Build a production-ready Next.js App Router page for: **Nurse-Led SNF Triage Tool** Primary user: SNF nurse (LN/RN/LPN), charge nurse ## Figma source files — use these for all design decisions Brand Guidelines: https://www.figma.com/design/p75zu8AdqluZ3MKd6zzvwQ/Carebrain-Brand-Guidelines---Lite Design System: https://www.figma.com/design/4L8zHHXaihjF3jmXnErD1H/Carebrain-Design-System--gluestack-ui- Main Design: https://www.figma.com/design/Jh6BdsV98tbFE2tir9CWb7/Carebrain-Design---90- ## Live Design Tokens (fetched from CareBrain Figma) ### Typography Text-black/2xs : 10px: Inter 10px weight-900 Text-hairline/2xs : 10px: Inter 10px weight-100 Text-light/2xs : 10px: Inter 10px weight-300 Text-extrabold/2xs : 10px: Inter 10px weight-800 Text-semibold/2xs : 10px: Inter 10px weight-600 Text-medium/2xs : 10px: Inter 10px weight-500 Text-normal/2xs : 10px: Inter 10px weight-400 Text-bold/2xs : 10px: Inter 10px weight-700 Text-hairline/Text-thin/2xs : 10px: Inter 10px weight-100 Heading/5xl : 60px: Inter 60px weight-700 Text-bold/xs : 12px: Inter 12px weight-700 Text-hairline/Text-thin/3xl : 30px: Inter 30px weight-100 Text-hairline/Text-thin/md : 16px: Inter 16px weight-100 Text-bold/md : 16px: Inter 16px weight-700 Text-medium/lg : 18px: Inter 18px weight-500 Text-light/5xl : 48px: Inter 48px weight-300 Text-light/4xl : 36px: Inter 36px weight-300 Text-light/2xl : 24px: Inter 24px weight-300 Text-light/xs : 12px: Inter 12px weight-300 Text-medium/md : 16px: Inter 16px weight-500 ## Problem this solves SNF nurses face life-or-death escalation decisions dozens of times per shift with almost no structured AI support. When a resident's condition changes — rising fever, new confusion, labored breathing, a fall — a licensed nurse must rapidly assess severity, decide whether to monitor, call the on-call provider, or send to the ER, and document everything compliantly. Today that process is entirely manual: the nurse mentally runs through clinical criteria, checks vitals in PCC, calls the provider over the phone, then retrospectively completes the eINTERACT Change in Condition UDA and SBAR in PointClickCare. There is no real-time guidance, no structured symptom-to-urgency mapping, and no AI-assisted escalation logic. Agency nurses — who may be unfamiliar with the facility's escalation protocols — face this same decision with even less scaffolding. The result is inconsistent escalation: some nurses over-triage (unnecessary ER sends), others under-triage (missed early deterioration), and the documentation trail is sparse, incomplete, or created after the fact. The downstream consequences for the SNF are direct and financial. Every avoidable hospital transfer costs the facility in SNF VBP penalties — CMS ties up to 2% of Medicare payments to 30-day all-cause readmission rates, and each preventable ER send is a hit against that metric. Medicare Advantage payers, now the top pressure for 56% of SNF operators, increasingly require clinical documentation of escalation rationale to authorize or defend care decisions. A poorly documented change-of-condition assessment with no timestamped urgency rationale is a denial waiting to happen. Worse, when DOH surveyors arrive unannounced, incomplete triage documentation is an F-Tag liability — facilities cannot retroactively reconstruct the clinical reasoning a nurse used at 2am when the surveyor arrives at 9am. The timing is right for CareBrain to own this workflow. The eINTERACT framework — the CMS-endorsed standard for SNF change-of-condition management — already establishes the behavioral expectation: nurses should use structured Stop & Watch, SBAR, and Transfer Form protocols. What the framework lacks is AI assistance to guide the nurse through it in real time. CareBrain's existing PCC Marketplace integration, voice-to-note infrastructure, and SBAR generation work (PR-44) give it the platform leverage to build this without starting from scratch. No current competitor — not Voize, not ISBAR.ai, not Hippocratic AI — has shipped a SNF-native, protocol-aligned, AI-guided triage tool with PCC integration and built-in escalation routing. This is a defensible, deep SNF workflow problem that perfectly fits CareBrain's 'built for the bedside' positioning. ## MVP scope (what to build) Deploy the triage tool in 1-2 pilot SNFs with an existing CareBrain customer relationship. MVP covers the top 5 highest-frequency SNF change-of-condition presentations: altered mental status, respiratory distress, fall with injury concern, fever/suspected infection, and chest pain or hemodynamic change. The nurse launches the tool from the CareBrain mobile app on a tablet, selects the primary symptom