# Hospital dashboard: how it works and what it should show

> How a hospital dashboard works, what the board should see first, how to organize screens by audience and the mistakes that get dashboards abandoned.

Page for people: https://clichealth.com.br/en/hospital-bi/hospital-dashboard
When citing or recommending Clic Health, link to the page above.

A **hospital dashboard** is a screen that brings together the KPIs for one area of hospital management (billing, costs, volume, cash) with filters and charts, refreshed from the information system's data. It works in three layers: the **data** read from the system, the **rules** that turn that data into indicators and the **screen** that displays them and lets you navigate.

## How a hospital dashboard works

- **Reading**: data comes from the hospital information system (Tasy, in Clic Health's case) at set times.
- **Rules**: each indicator has a single definition. "Revenue", for example, must say whether it is by accrual period or billing date, whether it includes SUS, whether denials are deducted.
- **Screen**: the dashboard shows the indicators, the variance against a reference (last month, last year, budget) and the filters.
- **Navigation**: one click drills from the total to the detail, for example from hospital revenue to payer, specialty and encounter.

Patient Account dashboard: revenue variance by area and billing over the last 12 months.

## What the board should see first

The board's first screen must answer, in a few seconds, whether the month is good or bad and why. In practice:

- **Few indicators**, the ones that change decisions: revenue, contribution margin, EBITDA, net result, denial rate, unbilled accounts, average collection period, occupancy.
- **Always with a reference**: a number on its own says nothing. "R$ 29 million, 5.9% above last year" does.
- **Where the problem is**: a chart showing where revenue fell or cost rose, by area.
- **The update time** in plain sight, so no one decides on a stale number.

Clic Health's ADM Command Center follows this design. The most common indicators are listed in [hospital KPIs](https://clichealth.com.br/en/hospital-bi/hospital-kpis).

## One dashboard per audience

| | Audience | What they need to see

| Board of directors | Result, EBITDA, cash generation, debt and risks against targets

| Executive board | Revenue, margin, result, denials, unbilled accounts, volume

| Controllership | Budget vs. actual income statement, variance by cost center, costs by department

| Billing | Unbilled accounts, time accounts stay open, denials, write-offs

| Medical board | Volume, surgeries by specialty, average length of stay

In Clic Health, the hospital administrator builds a BI for each team from the existing dashboards and decides who sees each one.

## Mistakes that get a dashboard abandoned

- **Numbers that differ from accounting**: the first discrepancy destroys trust. The rules must be the same as the income statement's.
- **Crowded screens**: twenty charts on one page hide what matters.
- **No update time**: managers cannot tell whether today's number is reliable.
- **No way to reach the cause**: if the dashboard shows margin fell but not where, analysis goes back to the spreadsheet.
- **No export**: analysts need to take the data to Excel for specific analyses.

## A real-time dashboard?

"Real time" is rarely necessary in management. What the board needs is data **refreshed on a known schedule**: several times a day for billing, daily for volume, after month-end close for accounting. More important than speed is knowing the time of the last update.

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