A disposition agent for psychiatric ED boarders.

Psychiatric patients wait roughly three times longer than other patients in the ED before being placed at the next level of care. Most of that delay is not bed scarcity. It is the slow cycle of re-drawing labs that aged out, re-signing paperwork that expired, re-verifying insurance against the next facility, and figuring out which of the candidate facilities will accept this specific patient.

This is a prototype of a tool that lives inside the chart and tells the ED what is still needed for medical clearance, tailored to the patient's presentation, their home meds, and the policies of the likely receiving facilities. It is a concept demo, not a shipping product. Built in two weeks by one person. Synthetic data only.

If you have ever worked an ED with psych boarders, as a nurse, an ED attending, a charge, a social worker, a hospitalist, or administration, I would love 15 minutes of your time. Tell me what is wrong with this, what is missing, and whether anything here would actually help.