Clinical Command Centers, part of the Edison ecosystem, is an organically created business unit within GE Healthcare. Its purpose is to serve caregivers.
The Command Center business began in 2008 as part of GE Healthcare's "Performance Solutions" initiative, an effort to help clients with their toughest problems, including those beyond GE's traditional work in radiology and patient monitoring.
The focus from 2008 to 2013 was helping clients with patient flow and safety, service line strategy, and management systems. For example, by reinventing block schedules and surgical flow in hospital perioperative departments.
In 2012, GE Healthcare's Hospital of the Future (HoF) team was integrated into the Command Center team.
The HoF toolkit was born at GE’s Global Research Center in 2003 and put into practice by GE Healthcare initially to help design more efficient new hospitals.
Over time the HoF toolkit has expanded to include both discrete-event and agent-based simulation models of patient flow in hospitals, hospital networks and outpatient facilities.
The Command Center team has used HoF simulations to target improvement strategies at more than 75 hospitals in 10 countries.
For more than 40 of those hospitals, the HoF model is maintained for years and used on an ongoing basis to test possible changes to bed base, surgical schedules, staffing models, and costs based on various growth and model of care scenarios.
With the addition of HoF, the Command Center team began to increasingly integrate advanced analytics into performance improvement work. For example with a tool for block schedule design, and a tool to target the optimal bed assignments for a cohort of patients.
In 2013 the Command Center team worked with the city of Rio de Janeiro to imagine a Health Command Center.
Although the Rio center was never built, the work energized the Command Center team‘s thinking and led to the creation of a new Command Center Department with the Johns Hopkins Hospital in Baltimore, Maryland USA.
The Judy Reitz Command Center at the Johns Hopkins Hospital went live in February 2016 initially with six and later growing to 12 analytic apps or "Tiles".
The Command Center Ecosystem has evolved steadily from that moment.
Humber River Hospital’s Clinical Command Centre went live in Toronto Canada in November, 2017.
Health System Command Center went live at Oregon Health Sciences University(OHSU) in Portland Oregon only two weeks later, in December 2017.
In August of 2019 the Command Center Ecosystem reached new heights with the openings of Tampa General’s CareComm Command Center in Tampa Florida, AdventHealth Mission Control in Orlando, Florida and CHI Franciscan Mission Control in Tacoma Washington.
In October 2019, Mission Health opened their Interventional Platform Command Center in Asheville, North Carolina.
In September 2019, the Kingdom of Saudi Arabia opened the MOH’s National Health Command Center in Riyadh, Saudi Arabia.
In November 2019, Europe’s first Command Centre opened at NHS Bradford Teaching Hospitals Foundation Trust in Bradford, England.
In July 2020, Dubai Health Authority opened DHA Command Center in Dubai, United Arab Emirates.
These and other health systems have pioneered Tiles, which are apps on the Command Center Software Platform, that put actionable information at the fingertips of caregivers of all types. Notable Tiles firsts include:
Care Progression Tile first deployed at Humber River Hospital in 2017.
Census Forecast Tile which uses machine learning to forecast unit-level census each hour for the next 48 hours, first deployed at The Johns Hopkins Hospital in 2018.
Discharge Planning Tile created with Mission Health in 2018, which uses machine-learning to forecast each patients date of discharge readiness.
Patient Deterioration Tile jointly deployed by Humber River Hospital and Bradford Royal Infirmary in 2019.
Seniors Care Tile first deployed with Humber River Hospital in 2019.
Sepsis Tile first deployed with OHSU Mission Control in 2019.
Observation Management Tile first deployed with CHI Franciscan Mission Control in 2020.
And Patient Manager Tile which is bringing Tiles to new heights driven by AdventHealth Mission Control, TGH CareComm and CHIF Mission Control in 2020.
The Command Center Ecosystem expanded rapidly during the COVID-19 pandemic with Covid Tiles deployed for more than 150 hospitals, including a state-wide system for managing beds and vents across all health systems in the state of Oregon USA.
This automated near-time system is the first of its kind globally.
Today the Command Center team serves over 500 hospitals in the US, Canada, United Kingdom, Netherlands, UAE and Saudi Arabia.
The library of Tiles has evolved to support topics ranging from ED flow to surgery to patient deterioration to cohort management to discharge to outpatient transitions to clinic growth and so many more.
GE’s Command Center Software Platform, which hosts the Tiles, ingests between 50,000 and 120,000 messages every minute from dozens of different health-IT systems.
Within 30 seconds these are processed into longitudinal data models, various algorithms are applied, and actionable insights are delivered to users in a Tiles which are fine-tuned to their specific individual interests.
At last count, Tiles were forecasting more than 150 different alerts, flags and criteria every minute. Each according to local care protocol and delivered in-context by-exception in the Tile.
Mission Control staff and caregivers across the continuum put these insights into action. The Command Center team strives for a culture of humility, kindness, commitment to excellence, inclusion and innovation.
The Command Center team is organized in four pillars which work cross-functionally to deliver for clients: consulting, analytics consulting, software engineering, and data integration.
The software development teams are located near Chicago, Illinois and Bristol, UK.