All work
Healthcare Operations · Multi-Site

Multi-Site Wheelchair
Tracking System

Real-time visibility and chain-of-custody for 800+ wheelchairs and clinical assets across four hospital sites — built on QR scan workflows and a shared state model.

Role
Systems design & build
Sites
4 hospitals
Scale
800+ assets
Status
In production
OperationalRegistry793 assets · synced
Site A214 tracked
Site B198 tracked
Site C173 tracked
Site D208 tracked

01 · The problem

An empty wheelchair was an open question.

Thousands of patient moves a week relied on equipment no system could locate. Four sites, four ways of knowing — and none of them shared.

Before · fragmented coordination

Site A
Site B
Site C
Site D

No connecting line — because there wasn't one. The dotted gaps are radio calls, sticky notes, and best guesses.

No shared visibility

Each site tracked its own equipment its own way — nothing read across the network.

Manual coordination

Finding a chair meant a radio call and a walk through the floor.

Inconsistent state

Cleaned? Inspected? Overdue? The log was paper — and often stale.

Slow, low accountability

Turnaround dragged, and there was no record of who had what, when.

Pre-system state · representative.

02 · Solution architecture

One scan. One source of truth.

Pick the gesture first. A scan resolves to a transition, the registry records it, and every other surface reads downstream from that one event.

The spine

QR Scan

one input

Workflow Orchestration

resolve transition

State Machine

what’s allowed

Operational Registry

source of truth

Reads downstreamLive dashboardsAudit trailMaintenance flagsSite transfers

Equipment isn’t inventory — it’s a lifecycle

In UseReturnedCleaningInspectionMaintenanceAvailable└→Retired

States are how a system gets memory — and how it knows what’s overdue.

QR scan layer

Every asset carries a code. One scan is the only input the system needs.

Workflow orchestration

The scan resolves to a state transition; rules decide what’s valid from here.

Operational registry

One record per asset — current state, location, and full custody history.

Multi-site coordination

One shared registry, role-shaped surfaces per site and for operations.

03 · Operational workflow

Watch a scan move the whole system.

One gesture, four effects. Step through it — or let it run.

The gesture

WC-2207

Site B · floor 3

Registry record

WC-2207

In Use

13:40 · in use · transport, floor 3

Reads downstream

Available · Site B41
Audit trailsynced
No thresholds tripped

1. Scan QRA coordinator scans the chair on return — the only input the system needs.

Interactive prototype · representative state model.

04 · Operational impact

Less hunting. More moving.

The point was never a dashboard. It was equipment in the right place, a clean record of every move, and a coordinator who can stop guessing.

800+

assets under one registry

4 sites

one shared state model

Every move

logged — full chain of custody

Before → after

Locate a chair

radio call, walk the floor

scan-to-locate, any site

Asset state

paper logs, often stale

live, per-asset, with history

Maintenance

sticky notes, easy to miss

auto-flagged on state thresholds

Accountability

who had it? unclear

chain-of-custody on every scan

Utilization visibility · per site · last 6 weeks

representative
Site A
Site B
Site C
Site D

Utilization was invisible before — now it's a line on a chart, per site and per shift.

Operational figures are representative; the system runs in production across sites.

05 · Where this goes

The registry becomes the training set.

Every scan is already a labelled event. Over time that’s a clean operational dataset — and a foundation for intelligence that stays grounded in what the system actually records.

Roadmap

Predictive maintenance

Usage and state history flag the assets most likely to need service — before they fail mid-transport.

Roadmap

Utilization forecasting

Anticipate demand spikes by site and shift, and pre-position equipment instead of chasing it.

Roadmap

Operational copilot

Ask the registry in plain language — “where are Site C’s idle chairs?” — grounded in real records.

Roadmap

AI-assisted logistics

Suggest transfers between sites before a shortage becomes a delayed discharge.

Roadmap — no model where a rule will do.

Want the architecture walkthrough?

Happy to talk through the state model, the multi-site sync, and what phase two looks like.