What this card shows
The Share of cycles involving multiple locations card takes all the treatment cycles that started in a given month and shows what share of them involved more than one of your clinic locations, based on where the patient's appointments were booked.
It is a stacked bar chart rather than a trend line. Each bar is the whole of that month's cycles, split into three parts:
1 location: the patient's appointments were all booked at a single site.
2 locations: appointments spanned two sites.
3 or more locations: appointments spanned three or more.
Each location you have set up in wawa counts as its own site. If you keep several locations at one address, for example one per consultant or one per visiting practice, a patient seen by two of them counts as two locations.
For a group running several sites, this is the card that answers how often a patient's care crosses between them. If you operate from a single location, every bar will be one solid full-height block. That is the correct reading, not a fault with the card.
Reading the card
Every bar is 100% of that month's cycles, so bar height carries no information. A bar is never taller or shorter than any other. What changes is the proportions inside it, so read the size of each colored band, not the bar.
How a cycle's location count is worked out. The card counts the distinct locations the patient had appointments at over an approximate window around the cycle: from roughly a month before the cycle starts to about three months after it ends, or a year after the start where no end date was recorded. It is a generous window by design, so that appointments either side of the cycle proper still count. It is an approximation rather than an exact rule, and a patient with unrelated appointments at another site inside that window will be counted as multi-location.
Cycles with no appointments recorded in that window are left out entirely. The card describes only cycles where at least one appointment was captured in the calendar, so the total behind each bar can be smaller than your true cycle count for that month.
Treat the most recent bar with care. A month still in progress has far fewer cycles behind it, and with a small number of cycles the proportions move a long way on very little. In the example above the final month shows no "3 or more" band at all and a much larger two-location share than the months before it. That is far more likely to be a thin, partly complete month than a real change in how care is spread across sites. Wait until the month closes before reading anything into it.
Hover any band to see the exact percentage.
The card lives on the Medical director dashboard, on the Group efficiency tab, and responds to the filters at the top:
Date: change the time window. It scopes by cycle start date, and defaults to the past 6 months plus the current month.
Clinic: narrow to cycles recorded against one or more of your locations. This filter chooses which cycles appear; it does not change how many locations each of them counts as. A cycle carries a single location of its own, so it can only ever say where the cycle belongs, never how many sites the patient visited. That count has to come from the appointments. So selecting one clinic here gives you the cycles that belong to that clinic, and then shows how often those patients were also seen elsewhere.
Age at cycle start and BMI: narrow to a patient group.
Where this data comes from
The whole of this card comes from your appointments, and specifically from the location each appointment was booked at. A cycle's own recorded location is not what drives it.
Appointments are created from Calendar with New Booking. The location comes from the calendar you are booking into, alongside the patient, appointment type, rooms and people. Booking each appointment against the site the patient is actually attending is what makes this card meaningful.
This also sets the limit of what the card can tell you. The signal depends entirely on appointments carrying a location. If visits are recorded outside the calendar, or booked without a location set, that care is invisible here and the multi-location share reads lower than it really is. Read the figure as a floor rather than an exact number: care spans at least this many sites this often, and possibly more.
Opening this card
In the product, open Insights from the sidebar, then Standard Reports, then the Medical director collection. The card is on the Group efficiency tab of the dashboard there.