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Hospital Operations · The Alps

A private surgical clinic in the Alps

Hurt at noon on the mountain, in theatre in the valley today.

Challenge

The clinic, in the Alps, was founded on one promise: medicine without detours. A few dozen specialists, two fully equipped operating theatres and sixteen beds sit behind two mountain trauma centres, where a skier or a hiker can be seen without an appointment and, if surgery is needed, operated on in the valley the same day. With NRY, that promise is kept from one screen: the theatre list, the beds and the surgeons, visible from the mountain.

A clinic this size runs on people who know each other, and for a long time that was enough. But a call from the mountain at eleven had to find a theatre slot, a bed and a surgeon by phone, and every answer depended on who picked up.

Before, the theatre list, the beds and the roster lived in three places, and the trauma centres in a fourth. The individual tools worked, but the people on the floor still ran the day on whiteboards and phone calls.

Paramedics wheeling a stretcher to a clinic entrance in the mountains

Solution

A skier hurt at noon on the mountain can be in the clinic's theatre the same afternoon. That only works if the theatre list, a bed and a surgeon are visible from the mountain, on one screen.

NRY Partners · Field notes, the Alps

On Forge the theatre lists, the beds and the roster form one live model of the house. The trauma centre sees it too, so the answer to whether the clinic can take a patient today is on the screen before the call is made.

Two theatres and sixteen beds are planned a day ahead: elective lists, expected discharges and the slots kept for the mountain. A trauma case is placed into a real gap, and the elective list moves before the patient arrives, not after.

Whitestorm agents read the live record and flag what would keep a patient overnight, a pending result or a missing lift home, so the ward turns a bed over in time for the next case.

Staff preparing an operating theatre

Impact

A nurse opens one board in the morning and it already knows what the day looks like.

NRY Partners · Field notes, the ward

Results across the clinic:

The day's theatre lists, sixteen beds and the surgical roster on one board, read at the clinic and in both trauma centresA same-day case from the mountain placed against live theatre and bed capacity, not by a chain of phone callsCheck-ups, visits and procedures kept to short waits because the appointment book and the theatre plan are the same planRegistry and quality reporting drafted from the same record the clinicians already work in

What began as the theatre plan has become the clinic's operating picture. Check-ups, outpatient visits and the roster run on the same model, and the short waiting times the clinic promises are planned, not hoped for.

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