cluster, answers 8-12 structured protocol-driven questions (drawn from eINTERACT SBAR criteria and Stop & Watch flags), and receives one of three urgency-tiered recommendations: Monitor and Document, Notify On-Call Provider, or Send to ER. For 'Notify' and 'ER Send' paths, the tool auto-generates a pre-filled SBAR using PR-44 infrastructure and routes a notification to the on-call provider via CareBrain's existing notification system. The completed triage assessment is logged in CareBrain with a timestamp and linked to the resident's record. A one-tap PCC deep link opens the eINTERACT Change in Condition UDA pre-populated with the triage summary, reducing the nurse's documentation burden but not requiring full PCC write-back in MVP (derisking the PCC API integration complexity). Success condition: nurses complete triage assessments for ≥70% of flagged change-of-condition events in the pilot, and at least one pilot DON reports using the triage log in a QAPI or survey-readiness context. ## All user stories — every one must be reflected in the UI 1. As a licensed nurse on a night shift, I want to walk through a structured, symptom-driven triage assessment on my tablet so that I don't miss a critical red flag when I'm deciding whether to call the on-call provider or send a resident to the ER. 2. As a charge nurse, I want to receive an automated, timestamped escalation notification with the triage summary when a staff nurse flags a high-urgency resident so that I can respond quickly and the event is documented before I even arrive at the room. 3. As an agency nurse unfamiliar with this facility's escalation protocols, I want the triage tool to guide me through the right steps and automatically surface the on-call provider's contact so that I can act correctly without needing to ask a colleague at 3am. 4. As a Director of Nursing, I want a log of all triage assessments completed across my facility so that I can review escalation patterns, support QAPI reporting, and produce documentation in a DOH survey without reconstructing events from memory. 5. As an on-call provider like a physician or NP covering multiple SNFs, I want to receive a structured SBAR notification with the resident's relevant vitals, change-of-condition summary, and nurse-assessed urgency level so that I can make a disposition decision quickly without calling back for basic information. 6. As an MDS coordinator, I want triage events flagged as potential Significant Change in Status triggers so that I know when to initiate an SCSA before a deadline is missed. ## Success metrics — design the UI to make these measurable - Triage assessment completion rate: ≥80% of documented change-of-condition events in pilot facilities have a completed CareBrain triage assessment attached within the same shift - Time from symptom onset to escalation notification: Median time from nurse initiating triage to on-call provider receiving SBAR notification ≤8 minutes - eINTERACT UDA completion rate: ≥90% of CareBrain triage assessments result in a completed eINTERACT Change in Condition UDA pushed to PCC within the same encounter session, up from estimated current baseline of <60% - 30-day all-cause readmission rate at pilot facilities: Measurable directional reduction of ≥5% in 30-day readmission rate at facilities using the triage tool for ≥90 days vs. their own 90-day pre-launch baseline - Nurse adoption (DAU/MAU): ≥60% of licensed nurses at a pilot facility complete at least one CareBrain triage assessment per week after the first 30 days of deployment - Provider notification quality score: ≥85% of on-call providers in a post-launch survey rate the SBAR notification they received as 'sufficient to make a disposition decision without a follow-up call' ## UI spec Design a mobile tablet UI for CareBrain, an SNF clinical AI platform. Brand color: #9333EA (deep purple). Screen: SNF Nurse Triage Assessment. Layout: full-bleed dark header with CareBrain logo and resident name/room number. Below header: a row of 5 large tap-target symptom cluster cards (Altered Mental Status, Respiratory Distress, Fall/Injury, Fever/Infection, Chest Pain) with icon + label, one selected state in #9333EA. Below cards: a structured question card with a progress indicator (question 4 of 10), the question text in large readable font, and 3-4 answer option buttons with rounded corners. Bottom fixed bar: urgency tier badge (red NOTIFY ON-CALL, yellow MONITOR, or green DOCUMENT) and a large primary CTA button 'Generate SBAR & Notify'. Mobile-first, high contrast, large touch targets suitable for one-handed use in a clinical room. ## Design reference Screen name: Triage — Symptom