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Complex Patients > Complex Patient Register

Track, manage, and resolve complex discharges to keep patient flow on track.

Location in SystemView: SystemView > Explore > Beds > Complex Patients > Complex Patient Register

In this article:

What is it?

The Complex Patient Register provides a live view of all inpatients flagged as complex discharges in the Admitted Patient Register.

It’s used to record and manage key details driving discharge complexity - including barriers, actions, expected timeframes, and destination plans. Patients can also be escalated to the Complex Patient Escalation List if further oversight is required.

This component supports collaboration between ward, flow, and executive teams to proactively manage and resolve complex discharges.

Why it matters

Resolve complexity faster and maintain patient flow.

The Complex Patient Register helps teams stay aligned on complex discharge planning, ensuring that delays and bottlenecks are addressed early.

Key benefits:

  • See all complex inpatients in one place: Monitor every patient currently flagged as complex.
  • Record and manage discharge barriers: Capture reasons for complexity, expected resolution actions, and target discharge timeframes.
  • Enable proactive planning: Address risks early and coordinate discharge pathways with care partners.
  • Support collaboration: Connect ward, flow, and executive teams to manage and resolve complex discharges efficiently.
  • Escalate high-impact cases: Send stalled or complex patients to the Escalation List for senior review.

How to use it

Filter to focus your view

Use the filters at the top of the dashboard to refine which patients you see:

  • Ward Division / Ward Type / Ward: Narrow results to specific divisions, ward types, or individual wards.
  • Consultant Specialty: Focus on patients under a particular clinical specialty.
  • Flow Category: Filter by the SystemView Flow categoriesgories - Passive, Risk, or OK.
  • Order By: Sort results by ward, length of stay (LOS), or other key fields.
  • Patients Shown: Display either Top 30, Top 100, or All patients.
  • Patient: Search for a specific patient using their patient ID.

ℹ️ Note: Filter options may vary depending on your environment — some sites may display additional filters.

Review complex patient insights

Use the Complex Patient Register table to view and update details for all inpatients currently marked as complex. Each row represents an individual patient and contains editable fields for recording discharge information.

After making updates, select Save in the bottom-right corner to apply changes.

Tile Name What It Shows
Total Complex Patients Displays the total number of complex patients within your selected filters.
Complex Patients Table Summarises patient details and discharge actions to keep complex cases visible and moving.
You can also record and update complexity reasons, planned actions, target discharge timeframes, and discharge destinations - giving a clear snapshot of each patient’s progress and next steps.

💡 Tip: If a case requires executive attention, select ‘Y’ in the Escalation List field to add the patient to the Escalation List.

How it works

The Complex Patient Register automatically populates with patients marked as complex in the Admitted Patient Register.

Users can update reasons for complexity, record discharge actions, and track progress toward resolution. It serves as a shared workspace for Bed Management, Patient Flow, and Clinical Teams to monitor, review, and escalate cases when necessary.

SystemView logic

  • Flow Length of Stay (Flow LoS): Represents the expected period of time a patient should stay on a ward to maintain optimal patient flow, based on historical demand patterns. It helps identify patients who have exceeded or are at risk of exceeding their expected stay.

🔗 Click here to learn more about Flow Length of Stay.

  • Risk of Hospitalisation (RoH): A predictive measure estimating the likelihood that a patient will be readmitted to hospital within 30 or 60 days post-discharge. It highlights patients who may require additional discharge planning or follow-up to reduce readmission risk.

🔗 Click here to learn more about Risk of Hospitalisation.

How it helps you

  • Centralise complex discharge management: View, record, and update all complex patients in one place.
  • Improve visibility: Keep ward, flow, and executive teams aligned on discharge progress.
  • Reduce discharge delays: Track actions and timeframes to maintain patient flow.
  • Support escalation: Quickly flag unresolved or high-impact cases for review.
  • Drive accountability: Maintain clear records of complexity reasons and planned resolutions.

Best practices

How often should I use it?

What to Do How Often Who Should Do It Why It Helps
Review complex patient list Daily 
 Bed Managers, Flow Coordinators, Ward NUMs Keeps complexity data current and actions visible.
Update reasons and resolutions As required Ward and Allied Health Teams Ensures discharge planning details stay accurate.
Escalate unresolved cases Weekly or as required Bed Managers, Division Leads, Executive Leads Provides oversight for high-impact cases.

Pair with these components

  • Admitted Patient Register: Identify and flag complex patients before managing them here.
  • Complex Patient Escalation List: Track escalated cases requiring senior oversight.
  • Complex Patient Trends: Analyse complexity trends over time to identify recurring patterns and plan improvement initiatives.
  • LoS Trends & Ward Dynamics: Identify wards with higher proportions of complex or delayed patients.
  • Discharge Trends: Review discharge performance and resolution timelines.

Tips for success

  • Keep discharge details up to date to support quick decision-making.
  • Review complex cases and next steps in daily flow meetings.
  • Escalate stalled cases early to avoid unnecessary delays.
  • Involve all relevant disciplines in resolving discharge barriers.
  • Monitor trends to spot recurring causes of complexity.

❓FAQs / Troubleshooting

Q. Where does the Complex Patient Register data come from?
A. Patients appear here once they are marked as complex (‘Y’) in the Admitted Patient Register.

Q. Who can edit the fields in this register?
A. Authorised users such as Bed Managers, Flow Coordinators, and Ward NUMs can update and save discharge details.

Q. What happens when I escalate a patient?
A. Selecting ‘Y’ in the Escalate field sends the patient to the Complex Patient Escalation List, where senior teams can monitor and resolve high-priority cases.

Q. Why can’t I see a patient I added from the Admitted Patient Register.
A. Make sure you select Save after making any changes in the Admitted Patient Register. Saving updates SystemView and ensures patients appear correctly in the Complex Patient Register.