Overview#
A watch commander needs to see how the service is performing right now, not next quarter. Live KPI dashboards turn incident state, dispatch timelines, and patient encounter records into the response-time bands, handover timers, and station-level breakdowns that ambulance services measure against.
The Real-Time KPI Dashboards module projects every running incident into AS3 call-to-scene response, ATR (At Hospital To Ready) handover, scene-to-hospital transport, and AMPDS-determinant response-time band compliance, with predictive amber alerting before an SLA actually breaches. The same data exports cleanly into HSE NAS quarterly reporting format without rekeying.
Key Features#
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HSE NAS Band Compliance: Compute Echo, Delta, Charlie, Bravo, and Alpha response-time band compliance per AMPDS determinant, aligned with current Irish national ambulance KPI definitions.
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AS3 Call-to-Scene Tracking: Maintain live AS3 timers from call entry through unit on-scene confirmation, driven directly by canonical dispatch acknowledgement events as they occur.
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ATR Handover Timers: Surface At Hospital To Ready handover time per encounter, so prolonged handovers become visible while they are still happening rather than at retrospective review.
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Scene-to-Hospital Transport View: Track transport-leg duration as part of the same end-to-end timeline rather than as a separate after-action calculation.
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Predictive Amber and Red Alerting: Flag incidents whose current trajectory will breach an SLA threshold before the breach actually occurs, giving the watch commander a chance to intervene.
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Per-Station, Per-Shift, Per-Vehicle Drill-Down: Move from a service-wide view down to a single station, a single shift, or a single vehicle without leaving the dashboard.
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HSE NAS Quarterly Export: Generate quarterly reporting output in the structure the National Ambulance Service expects, sourced from the same canonical incident state shown on screen.
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Incident-Contextual Breach Records: Write KPI breach events back onto the affected incident timeline so reviewers see them in operational context rather than in a parallel KPI silo.
Use Cases#
Emergency Medical Services#
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Watch-Commander Live Oversight: A duty watch commander sees AS3, ATR, and band compliance per station and per vehicle in one strip and can drill into any outlier without leaving the dashboard.
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Predictive SLA Intervention: An amber alert appears while a unit is still responding, allowing reassignment or escalation before a band threshold is actually crossed.
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Hospital Handover Pressure Monitoring: Persistent ATR timers across an emergency department surface hospital offload pressure to control-room staff in near real time.
Operations and Reporting#
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Quarterly NAS Reporting: Operations leadership exports the quarter directly from the dashboard without staff rekeying numbers from disparate spreadsheets.
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Station-Level Performance Review: Station officers compare their own AMPDS-band compliance against service averages using the same numbers the national reporting line will see.
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Shift Handover Briefing: Outgoing and incoming shifts share a single live KPI snapshot, so handover starts from the same operational picture.
Integration#
KPI figures are pure projections of the canonical incident record, patient encounter record, and dispatch assignment state. There is no separate KPI store that can drift out of sync with operational reality.
Timer transitions are driven by lifecycle events as dispatchers and crews confirm milestones, keeping KPI state and operational state aligned by construction. When a threshold is projected to breach, a structured notification is emitted and written back onto the affected incident timeline, so reviewers find it in context.
A live metrics endpoint exposes KPI gauges and counters in a standard scrape format so organisations can feed them directly into their existing observability stacks alongside infrastructure metrics.
The quarterly reporting pipeline generates HSE NAS output directly from canonical state, removing the manual collation step and eliminating transcription errors.
Customers connect via:
- REST API: authenticated with OAuth 2.0 bearer tokens; query endpoints for band snapshots, response-time histograms, and predicted-breach lists are all described in a published OpenAPI specification.
- Real-time subscriptions: a streaming channel pushes live KPI updates and breach events to dashboards and alerting tools; the channel schema is described in an AsyncAPI document.
- Webhooks: KPI breach and predicted-breach notifications can be forwarded to external systems using a standard CloudEvents envelope.
- Export: quarterly report files are available as a machine-readable download directly from the platform API.
Open Standards#
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HSE NAS KPI specification: response-time bands and handover definitions follow the current Irish Health Service Executive National Ambulance Service KPI standard, including AMPDS-determinant band thresholds and coverage targets.
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AMPDS (Advanced Medical Priority Dispatch System): incident acuity bands (Echo through Alpha) and their SLA targets are mapped per the AMPDS priority dispatch standard.
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Prometheus Exposition Format: live KPI metrics are exposed in the standard Prometheus text-based exposition format so any Prometheus-compatible scraper can consume them without additional adaptation.
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OpenAPI 3.1: the KPI query API is described using the current OpenAPI specification, giving external reporting tools a documented, machine-readable contract to integrate against.
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AsyncAPI 2.6: the KPI streaming channel is described using the AsyncAPI specification, so subscribers receive a documented schema for live updates.
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CloudEvents 1.0: KPI breach and predicted-breach notifications are emitted as CloudEvents, enabling downstream systems to subscribe using a common envelope regardless of transport.
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ICS-209 (Incident Status Summary): the structured incident-status export pattern from the US Incident Command System informs the cross-jurisdiction reporting shape, supporting interoperability with partner agencies using ICS frameworks.
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ISO 22324: amber and red SLA states follow the colour-coded warning conventions defined in the international public-warning colour standard.
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W3C WCAG 2.2: dashboard surfaces are built against the current Web Content Accessibility Guidelines so control-room staff with varying needs can use them effectively.
Security and Compliance#
All KPI data is scoped to the requesting organisation at query time; no tenant can see another organisation's incident or performance data. Access to KPI endpoints requires an explicit scope grant, and all queries are recorded in the platform audit log. Breach writeback to incident timelines is governed by the same immutable audit trail as all other incident record modifications.
Last Reviewed: 2026-05-05 / Last Updated: 2026-05-05