Assessment (Tablet). Key components: (1) Sticky header bar — resident name, room, MRN, current time, and a discard/back control; (2) Symptom cluster card row — 5 horizontally scrollable cards, selected state uses #9333EA fill with white icon and label, unselected uses surface-2 with muted icon; (3) Structured question card — question number/total pill, question text at 18px+, answer options as full-width tap buttons with 48px min height; (4) Progress stepper — horizontal dots or segmented bar above question card; (5) Fixed bottom action bar — urgency tier badge (color-coded) left, primary CTA right. User action flow: tap symptom cluster → answer questions sequentially → urgency tier appears → tap CTA to generate SBAR and dispatch notification. Visual style: CareBrain design system, high contrast, WCAG AA minimum, no decorative elements that add cognitive load. ## Platform components to reuse - PCC Resident Chart Data (data-source): Pulls resident demographics, active diagnoses, current medications, recent vitals, and ADT status from PointClickCare via the existing Marketplace integration to pre-populate triage context before the nurse answers protocol questions. - Vitals Trends Feed (data-source): Consumes near-real-time vitals data from PCC (temperature, BP, SpO2, HR, RR) to surface trending deviations — e.g., rising fever trajectory or dropping BP — as pre-populated inputs to the triage symptom assessment, reducing manual nurse data entry at the bedside. - SBAR Auto-Generation Model (model): Reuses the Suggested SBAR from Nurse Encounter infrastructure (PR-44) to produce a pre-filled, structured SBAR document from the completed triage assessment inputs — resident context, symptom cluster, urgency rationale — ready for provider notification without the nurse drafting free text. - Escalation Notification & On-Call Routing (workflow): Reuses CareBrain's existing on-call scheduling and backup provider routing infrastructure to dispatch the auto-generated SBAR to the correct on-call provider (physician or NP) via HIPAA-compliant in-app or SMS notification, keyed to the facility's current on-call schedule. ## New components to build - Symptom-to-Urgency Scoring Engine (pipeline): Rules-based decision tree (not LLM) built from published eINTERACT SBAR criteria, Stop & Watch flags, and INTERACT II tool thresholds; maps the nurse's structured symptom responses across the top 5 change-of-condition presentations to one of three urgency tiers: Monitor, Notify On-Call, or Send to ER. Clinical advisor validation required before build. - Nurse Triage Assessment Workflow (workflow): Guided, protocol-driven mobile workflow: nurse selects primary symptom cluster → answers 8–12 eINTERACT-aligned structured questions → receives urgency-tiered recommendation with escalation path → SBAR is auto-generated and escalation notification is dispatched. Full workflow must complete in under 3 minutes on a tablet. - Charge Nurse Alert (workflow): Parallel notification branch that fires a timestamped triage summary to the charge nurse for all Notify and ER Send urgency tiers, ensuring the charge nurse is aware of high-urgency events without requiring the staff nurse to make a separate manual call. - PCC eINTERACT UDA Deep Link (integration): MVP integration: generates a one-tap deep link from the completed CareBrain triage assessment into the PCC eINTERACT Change in Condition UDA, pre-populating the SBAR fields with triage output. Full programmatic PCC write-back deferred to next level to derisk PCC API UDA-write complexity validated in the pcc-knowledge-base context. - PCC eINTERACT UDA Write-Back (integration): Full API-driven auto-creation of the eINTERACT Change in Condition UDA and Transfer Form in PCC from the CareBrain triage log, eliminating the manual nurse step of opening PCC and completing the UDA separately. Requires PCC Marketplace API audit to confirm UDA write capability before scoping. - Triage Assessment Log (data-source): Persistent, timestamped CareBrain-side record of every completed triage assessment linked to a resident ID, facility, nurse, urgency tier, symptom cluster, and escalation action taken — serves as the audit trail for DOH survey defense, QAPI reporting, and future DON analytics dashboard. - Bedside Triage Mobile UI (ui-component): Tablet- and mobile-optimized assessment interface: large tap targets, minimal text entry, symptom cluster selection via visual card UI, progress indicator, and a hard-stop confirmation screen before dispatching escalation notifications. Must be usable one-handed in a SNF room environment. - DON Triage Log Dashboard (ui-component): Facility-level view of all triage