understanding.healthcare
A professional creative space for pushing what is possible.

Conceptualized from the bedside

Enterprise grade, compliant tools for clinical operations, medical education and non-profit work.

Built by Alfa Diallo, MD, MPH, FACEP

The model

ABeCD A root model of ED patient flow. Every encounter reduced to five timestamps — Arrived, Bedded, evaluated, care Completed, Departed — from which waits, crowding, boarding, walkouts, and the CMS timeliness measure all fall out as subtractions between two clocks. Structure and method · the spine under every instrument below

Operations

My Shift Report Shift staffing, patient call logs, and stroke, STEMI, and sepsis pathway analytics across four hospital sites, in three lenses from frontline to quality. Live showcase · myshiftreport.com Dept SIM A discrete-event simulator of an emergency department. Ask staffing and policy what-ifs against a synthetic baseline, two hundred replications at a time. Live product · deptsim.com Mission Control An operations cockpit for the emergency department. Deviation-only color, chat-with-data drill-down, and an encounter store behind it. Live demo cockpit · synthetic data ECAS Past encounters read against the CMS ECAT eCQM: wait, walkout, boarding, and prolonged-stay triggers, with an integrity ledger that voids broken clocks instead of passing them. Operations · live in the demo cockpit EPI Quotient A performance fingerprint for clinicians. Emotional, professional, and intellectual quotients mapped across fifteen attributes, with archetypes and trajectories for review season. Live product · epiquotient.com

Outreach

Smile Again EMR A field EMR built for volunteer dental brigades in Guaimaca, Honduras: charting, triage, X-ray capture, and inventory on the clinic floor, behind the 501(c)(3) mission site. Live EMR · xena.smileagainmovement.org

Education

Running The Board A live multi-patient emergency department simulation for residency didactics. Every team runs the same timed patients at once, a team leader fires the deteriorations, and the projector shows every room and the standings as they move. Live product · runningtheboard.com
Interview Assessment Structured residency-interview scoring on the fifteen-attribute EQ, PQ, and IQ framework. Built for the pace of interview day.
Lev8 A residency education platform in three movements: AI-guided difficult conversations, voice journaling with transcription, and analytics over thousands of faculty evaluations.