OpenSky | Unified Hospital Performance

The Challenge

Operational information was spread across emergency department systems, patient administration systems, approved operational datasets and departmental reporting workflows — creating challenges around visibility, consistency, governance and scalability
Fragmented reporting could not support both day-to-day operational reporting and longer-term analytical growth
To connect and operationalise existing hospital data in a governed environment — without replacing the hospital systems already in use

The Solution

A unified healthcare operational data analytics and reporting platform, built on Microsoft Fabric and Power BI
Existing hospital data connected and operationalised — no system replacement required
A governed lakehouse architecture with standardised semantic models and KPI governance for consistent, trusted reporting
Designed for a broad range of users — operational teams, clinicians, executive leadership and governance stakeholders — with strong security and role-based access controls

The Results

The executive team gained a single, connected operational view of the hospital — across emergency department activity, patient flow and operational performance
Improved and prompt awareness of operational pressure, service performance and emerging operational challenges — supporting more informed leadership decisions
Leadership and operational teams working from one shared, trusted operational picture, rather than fragmented reports
A scalable foundation positioned to support future predictive analytics and operational forecasting

A Single Operational View for Leadership

For the first time, the executive team had one connected operational view across emergency department activity, patient flow and operational performance — replacing fragmented reports drawn from disconnected systems.

Earlier Awareness of Operational Pressure

Leadership gained improved awareness of operational pressure, service performance and emerging operational challenges — supporting faster, more informed decisions.

One of Ireland's largest acute hospitals — partnered with OpenSky to design and implement a unified data analytics and reporting platform using Microsoft Fabric and Power BI. The project focused on connecting and operationalising data already held across the hospital data estate, creating a governed foundation for near-real-time and batch analytics, operational reporting, and future operational intelligence capability.

The project forms part of OpenSky's broader Healthcare Data Intelligence portfolio, designed to help healthcare organisations improve operational visibility, patient flow, operational coordination and executive decision-making through connected healthcare intelligence.

Like many large acute hospitals, the hospital was managing operational reporting across multiple systems, reporting environments and operational processes. Operational information existed across emergency department systems, patient administration systems, approved operational datasets and departmental reporting workflows — creating challenges around operational visibility, reporting consistency, governance and scalability.

The challenge was not a lack of data. It was the need to connect and operationalise that existing data in a governed environment, so that trusted information could better support emergency department visibility, patient flow reporting, patient journey tracking, operational performance reporting and on-take wait time reporting.

Unified Operational Intelligence Platform

OpenSky worked with the hospital to design and implement a unified healthcare operational data analytics and reporting platform, built using Microsoft Fabric and Power BI.

Rather than replacing existing hospital systems, the project connected and operationalised data already held across the hospital data estate. Data from the hospital's patient administration, emergency department and order-communications systems, and approved operational datasets, was securely integrated into a unified Microsoft Fabric environment to support scalable operational reporting, near-real-time and batch analytics, and future operational intelligence initiatives.

A governed lakehouse architecture supported secure data ingestion, integration, standardisation, semantic modelling and enterprise reporting. A key focus was more consistent operational reporting and KPI governance — OpenSky worked closely with hospital stakeholders to establish governed semantic models and standardised reporting logic designed to improve reporting consistency, usability and trust across operational dashboards and executive reporting.

Key Functionality & Features

Emergency Department operational visibility — near-real-time and retrospective view of ED activity
Patient flow reporting — visibility of patient flow across the hospital
Patient journey tracking — tracking of the patient journey across operational workflows
Operational performance reporting — consistent reporting of operational performance
On-take wait time reporting — visibility of on-take wait times
Governed semantic models and KPI governance — standardised, trusted reporting logic across operational dashboards and executive reporting, with role-based access controls

Effective hospital operations depend on leadership teams working from a shared operational picture.

A Connected, Governed Foundation for Hospital Operational Reporting.

The project gave the hospital a modern, scalable and governed healthcare reporting environment capable of supporting operational reporting across a complex acute hospital setting.

Connected operational visibility for leadership. Executive leadership gained a more connected operational view across emergency department activity, patient flow, operational performance and hospital-wide reporting — supporting improved awareness of operational pressure, service performance and emerging operational challenges.

More timely insight for operational teams. Operational management teams gained more timely visibility into patient flow, admissions activity, operational KPIs, on-take wait times and emergency department performance indicators — supporting faster operational awareness and more informed operational decision-making.

Modernisation without replacement. The project demonstrated how hospitals can modernise operational reporting incrementally — integrating with existing systems and operational workflows rather than requiring large-scale system replacement.

A foundation that grows. The platform established a scalable foundation positioned for future predictive analytics, operational forecasting and broader operational intelligence capability over time.