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Wander Management System

Capabilities, Costs, Integrations

In healthcare IT since 2005, ScienceSoft develops custom wander management solutions that ensure patient safety, boost care efficiency, and directly integrate with existing medical and administrative software.

Wander Management System - ScienceSoft
Wander Management System - ScienceSoft

Custom Wander Management Solutions: Essence

Wander management systems (WMS) use real-time location monitoring and centralized access control to protect residents at risk of wandering while maintaining their dignity and freedom. Wander management technology helps healthcare providers improve patient safety and operational effectiveness in memory care, assisted living, or hospital settings. Custom wander management solutions are often chosen by providers who have complex multi-floor or multi-building facility layouts, need to enable WMS interoperability with legacy administrative or EHR software, or need advanced analytics to track elopement attempts or optimize staff schedules.

Key integrations for WMS: a real-time location system (RTLS), an access control system, a nurse call system, an electronic health record (EHR) system, and a staff scheduling system.

Implementation time: 8 to 12+ months, depending on the complexity of the project.

Development costs: $250,000 to $600,000+ for a HIPAA-compliant custom wander management system with real-time location monitoring using wearable RFID bracelets, centralized access control with automatic door locking, and an admin app with staff alerts.

Key Features of Custom Wander Management Software

Below, ScienceSoft's experts share WMS features commonly requested by our clients:

Real-time resident location monitoring

Using RFID or BLE-based wander tags (wearable bracelets).

Automated door and elevator control

Locking doors and elevators and triggering alerts upon resident proximity.

Admin app for staff

A dedicated app for staff to manage and access resident profiles, ensuring smooth monitoring and management of resident activities.

Setting up safe and restricted zones

The ability to define and monitor safe zones (e.g., designated areas for residents) and restricted zones (e.g., hallways, exits, stairwells) to ensure resident safety.

Alert and monitoring rules configuration

  • Customizable rules for generating alerts and monitoring specific behaviors.
  • Instantaneous.

Real-time alerts

Alerts generated from integrated location tracking and access control systems, notifying staff of any potential security breaches or wandering events.

Responding to alerts

The ability to respond to real-time alerts, enabling quick action in case of emergencies or safety concerns.

Tag management

Tag assignment and reassignment, tag activation and deactivation, battery levels and signal monitoring, tag loss detection.

Customizable wander management reports

The ability to create customizable reports, such as incident reports, alert history by severity, location, or resident, and staff response time to alerts.

Auto-escalation of alerts

When they are not acknowledged within a set time.

Advanced wander management capabilities

Automatically assigning alerts to staff members

Based on who is on shift and is closest to the resident.

Restriction and tracking of access for visitors

Using dedicated bracelets for visitors.

Multi-floor and multi-facility tag and zone management

Enabling centralized management of tags and zones across multiple floors and facilities, ensuring consistent monitoring and control in complex environments.

AI-powered advanced analytics

To predict future wander events, identify wander triggers (e.g., noise, medication), determine high-risk residents, and apply smart door and elevator controls based on unique resident risk levels and other factors.

Need assistance in selecting the right features for your custom wander management system?

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Important Integrations for a Wander Management Solution

ScienceSoft recommends setting up the following integrations for a custom wander management system:

Integrations for a Wander Management Solution

  • Real-time location system (RTLS)—to track residents' precise location throughout the facility.
  • Access control system (ACS)—to lock the doors and elevators and receive alerts when residents are trying to exit secure areas without authorization.
  • Nurse call system (NCS)—to send real-time alerts when a resident is wandering.
  • Electronic health record (EHR) system—to automatically update the wander management system when a new resident is admitted (e.g., with resident ID, full name, date of birth, gender, medical history, wander risk status, care plan details); to sync wander incident history between the WMS and the EHR.
  • Staff scheduling system or HRMS—to assign alerts to staff based on who is available and who is physically the closest to the incident (requires the staff also to wear tags); to track how fast the staff respond to alerts, and how often they're handling them.

Key Steps of Custom Wander Management Software Development Process

To optimize costs and drive the patient wander management project to success, ScienceSoft's project teams usually take the following steps:

1.

Defining project scope

At this stage, healthcare software consultants interview the target users of the wander management software (e.g., nurses) and analyze the existing workflows and their drawbacks. Regulatory requirements (e.g., HIPAA) and external risks are also assessed.

Using this input, business analysts define a detailed and accurate list of functional and non-functional requirements. These requirements form the basis for solution design, development planning, and resource allocation, helping to avoid costly scope changes later in the project.

