Clinician-led healthcare operations

We design, build, and run hospital command centers and transfer centers.

Building new or fixing what's broken? We design it, launch it, and keep it running, with your people, your process, and your tools.

Trusted by

Arizona Department of Health ServicesAZ REACHState of OregonOregon Health & Science UniversityArdent HealthIndiana Department of Health
Built by people who've run these operations

We've done this job ourselves.

Before Blackbox, our clinicians helped build and run Banner Health's transfer and command center programs and led the build and launch of RWJBarnabas Health's transfer center. Now we bring that experience to your hospital or health system.

Problems we solve

When patients can't move, everything stalls. We fix the flow.

01

Command Centers

Stand up a new hospital or system command center, or fix one that isn't delivering: roles, workflows, escalation, and daily operating rhythm.

02

Transfer Centers & Patient Access

Answer every call, accept the right patients, and stop losing transfers to slow intake.

03

Patient Flow & Capacity

  • Reduce ED dwell and boarding times
  • Improve discharge timeliness
  • Daily bed huddles and capacity routines
  • Bed management and patient placement
04

Regional & Statewide Coordination

Load-balancing and transfer coordination across health systems, run for states and regions.

05

Operational Assessments

A clinician-led look at how patients actually move through your system, and what to fix first.

Not sure where to start?

Most engagements begin with an assessment.


Request an Assessment →
How we work

Build new or fix what you have. Engage us at any stage.

1. Assess

We look at how patients actually move through your system and give you a clear, prioritized plan.

2. Build

We design and stand up new operations: workflows, staffing model, and governance, on your existing technology.

3. Optimize

Already have a command center or transfer center? We fix what isn't working and tune it until it performs.

4. Operate

We run it for you, or alongside your team, until it runs on its own.

Proof: AZ REACH

Arizona's statewide transfer operation. Run by Blackbox.

AZ REACH is administered by the University of Arizona, funded through ADHS, and operated by Blackbox.

Visit AZ REACH ↗View the Reporting Hub ↗

22,745transfer requests
90%accepted
1.5 hrmedian time to placement
3.3 hrmedian ED hold

Period 12/13/2022–6/30/2026. Source: az-reach.com Reporting Hub, FY25-26 year-end report.

Arizona Surge Line: 12,000 patient referrals handled, 2020–2022. Read the published study on the Surge Line (Frontiers in Public Health, 2023) ↗
Why Blackbox

Software gives you a screen. Advisors give you a slide deck. We give you a working operation.

Software vendors
Advice-only firms
Blackbox
What you get
A platform license
Recommendations
A designed, built, and running operation
Who leads
Product and sales teams
Management consultants
Clinicians with operations experience
Your technology
Replace it with theirs
Out of scope
Use what you already have
After go-live
Support tickets
Engagement ends
We can operate it for you

See how we work

What leaders say about working with our team

“Charley is a committed, accountable leader who has led numerous process improvement and working teams within our facility. Charley consistently demonstrates a can-do approach when working to solve process issues and operational concerns. Under his guidance, our facility’s discharge timeliness significantly improved by nearly 100% within six months. Charley and his team created reports, refined processes to match industry-best standards, and worked with leaders to not only meet, but exceed, the project deliverables. This project has meant substantial positive change for our patients in the emergency department.”

S.L. Perry, RN

Quality Improvement Specialist

“Charley is able to ignite inspiration in others, enabling them to perform to their fullest potential. His candor, honesty, and organizational vision propels the department and system forward. In addition, he meticulously oversaw a project that had a multimillion-dollar budget with great success.”

Luke Smith, DNP, RN, NE-BC

Facility Operations Senior Leader

“This is what Charley and Erin represent. As a Project Management Office Director, my group had the opportunity to work with them on a major undertaking they proposed to our C-suite and for which they ultimately gained C-suite support. It became one of the highest priorities of the organization. Seeing how they prepared, the way they assessed operations and identified opportunities, the way they executed, and their extreme level of commitment was impressive.”

Jesse Cho

Project Management Office Director

Start with a conversation, not a proposal.

Tell us where patients are getting stuck. We'll tell you honestly whether we can help.

Request an Assessment