Flagship · AI / Healthcare

Seeing the crunch before it hits

An agentic AI assistant that helps hospital patient-flow coordinators see a capacity crunch before it happens, weigh the tradeoff, and act, without handing the decision to a black box.

ProjectIris
RoleEnd-to-end UX & Product Design
DomainHospital patient flow
ClientUndisclosed
Iris morning briefing: ED intake forecast to hit 113% capacity by 7:00 PM

Context

The problem

Patient-flow coordinators keep a hospital moving. They watch emergency department intake, bed capacity, and surgical schedules, and they make constant calls about where patients should go and when. When a spike hits and the current plan runs short, the cost is real: longer waits, backed-up beds, and pressure that cascades across departments.

The information they need to make those calls is scattered and lagging. By the time a problem is obvious, it is already happening. The coordinator is reacting, not planning.

Principle

The approach

Iris is designed around a single principle: the AI does the forecasting and the heavy analysis, but the human makes the decision. Every recommendation comes with its reasoning and its tradeoff laid bare, so the coordinator stays in control and accountable.

The core loop is four steps: forecast the crunch, propose a scenario, show the tradeoff, then deploy and monitor, with a clear path to revert.

One recommendation. Its reasoning. The tradeoff, in full. The coordinator decides.

The flow, screen by screen

The decision loop

Iris first touch morning briefing

01

Surface the crunch early

Iris opens with a plain-language briefing. ED intake is forecast to hit 113% capacity by 7:00 PM, and the current plan runs short. Instead of burying that in a dashboard, Iris states it and offers to help, then asks whether the coordinator wants the best scenario to clear the backlog.

Iris Review Alpha tradeoff screen

02

Make the tradeoff explicit

The Alpha scenario prioritizes ED intake and routes toward surgical destinations. Iris shows exactly what changes: ED patients waiting drop from 30 to 22, capacity eases from 113% to 73%, eight beds freed. It also names the cost honestly, surgical intake waits slightly longer during the peak. Nothing is hidden to make the recommendation look better than it is.

Iris forecast comparison charts

03

Show the evidence

For coordinators who want to verify before they act, the full forecast compares the current plan against Alpha across the day, for both ED and surgical. The 7:00 PM peak is highlighted. Alpha trades a small surgical delay to clear the ED peak, and net throughput improves. The chart makes that legible at a glance.

Iris Alpha deployed and monitoring

04

Deploy and keep watch

Once deployed, Iris does not go quiet. It tracks actual intake against the forecast and flags the coordinator if Alpha needs adjusting. A revert path stays one tap away. The coordinator is never locked into a decision the moment conditions change.

Iris keeping the current plan

05

Respect the human's call

Declining Alpha is a first-class path, not a dead end. Iris keeps the current plan, states what it is watching, ED capacity now, the forecast peak, the alert threshold, and leaves Alpha available if the coordinator wants it before the peak. Saying no is always safe.

Principles

What made it work

Reasoning over answers

Every recommendation is paired with the why and the cost. Trust in an agentic system comes from transparency, not confidence.

Plain language first

Iris speaks before it charts. The data is there for verification, but the coordinator never has to decode a dashboard to know what is happening.

Reversible by design

Deploy, monitor, revert. Every action can be undone, which makes acting on a recommendation low-risk instead of high-stakes.

The human stays accountable

Iris never executes on its own. It informs and proposes; the coordinator decides. That boundary is the heart of the design.

Better calls, made sooner, when a hospital is under pressure.

Want the full walkthrough?

Happy to talk through the research, the forecast model surface, and the decisions behind Iris in detail.

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