Cross-department resource sharing, multi-site coordination, resource utilization roll-ups, MA coverage intelligence, real-time sync, and a full audit trail — in one platform. Built for the practice managers, operations directors, and medical group administrators who run multi-specialty practices, academic departments, and multi-site groups every week.
Department A has four idle exam rooms Tuesday afternoon. Department B is short on space and turning patients away. The practice manager can't see this without calling both departments. The directors have no system for asking each other to share. Every department keeps its own roster, its own schedule, its own utilization math — and the work of coordinating across them lives in texts, calls, and a Slack channel where chairs ask each other for favors.
Orbit replaces that with one integrated platform where the schedule is the operational source of truth across every department, every site, every shift. Cross-department coordination becomes a structured workflow, not an anecdotal one. Resource utilization is a roll-up the practice manager can read in 60 seconds, not a spreadsheet they assemble at the end of the quarter.
Everything below shares the same weekly schedule. The practice manager reads from one surface; the directors edit on the same one.
Borrow people and rooms across departments without leaving the schedule. The borrowed resource shows up structurally on the borrower's grid; both sides see the agreement; completion clears future cells while preserving history. The workflow that distinguishes Orbit from single-business-unit tools.
See the workflow →Shared sites, shared roster, cross-schedule conflict detection. A provider rotating between three locations has one identity and one schedule. The practice manager sees who's where this week without opening three spreadsheets. Site capability tags (procedures, equipment, services) drive smart staffing.
Per-site, per-session, per-department utilization with revenue context. Which rooms are full, which sit idle, where capacity is bleeding away. Operations directors get the roll-up that turns a Monday standup into a 5-minute decision instead of a 30-minute presentation.
Utilization details →Targeted coverage intelligence per session and per site, not blanket headcount. Orbit detects coverage gaps before they hit, surfaces who's available across departments, and flags when a session is one MA short of running clean — without forcing the manager to memorize the staffing model.
Every loan, every schedule change, every approval, every override. Who did it, when, with what reason. Operations leaders get the accountability layer compliance and finance need without bolting a separate audit system to the schedule.
How audit works →A change at one site is visible at every other site instantly. Coordinators editing in parallel don't clobber each other. Mobile and desktop stay in sync. The whole group runs on the same canonical week, every minute of the day.
Most scheduling tools are single-business-unit. They assume one department, one roster, one schedule. Multi-department institutions live with parallel spreadsheets, no shared roster, and a Slack channel where chairs ask each other — can I borrow Dr. Chen on Tuesday? Can Internal Medicine use Procedure Room 4 next week?
Orbit treats cross-department resource arbitrage as a first-class workflow. The four-layer architecture makes the loan structural, not anecdotal.
And the scheduler doesn't have to go looking first. Ask HAL in plain English — who can lend me an MA Tuesday afternoon? — and it searches every sibling department, returns only the people actually free for that slot, and drafts the request right there. Each program decides which roles it lends — we'll lend our MAs and nurses, never our residents — in one sentence to HAL, and until a program opts a role in, nobody from it is ever surfaced to another department. The discovery hop and the request hop collapse into a single question.
No other scheduling tool we've seen treats this as a primitive. Float pools require formal labor models that academic departments don't have. Slack channels are unstructured and unaudited. Orbit makes the workflow structural — and that's the line we draw against single-business-unit tools.
Operations directors at multi-specialty groups spend disproportionate time assembling utilization roll-ups: how many rooms ran in each session, where capacity sat idle, which sites underperformed against staffing, what the per-session revenue context was. Most of that work is reconciling spreadsheets pulled from three different systems.
Supports per-session revenue overrides, MA-coverage thresholds, idle-capacity alerts, week-over-week trends, and per-provider productivity reads when admin-tagged data is present.
Operations leaders, compliance officers, and finance partners want the same thing for different reasons: they need to know who did what, when, and why. Most scheduling tools either lose that information after the fact or push it into a separate audit application that's a quarter behind. Orbit captures it inline, on the same surface the work runs on.
Practice management platforms (Athenahealth, Tebra, Kareo, eClinicalWorks) are EMR-and-billing systems that include a scheduling tab. Single-business-unit scheduling tools (Quinyx, Deputy, 7shifts, Connecteam) handle one team and one set of shifts. Neither category treats cross-department resource sharing as a workflow primitive — because neither category was built for the multi-specialty operational layer.
Orbit is built by a practicing department chair who runs multi-site operations every week. The capabilities on this page exist because an operational pain point made them necessary — not because a roadmap committee thought they'd be nice to have. This is the software multi-specialty groups have been assembling out of three other tools and a Slack channel.
Start free. No credit card. Cross-department arbitrage, multi-site coordination, utilization roll-ups, and the audit trail activate the moment you publish your first schedule.
Start Your Free GroupThe full residency stack — ACGME compliance, continuity, training exposure, institutional dashboard, GME finance, and chief resident handoff.
Mohs-aware scheduling, medical / cosmetic / surgical day mix, and procedure balancing. The deepest vertical build — for residency or private practice.