, executives, master admin |
| Vendor collaboration boundary | API Gateway/AppSync, SES, S3, vendor-safe payloads | Exchange product, substitute, availability, ETA, and documentation data without exposing PHI or broad hospital context. | Vendors, materials management, master admin |
Every user stays inside the unified system with a governed access boundary.
Master Administrator
FullFull system command center, user creation, bulk users, subscriptions, audit controls, event/data interface status, and all layer capabilities.
Materials Management Leader
OpsCase readiness, inventory factor, substitutes, ERP/MMIS feed status, orders, vendor timelines, and materials escalations.
Value Analysis Leader
GovernException intake, clinical rationale, cost modeling, approval workflow, decision archive, audit records, and drift monitoring.
Executive Viewer
ViewLeadership dashboards, service-line exposure, governed spend trends, decision outcomes, vendor timeline risk, and subscription value.
Vendor Collaborator
BoundaryVendor-safe product requests, substitute responses, availability, ETA commitments, and documentation uploads. No PHI or broad hospital context.
Clinician / Service-Line User
ClinicalCase impact, substitute suitability, exception rationale, service-line action items, and procedure-facing readiness context.
Surgical Leadership
LeadershipBlock protection, red/yellow case exposure, service-line trends, escalation status, governed exceptions, and vendor ETA risk.