A clear project scope statement is created to outline objectives, deliverables, milestones, resource needs, and constraints. Tools such as feature lists, user journey maps, and traceability matrices support scope control and ensure alignment across teams and team members. Explicit scope exclusions and potential extensions are also defined to prevent misunderstandings and ensure flexibility.

ScienceSoft

ScienceSoft

2.

Technical design

During this stage, architects work closely with business analysts to review functional and non-functional requirements, including performance goals and compliance with regulations such as HIPAA and GDPR.

An appropriate architectural style—such as microservices, event-driven, or layered—is established, along with key design principles like modularity, loose coupling. The system is decomposed into core components, including user interfaces, server-side logic, databases, and external services. Interactions between these modules are defined, and deployment strategies are outlined for physical or cloud-based infrastructure.

Architects produce detailed diagrams illustrating component relationships, data flows, and a deployment model. In parallel, technical specifications are documented for each module, including APIs, integration standards, data formats, and communication protocols. The architecture is refined iteratively based on input from developers, QA engineers, and stakeholders, allowing for adjustments as project needs evolve or technical challenges arise.

To speed up development and reduce costs, consider using low-code tools such as Microsoft Power Platform. Power Apps can be used to build the admin interface and staff mobile apps, while Power Automate can manage alerts and workflows. Resident data and incident logs can be stored securely in Microsoft Dataverse (it is offered as part of Microsoft Cloud for Healthcare). For real-time tracking, you can connect BLE or RFID-based wander tags to Azure IoT Hub. Power BI can visualize historical movement patterns and incident logs. You can also add Azure AI services to analyze behavioral patterns and predict high-risk wandering events using historical IoT data. By building the WMS ecosystem using cloud tools by the same provider (in this case, Microsoft), you can also save on custom connectors and third-party APIs, as the different system modules will have native compatibility.

Healthcare IT Consultant, ScienceSoft

3.

UX and UI design

At this step, it's wise to prioritize usability and avoid creating visually heavy interfaces, which would complicate wander management and delay incident response. To ensure accessibility, the system is designed in compliance with the Web Content Accessibility Guidelines (WCAG) 2.2. and ISO 9241 principles, ensuring smooth workflows and clear, intuitive interactions. The user experience (UX) is enhanced through methods such as:

  • Personas to understand user needs.
  • User stories to define functional requirements.
  • Customer journey mapping to visualize end-to-end interactions.
  • Wireframes or clickable prototypes to test design concepts.
  • Card sorting to optimize information structure.

These methods collectively help ensure that the wander management system is not only functional but also easy to use for both staff and administrators.

ScienceSoft

ScienceSoft

4.

Development and quality assurance

ScienceSoft recommends following the Agile approach when developing a custom wander management system. This methodology will enable the delivery of a fully functional solution while preserving flexibility for early-stage testing and feedback. By involving key stakeholders during development, their insights can shape system components (like mobile staff applications, dashboards, alert logic, and threshold settings) without interrupting daily care routines. Early validation ensures that essential elements meet user needs before the system goes live.

It is advisable to perform functional, performance, usability, integration, and security testing simultaneously with development. This will help identify potential issues early and avoid expensive fixes later. In addition, consider testing the solution in a simulated environment to verify the functionality of physical components, including wearable devices. Fine-tune zoning configurations, and notification logic as needed.

ScienceSoft

ScienceSoft

5.

Deployment

At this step, the development team deploys the final solution at the facility, ensuring the proper functioning of alerts, location tracking, and access control. ScienceSoft experts recommend starting with a pilot deployment in one area (e.g., one floor) to test its real-world performance and gather extra feedback from the staff involved in the pilot.

ScienceSoft

ScienceSoft

6.

User training

At this stage, ScienceSoft's team provides clear documentation for system use and maintenance, as well as the training materials for current and future users. Hands-on training is given to facility staff, helping them learn how to respond to alerts, assign and replace tags, and handle basic troubleshooting. In-app tooltips within the system for everyday tasks are also handy.

ScienceSoft

ScienceSoft

7.

System stabilization and evolution

The development team closely monitors the live system for the first few months after the deployment to detect any performance issues and quickly resolve emerging problems reported by the staff (e.g., gaps in geofencing, frequent device disconnects, or false alarms).

After the system is stabilized, it still experiences regular updates to maintain security and compliance with changing regulations. The staff and executives can request adding new features (e.g., new types of analytics).

