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In scopePMH Intensive Care 63%·Beds 68%·34 transfers pending·14 overseas approvals awaiting·3 critical stock

EDT
Minister of HealthScope: National — all islands, all facilities (9 facilities, 2,400 records)Authority: Top-tier sign-off, unlimited commitment
System load
Dengue season + peak tourist load
Value preset
Moderate seasonal load — every metric around mid-range
TimelinePoint 1 of 1 · Session baseline ·

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.

0 awaiting you

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

  1. 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.

  2. 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.

  • 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

    75% implemented

    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
  • Activate dengue vector-control surge across New Providence and Abaco

    Chief Medical Officer · Department of Public Health · 26 Jul 2026, 12:00 am

    18% implemented

    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
  • Cap non-urgent overseas orthopaedic referrals pending local theatre review

    PHA Managing Director · Public Hospitals Authority · 14 Jul 2026, 12:00 am

    100% implemented

    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.

  1. 12:00:00 amSession openedVITALS command surfaceSystem
VITALS · Government of The Bahamas · Ministry of Health & Wellness · Public Hospitals Authority · Department of Public Health · National Health Insurance Authority — demonstration system with synthetic patient data.