Coordination & Accountability
Health emergencies are multi-agency. Every decision taken here carries an owner, a due date and an immutable audit entry.
Recorded decisions
3
Open actions
3
Audit entries this session
1
Escalations
Actions beyond a role's authority become requests here. Approving one executes the original action with the approver's authority.
Nothing escalated to or from the Minister of Health in this session.
Cross-agency threads
Seasonal surge readiness — PMH decompression plan
Public Hospitals Authority · Ministry of Health & Wellness
PHA Managing Director · Public Hospitals Authority · 29 Jul 2026, 12:00 am
PMH general medicine is running above 88%. Requesting authority to open the 18-bed contingency ward.
Permanent Secretary · Ministry of Health & Wellness · 30 Jul 2026, 12:00 am
Approved in principle. Confirm nursing cover before opening.
Decisions and tracked actions
Created by decisions taken anywhere in VITALS — care gaps, approvals, escalations.
- 75% implemented
Stand up a two-station dialysis unit at Governor's Harbour
Hon. Minister of Health & Wellness · Ministry of Health & Wellness · 21 Jul 2026, 12:00 am
Eleuthera renal patients are travelling to Nassau three times weekly at public cost; local capability pays back within 14 months.
- Confirm capital allocation and site worksPHA Managing Director · due 2026-08-20in progress
- Recruit two dialysis nurses for EleutheraDirector of Nursing, PHA · due 2026-09-13done
- Transfer patient cohort to local scheduleChief Medical Officer · due 2026-09-28done
- 18% implemented
Activate dengue vector-control surge across New Providence and Abaco
Chief Medical Officer · Department of Public Health · 26 Jul 2026, 12:00 am
Dengue case counts exceeded twice the seasonal baseline in two consecutive weeks.
- Deploy fogging teams to affected districtsDirector of Public Health · due 2026-08-02open
- Distribute NS1 rapid tests to Family-Island clinicsChief Pharmacist, PHA · due 2026-08-06in progress
- 100% implemented
Cap non-urgent overseas orthopaedic referrals pending local theatre review
PHA Managing Director · Public Hospitals Authority · 14 Jul 2026, 12:00 am
Orthopaedic reconstruction is the third-largest overseas spend line and is partly deliverable at PMH.
- Audit PMH theatre utilisationHospital Administrator, PMH · due 2026-08-09done
- Publish revised overseas referral criteriaDirector of Policy, MOHW · due 2026-08-29done
Audit trail
Every mutation, scope change and break-glass access in this session, newest first — the accountability record behind the dashboard.
- 12:00:00 amSession openedVITALS command surfaceSystem