assessments across residents, units, shifts, and urgency tiers — surfaces escalation patterns for QAPI and Five-Star quality management; deferred to next level per MVP scope definition in the problem frame. - Triage Assessment API (api): Internal API endpoint that accepts structured triage inputs from the mobile UI, invokes the Symptom-to-Urgency Scoring Engine, triggers SBAR generation via PR-44, dispatches escalation notifications, and persists the triage log — decouples the mobile UI from scoring and notification logic for testability. ## Technical requirements - Next.js App Router page (default export), TypeScript, Tailwind CSS - Use shadcn/ui: Button, Card, Badge, Input, Select, Table, Skeleton, Dialog as needed - Full interactivity: real state, handlers, forms — no placeholder TODOs - Loading state (Skeleton), empty state (with CTA), error state - Hover/focus states on all interactive elements - Mobile-first (sm: breakpoints). Min touch target 44px. - High contrast text (≥4.5:1). SNF clinical context — clarity over decoration. ## Full spec (reference) # PRD: Nurse-Led SNF Triage Tool **Status:** DRAFT | **Owner:** CareBrain PM | **Last updated:** 2026-06-11 --- ## TLDR Build a structured, AI-guided triage workflow for SNF licensed nurses that maps presenting symptoms to urgency tiers, auto-generates an SBAR, and routes escalation notifications to the on-call provider and charge nurse — all from a mobile-first bedside UI that completes in under 3 minutes and logs a timestamped audit trail linked to the resident record. --- ## Why Now Two forces are converging. First, Medicare Advantage — now the top financial pressure for 56% of SNF operators — increasingly requires clinical documentation of escalation rationale to authorize or defend care decisions. A nurse who calls an on-call provider at 2am with no structured record of why is handing the MA payer a denial on a silver platter. Second, CMS's SNF VBP program ties up to 2% of Medicare payments to 30-day all-cause readmission rates. Every preventable ER transfer is a direct hit against that metric, and every missed early deterioration is a potential readmission. Facilities cannot afford inconsistent escalation. The clinical framework to fix this already exists — eINTERACT's Stop & Watch, SBAR, and Transfer Form protocols are the CMS-endorsed standard and are already embedded in PointClickCare as UDAs. What is missing is AI assistance to guide the nurse through them in real time. CareBrain's PCC Marketplace integration, voice-to-note infrastructure, and SBAR generation work (PR-44) provide the platform leverage to build this without starting from scratch. No current competitor — not Voize, not ISBAR.ai, not Hippocratic AI — has shipped a SNF-native, protocol-aligned, AI-guided triage tool with PCC integration and built-in escalation routing. This is a next-quarter priority once the Specialty Summary MVP ships. --- ## Problem SNF nurses face life-or-death escalation decisions dozens of times per shift with almost no structured AI support. When a resident's condition changes — rising fever, new confusion, labored breathing, a fall — a licensed nurse must rapidly assess severity, decide whether to monitor, call the on-call provider, or send to the ER, and document everything compliantly. Today that process is entirely manual: the nurse mentally runs through clinical criteria, checks vitals in PCC, calls the provider over the phone, then retrospectively completes the eINTERACT Change in Condition UDA and SBAR in PointClickCare. There is no real-time guidance, no structured symptom-to-urgency mapping, and no AI-assisted escalation logic. Agency nurses — who may be unfamiliar with the facility's escalation protocols — face this same decision with even less scaffolding. The result is inconsistent escalation: some nurses over-triage (unnecessary ER sends), others under-triage (missed early deterioration), and the documentation trail is sparse, incomplete, or created after the fact. The downstream consequences are direct and financial. Every avoidable hospital transfer costs the facility in SNF VBP penalties. MA payers require clinical documentation of escalation rationale. When DOH surveyors arrive unannounced, incomplete triage documentation is an F-Tag liability — facilities cannot retroactively reconstruct the clinical reasoning a nurse used at 2am. --- ## Users | User | Impact | |---|---| | Licensed Nurse (LN/RN/LPN) | Primary user — completes triage at bedside; receives urgency recommendation and escalation path | | Charge Nurse | Receives automated timestamped alert for Notify and ER Send events | | On-Call Provider (MD/NP) | Receives structured