ScienceSoft

ScienceSoft

Wander Management Software Investments

The costs of developing a custom wander management system depend on the solution complexity and the number of integrations, as well as the chosen development approach.

A HIPAA-compliant custom wander management system with real-time location monitoring using wearable RFID bracelets, centralized access control with automatic door locking, and an admin app with staff alerts will cost from $250,000 to $600,000+.

Market-Available vs. Custom Wander Management Software

Below, ScienceSoft compares three popular market-available wander management applications and a custom wander management system. This comparison will help you evaluate the pros and cons of each solution and choose the right fit for your needs.

GuardRFID RTLS by HID

WanderGuard BLUE by Securitas Healthcare

ResidentGuard LS 2400 by Accutech Security

Custom system

Best for

Large hospitals, complex environments.

Mid-to-large-scale senior living communities.

Small to midsize memory care communities.

Senior living communities, memory care units, nursing homes, and hospitals of any size.

Wearable devices

RFID tags

BLE tags

RFID tags

RFID, BLE, or hybrid device types based on safety, range, and cost priorities.

Admin and staff interfaces

AllGuard desktop app, web app, and mobile app for iOS and Android.

Tablet-based manager app for door controller setup, bracelet management, and user profiles; Arial mobile app for wander alerts and resident movement management.

Windows-based Accutech Manager for tag management, touch-screen LCDs for real-time monitoring, and mobile/web access via integration with the R-care portal.

Mobile, web, and desktop apps depending on your needs.

Geofencing technology (virtual boundaries)

Multi-facility and multi-ward support

Provides multi-ward support but is designed for individual facilities only.

Can be designed to manage multiple units, floors, or buildings from a centralized platform.

Available integrations

Limited out-of-the-box integrations (e.g., Lenel OnGuard access control platform, Ascom Unite nurse call system, Qognify Ocularis video surveillance); other integrations may require custom middleware or third-party APIs.

Limited out-of-the-box integrations (e.g., Arial access control system, Arial nurse call system, Arial Reporting and Analytics); other integrations may require custom middleware or third-party APIs.

Limited out-of-the-box integrations (e.g., Mercury access control, iAlert nurse call, Crystal reports); other integrations may require custom middleware or third-party APIs.

Integrations with any required software of your choice, including third-party platforms and legacy systems.

Analytics and reporting

Standard and custom reports downloadable via a desktop app for staff (e.g., user activity audits, tagholder paths, restricted area access, alarm events, and system health diagnostics).

Customized reports and dashboards via Securitas Healthcare's Arial platform (e.g., response times, alert activity, device status, and community and region metrics).

Customizable reports (not explicitly specified) through the Crystal Reports software utility or other third-party integrations.

Any required reports and dashboards in an easy-to-perceive format, including real-time data feeds and floor maps.

AI capabilities

AI-powered analytics to predict wander events, identify triggers, assess resident risk, and automate smart controls; an AI-enabled recommendations engine.

Regulatory compliance (HIPAA, GDPR)

HIPAA

Not explicitly stated

Not explicitly stated

Full compliance with the required regulations (e.g., HIPAA, GDPR for PHI security; local building and fire codes, e.g., for WMS override mechanisms during evacuation, etc.)

Software evolution

Vendor-controlled

Vendor-controlled

Vendor-controlled

You define the system update schedule and scope based on your needs.

Why Choose ScienceSoft as Your Wander Management Software Development Partner

  • In healthcare IT since 2005.
  • In IoT software development since 2012.
  • Experience in achieving compliance with the requirements of HIPAA, and GDPR.
  • Principal architects with experience building complex and secure solutions for the healthcare industry.
  • In-house PMO with 60+ project managers holding PMP, PSM I, PSPO I, ICP-APM, and other certifications.

Our Clients Say

Malmö University turned to ScienceSoft for IT consulting on medical software development. ScienceSoft provided an excellent level of service.

Their team were engaging, knowledgeable, professional and communicated extremely well. When there were questions from us, they responded directly with the answer, or went out and researched the subject and came back quickly with their recommendations and guidance.

They are reliable, thorough, smart, available, extremely good communicators and very friendly. We would recommend hiring ScienceSoft to anyone looking for a highly productive and solution-driven team.

During the project flow we were very pleased by the work of ScienceSoft's business analysts and developers, who demonstrated high level of skills and competence. They made many significant contributions to our products both in terms of functionality and quality.