One patient, one MRN, one built-in ledger, one live command centre — from the registration counter to the operating theatre.
Why EloHIMSBed availability is the most-asked question in any hospital. EloHIMS answers it with a live bed board — every bed across every ward and room class on one screen, with beds held for incoming patients, how long each bed has been in cleaning, the welfare-bed quota per ward and the patient's fall risk on the tile.
Each bed shows its live state — occupied, vacant, held or in cleaning — organised by ward and by room class. The board is driven by the same actions that run the admission, discharge and transfer desk: a bed held from an admission advice or a surgical booking turns purple, a discharge sends the bed to cleaning with a housekeeping task, and marking it clean makes it available again. Each ward shows how many of its free welfare beds are in use, and each occupied tile can carry the patient's fall-risk score.
Occupied, vacant, held and cleaning states make the true picture unambiguous, grouped by ward and room class so placement respects both category and tariff.
A held bed belongs to one patient: the admission desk can reserve it from the doctor's admission advice or from a surgical booking, and the hold is used when that patient is admitted. Anyone else is refused, and the hold is released when the patient goes elsewhere, the advice is dismissed, or the booking is cancelled or completed.
Discharge sends the bed to cleaning and opens a housekeeping task; a discharge from an isolation ward gets a terminal clean. Staff can also raise a task by hand — a free bed sent for cleaning, or a spill at an occupied bed, which leaves the patient where they are.
The bed board shows how long each bed has been in cleaning and can mark it clean. Ward setup can no longer flip a cleaning bed to available by hand, and setting a bed to cleaning raises a task — so every turnaround is on the Housekeeping list until it is done.
Set how many free beds each ward keeps for welfare patients. Welfare admissions take those beds while the quota lasts, and the board shows a "Welfare beds used / quota" chip on each ward, red when it is full. A full quota stops the admission desk; a user holding the override right can still place the patient on a paying bed — the welfare band still applies and the override is recorded. Paying patients never count against the quota. More on charity and trust hospitals.
When the hospital requires the nursing admission assessment, an occupied tile shows "Assessment due" until the nurse completes it, and then the patient's Morse fall score — so the ward sees its fall-risk patients without opening a chart.
The board is driven by the same admission, transfer and discharge actions that run the admission desk — there is no parallel tracking to keep in sync. Every action that changes a bed's state is audit-logged, so occupancy history is defensible.
Ward transfers and recovery-room transfers share one path, and an ICU step-down cannot happen without the handover. Downstream billing and clinical screens always reflect where the patient actually is.
Every open bed found on one screen, every held bed kept for its patient, every turnaround on a task list, and every ward's welfare beds counted — a live, shared picture instead of guesswork.
Occupied, vacant, held, cleaning — with housekeeping tasks, welfare-bed quotas and fall risk on a board that never disagrees with the patient record.