Hospital operations

One operating picture for the whole hospital.

Admissions and flow, beds, theatre, medication rounds, rostering, monitoring, statutory reporting and revenue — running on the same patient records your clinicians already work in, not a second system bolted alongside.

Every module is enabled per organisation. A hospital opens a command centre; a single clinic never sees any of it.

Lunas in a hospital, open on admissions and patient flow: the menu groups clinical, hospital and operations work; 19 active patient journeys, one transfer ready and three open blockers, with each patient’s consultant, expected discharge and next step.
Watch it work

A shift in the hospital, in two minutes.

The command centre, the bed board, the drug round checked by barcode, theatre and the reports. Narrated, with captions.

Recorded from the Lunas demo, with invented patients.
Command centre

The operational picture, before anyone asks for it.

Each module writes to the same organisation-scoped records, so the command centre reads one live picture rather than reconciling eight of them.

The hospital command centre: 19 active patient journeys, 9 beds available now, 3 theatre cases today and 2 operational alerts, the hospital’s service capacity, and the top of the priority queue.
One queue across every module, ranked by what will hurt first: a monitoring alert, a blocked bed, a late dose, a revenue exception, an unfilled shift.
Beds and patient flow: 33 configured beds, 19 occupied, 9 available and 4 in turnaround or blocked, with a line saying where to start.
Beds. Every bed opens: its ward, its state, who is in it, and the patient’s chart from there.
Medication rounds: two doses due, two overdue, one time-critical and one given, with the checks to make before furosemide and cefazolin.
Medication rounds. What is due, and the checks to make before each dose, in one line at the top.
Operational brief · generated from live recordsClinicians and accountable managers verify before acting. The brief never initiates a clinical decision on its own.

Product screens from the Lunas demo, with invented patients.

Modules

Eight modules. One record. Turn on what the site actually runs.

Nothing here is a separate product. Each module reads and writes the same patients, staff and audit trail, and each is switched on per organisation and per role.

Admissions & flow

Every patient journey from expected arrival through to completed discharge, with the blockers that are holding each one up.

Six statesexpected → arrived → transfer-ready → inpatient → discharge-ready → discharged

Beds

Live bed state across wards and service lines, so capacity conversations start from what is actually free right now.

Cleaning turnaroundavailable, reserved, occupied, cleaning and blocked, each with an owner

Theatre

Case readiness, safety checks and progression through the list — with a running note any member of the team can write during the procedure.

Notes are appendednever overwritten, attributed to the author, and written to the audit trail

Medication rounds

The administration round as a worklist: what is due, for whom, by which route, and what was given or deliberately held.

Held is a first-class outcomea hold records who decided and why, rather than a blank

Rostering

Coverage planned week by week or month by month, with the credential and capability checks that make an assignment safe.

Moves are re-validateda shift cannot be moved into approved leave or an overlapping shift

Remote monitoring

Device and observation alerts triaged into one queue, with acknowledgement and escalation recorded against each one.

Escalation is trackednormal → alert → acknowledged → escalated → resolved

Statutory reporting

Collections drafted, validated, approved and submitted, so the reporting obligation is a workflow rather than a spreadsheet.

Validation before approvala collection cannot be submitted until its validation has passed

Revenue cycle

Coding, exceptions, claim submission and payment reconciliation, joined to the clinical record the activity came from.

Exceptions surface firstthe queue leads with what is blocking payment, not what is already clean
In practice

Three of them, in the detail that matters.

The rest work the same way: a worklist, a safe transition, and a record of who did what.

Theatre keeps its own running record.

A case carries the checklist, the surgeon and anaesthetist, the planned start and its progression through the list. During the procedure, anyone in the room can write to it.

  • Each safety check is ticked by name, with the time it was ticked
  • Checklist completion gates the transition to ready, and ready gates the start
  • Notes are appended, never overwritten — the record grows rather than being edited
  • Every note and every status change is written to the append-only audit trail
The safety checklist for Evelyn Park’s total knee arthroplasty: identity and procedure confirmed, consent signed, site marked, allergies checked and the anaesthesia safety check, each ticked by Dr Sarah Kim at 8:40 am.

A dose is checked at the bedside, online or off.

The round is a worklist of what is due. Before a dose is given, the allergy and any cross-reaction are on the screen; then the wristband is scanned, then the pack.

  • A wrong patient is refused, and the screen names both
  • The pack is matched to the order by medicine, strength and form, with its batch and expiry read from it
  • A dose already recorded as given can’t be recorded again
  • The round keeps working offline; doses given offline are sent and checked again when the connection is back
Giving cefazolin 2 g to Evelyn Park: before giving, her penicillin allergy and a note on possible cross-reaction; then scan the patient’s wristband, then scan the medicine.

Rostering that refuses an unsafe assignment.

Coverage is planned week by week or month by month, using the same calendar the clinic uses for appointments. Moving a shift is a first-class action, not a delete and re-create.

  • Assignment checks active membership, credentials, capabilities and registration
  • A move is re-validated against approved leave and overlapping shifts before it saves
  • If the new time conflicts, the move is refused and the roster is left unchanged
  • Coverage gaps are surfaced on the day they fall, not buried in a list
Rostering for a hospital week: 17 shifts, 16 assigned, one unfilled and 82 active staff, with a note that one shift in the next seven days has nobody on it.

Product screens from the Lunas demo, with invented patients and staff.

Governance

Built so an auditor can follow it.

The same controls that make the clinical record defensible apply to every operational transition.

Organisation-scoped

Every record belongs to one organisation. A request from another organisation cannot read it and cannot change it — it is answered as though the record does not exist, so nothing leaks by its absence.

Role-gated per module

Each module names the roles that may write to it. A clinician, a nurse and an administrator see different actions on the same record, and the check runs on the server rather than in the interface.

Append-only audit trail

Status changes, notes, roster moves and submissions are written to a sequenced audit chain as they happen, recording the actor, the resource and what changed.

Australian-region hostingNonce-based CSPNo advertising or tracking pixelsShort-lived, role-bound sessionsConsent required before transcription

Preview workflows still require site configuration, validation and clinical-governance approval before live use.

Early access

Run Lunas inside the hospital.

Lunas Edge puts Lunas on a tower server on site, so the wards keep working when the connection doesn’t and catch up with the cloud when it’s back. Lunas Edge AI keeps consultation audio in the building.

Let’s design the right rollout.

Hospital deployments start with the modules you actually run, the roles that use them and the reporting you are accountable for. Tell us the shape of the site and we will map it. We onboard each organisation directly, with the privacy, hosting and governance controls agreed before any real record is entered.