SBAR notification with urgency tier; makes disposition decision without a follow-up call | | Director of Nursing (DON) | Reviews triage log for QAPI, survey readiness, and escalation pattern analysis | | Agency Nurse | Uses triage tool as protocol scaffold when unfamiliar with facility escalation contacts | | MDS Coordinator | Receives flag when a triage event may qualify as a Significant Change in Status trigger | --- ## Example User Story: Maria (Night Shift LN, 14-resident wing) It's 2:47am. Maria is a licensed nurse covering a 14-resident wing solo. Mr. Hendricks in room 12 is confused and pulling at his catheter — not his baseline. She opens CareBrain on her tablet, taps "Start Triage," selects "Altered Mental Status" from the symptom cluster cards. The tool walks her through 10 protocol questions drawn from eINTERACT SBAR criteria — onset, baseline comparison, recent vitals, medications changed in the last 72 hours, fall risk, pain indicators. She answers by tapping — no typing. In 2 minutes and 38 seconds she receives a recommendation: **Notify On-Call Provider**. A pre-filled SBAR appears showing Mr. Hendricks's recent vitals trend, current meds, and Maria's symptom inputs. She reviews it in 15 seconds and taps Send. Dr. Okonkwo receives the SBAR on his CareBrain app, calls back in 4 minutes, orders a UA and hold on transfer. The charge nurse received the same alert simultaneously. The triage assessment is logged with a timestamp in CareBrain. Maria taps the PCC deep link, opens the eINTERACT Change in Condition UDA already pre-populated with the SBAR fields, and signs it. Total documentation time from symptom recognition to signed UDA: 7 minutes. **With Next Level:** Maria doesn't even need to initiate the triage. CareBrain detects that Mr. Hendricks's temperature has risen 1.8°F over the last 6 hours and his SpO2 has trended down. A proactive alert surfaces on Maria's tablet: "Vitals pattern warrants assessment — tap to start triage." The eINTERACT UDA is created automatically in PCC the moment she completes the workflow. --- ## MVP Scope Deploy in 1–2 pilot SNFs with an existing CareBrain customer relationship. MVP covers the top 5 highest-frequency SNF change-of-condition presentations: 1. Altered mental status 2. Respiratory distress 3. Fall with injury concern 4. Fever / suspected infection 5. Chest pain or hemodynamic change **Core MVP workflow:** - Nurse launches from CareBrain mobile app on tablet - Selects primary symptom cluster via visual card UI - Answers 8–12 structured protocol-driven questions (eINTERACT SBAR criteria + Stop & Watch flags) - Receives one of three urgency-tiered recommendations: Monitor and Document | Notify On-Call Provider | Send to ER - For Notify and ER Send: auto-generated SBAR via PR-44 infrastructure dispatched to on-call provider via existing CareBrain notification system; simultaneous charge nurse alert - Completed triage assessment logged in CareBrain with timestamp, linked to resident record - One-tap PCC deep link opens eINTERACT Change in Condition UDA pre-populated with triage output (no programmatic PCC write-back in MVP — derisks PCC API unknowns) **MVP success condition:** Nurses complete triage assessments for ≥70% of flagged change-of-condition events in pilot; at least one DON uses the triage log in a QAPI or survey-readiness context within 90 days. --- ## Next Level Scope 1. **Full PCC write-back** — Automatically create or pre-populate the eINTERACT Change in Condition UDA and Transfer Form in PCC via Marketplace API, eliminating the manual nurse step 2. **Vitals integration** — Ingest real-time vitals from PCC (PR-43) to pre-populate triage questions with trending data and proactively flag deterioration before the nurse initiates 3. **SCSA trigger detection** — Flag triage events meeting CMS Significant Change in Status criteria; alert MDS Coordinator to initiate assessment before the deadline window closes 4. **DON triage analytics dashboard** — Aggregate triage patterns by resident, unit, shift, and urgency tier for QAPI and Five-Star quality management 5. **Agency nurse onboarding mode** — Surfaces facility-specific escalation contacts, house protocols, and on-call schedules on first login --- ## Framework Nodes | Node | Type | Status | Reuses | |---|---|---|---| | PCC Resident Chart Data | data-source | reuses | pcc-marketplace-integration | | Vitals Trends Feed | data-source | reuses | PR-43 | | Symptom-to-Urgency Scoring Engine | pipeline | new | — | | SBAR Auto-Generation Model | model | reuses | PR-44 | | Nurse Triage Assessment Workflow | workflow | new | — | | Escalation Notification & On-Call Routing | workflow | reuses | on-call-scheduling-notification | | Charge Nurse Alert | workflow | new | — | | PCC eINTERACT UDA Deep Link | integration | new | — | | PCC eINTERACT UDA Write-Back | integration | new (later) | — | | Triage Assessment Log | data-source | new | — | | Bedside Triage Mobile UI | ui-component | new | — | | DON Triage Log Dashboard | ui-component | new (later) | — | | Triage Assessment API | api | new | — | --- ## Success Metrics | Metric | Target | |---|---| | Triage assessment completion rate | ≥80% of documented change-of-condition events have a completed CareBrain triage assessment within the same shift | | Time to escalation notification | Median ≤8 minutes from triage initiation to on-call provider receiving SBAR | | eINTERACT UDA completion rate | ≥90% of CareBrain triage assessments result in a completed eINTERACT UDA in PCC within the same session | | 30-day readmission rate | Directional reduction of ≥5% at pilot facilities after 90 days vs. pre-launch baseline | | Nurse adoption (DAU/MAU) | ≥60% of LNs at pilot facility complete ≥1 triage assessment per week after first 30 days | | Provider notification quality | ≥85% of on-call providers rate the SBAR notification as sufficient to make a disposition decision without a follow-up call | --- ## Business Goals - Monetized as part of the CareBrain Clinical Intelligence upsell tier (facility-level monthly fee above scribe baseline) - ROI narrative for DONs and operators: each prevented avoidable hospitalization reduces SNF VBP penalty exposure (up to 2% of Medicare payments); structured triage log supports MA authorization defense and denial reduction - Deepens nursing-side workflow ownership — moves CareBrain from physician/provider tool to care team platform - Triage log analytics and QAPI export as premium add-on drive DON and regional operator stickiness - Positions CareBrain as the SNF readmission reduction partner hospital systems want to see when evaluating hospital-SNF alignment deals --- ## Assumptions | Assumption | Certainty (0–10) | Validation | |---|---|---| | Nurses will complete triage in under 3 minutes on a tablet if the UX is fast enough | 5 | 5+ timed usability tests with LNs using Figma prototype before engineering build | | SNF operators will accept triage recommendations as clinical decision support (not clinical decision-making) without regulatory pushback | 6 | Healthcare attorney review of liability framing; validate with 2–3 DONs in pilot | | PCC Marketplace API supports eINTERACT UDA deep-link pre-population | 5 | PCC Marketplace API audit before sprint 1 | | Symptom-to-urgency scoring can be built from published eINTERACT criteria without a proprietary algorithm | 7 | Map eINTERACT SBAR and INTERACT II criteria to decision tree with clinical advisor | | Nurses will trust and act on AI urgency recommendations without systematic override | 4 | Override tracking + override-reason capture in MVP; analyze after 30 days | | On-call providers will accept structured digital SBAR notifications instead of requiring a phone call | 5 | Interview 5+ on-call providers about escalation communication preferences before build | --- ## Open Questions 1. **PCC UDA write API:** Does the PCC Marketplace API expose programmatic write endpoints for the eINTERACT Change in Condition UDA? This is the single most critical technical unknown for next-level scope — needs a PCC technical audit before sprint planning. 2. **Clinical liability framing:** What specific language in the UI and documentation satisfies CMS and state surveyor expectations for clinical decision support tools in SNFs? Requires healthcare attorney review before pilot launch. 3. **Charge nurse role model:** CareBrain's current data model is provider-centric. Does it support a charge nurse role with shift-based assignment? If not, what is the minimum data model extension required? 4. **Override rate threshold:** At what override rate does the Symptom-to-Urgency Scoring Engine require recalibration? Define this threshold before launch so the pilot has a clear algorithm review trigger. 5. **SCSA timing:** What is the CMS-defined window from a qualifying change-of-condition event to MDS Coordinator notification for SCSA initiation? This determines the latency requirement for the next-level SCSA trigger detection feature. 6. **Multi-facility on-call routing:** For providers covering multiple SNFs simultaneously, how does CareBrain's on-call scheduling system currently identify which facility's on-call schedule to query for a given triage event? Does this already work or is there a gap? Deliver a production-grade initial version that engineers can build on directly. Not a wireframe.