diff --git a/.idea/.gitignore b/.idea/.gitignore
new file mode 100644
index 0000000..e7e9d11
--- /dev/null
+++ b/.idea/.gitignore
@@ -0,0 +1,2 @@
+# Default ignored files
+/workspace.xml
diff --git a/.idea/inspectionProfiles/Project_Default.xml b/.idea/inspectionProfiles/Project_Default.xml
new file mode 100644
index 0000000..03d9549
--- /dev/null
+++ b/.idea/inspectionProfiles/Project_Default.xml
@@ -0,0 +1,6 @@
+<component name="InspectionProjectProfileManager">
+  <profile version="1.0">
+    <option name="myName" value="Project Default" />
+    <inspection_tool class="Eslint" enabled="true" level="WARNING" enabled_by_default="true" />
+  </profile>
+</component>
\ No newline at end of file
diff --git a/.idea/misc.xml b/.idea/misc.xml
new file mode 100644
index 0000000..24eb271
--- /dev/null
+++ b/.idea/misc.xml
@@ -0,0 +1,6 @@
+<?xml version="1.0" encoding="UTF-8"?>
+<project version="4">
+  <component name="JavaScriptSettings">
+    <option name="languageLevel" value="JSX" />
+  </component>
+</project>
\ No newline at end of file
diff --git a/.idea/modules.xml b/.idea/modules.xml
new file mode 100644
index 0000000..cc02f0c
--- /dev/null
+++ b/.idea/modules.xml
@@ -0,0 +1,8 @@
+<?xml version="1.0" encoding="UTF-8"?>
+<project version="4">
+  <component name="ProjectModuleManager">
+    <modules>
+      <module fileurl="file://$PROJECT_DIR$/.idea/esm-ugandaemr-bed-management-app.iml" filepath="$PROJECT_DIR$/.idea/esm-ugandaemr-bed-management-app.iml" />
+    </modules>
+  </component>
+</project>
\ No newline at end of file
diff --git a/.idea/vcs.xml b/.idea/vcs.xml
new file mode 100644
index 0000000..94a25f7
--- /dev/null
+++ b/.idea/vcs.xml
@@ -0,0 +1,6 @@
+<?xml version="1.0" encoding="UTF-8"?>
+<project version="4">
+  <component name="VcsDirectoryMappings">
+    <mapping directory="$PROJECT_DIR$" vcs="Git" />
+  </component>
+</project>
\ No newline at end of file
diff --git a/src/bed-manangement-menu-app-item/bed-management-menu-app-item.scss b/src/bed-manangement-menu-app-item/bed-management-menu-app-item.scss
new file mode 100644
index 0000000..fac25d2
--- /dev/null
+++ b/src/bed-manangement-menu-app-item/bed-management-menu-app-item.scss
@@ -0,0 +1,14 @@
+.customTile {
+    background-color: #f0f0f0;
+    border-radius: 4px;
+    padding: 20px;
+    width: 50px;
+    height: 100px;
+    text-align: center;
+    margin: 2px;
+}
+
+.customTileTitle {
+    font-size: 14px;
+    color: #333;
+}
\ No newline at end of file
diff --git a/src/bed-manangement-menu-app-item/bed-manangement-menu-app-item.component.tsx b/src/bed-manangement-menu-app-item/bed-manangement-menu-app-item.component.tsx
new file mode 100644
index 0000000..827263d
--- /dev/null
+++ b/src/bed-manangement-menu-app-item/bed-manangement-menu-app-item.component.tsx
@@ -0,0 +1,17 @@
+import { ClickableTile } from '@carbon/react';
+import React from 'react';
+import styles from './bed-management-menu-app-item.scss';
+import { HospitalBed } from '@carbon/react/icons';
+
+const Item = () => {
+  // items
+  const openmrsSpaBase = window['getOpenmrsSpaBase']();
+
+  return (
+    <ClickableTile className={styles.customTile} id="menu-item" href={`${openmrsSpaBase}bed-management`}>
+      <div className="customTileTitle">{<HospitalBed size={24} />}</div>
+      <div>Bed Management</div>
+    </ClickableTile>
+  );
+};
+export default Item;
diff --git a/src/index.ts b/src/index.ts
index 631093e..ada697e 100644
--- a/src/index.ts
+++ b/src/index.ts
@@ -6,6 +6,7 @@ import {
 import { configSchema } from "./config-schema";
 import { createLeftPanelLink } from "./left-panel-link.component";
 import { createDashboardLink } from "./bed-admission/createDashboardLink";
+import bedManagementAppMenu from "./bed-manangement-menu-app-item/bed-manangement-menu-app-item.component";
 
 const moduleName = "@ugandaemr/esm-bed-management-app";
 
@@ -21,6 +22,8 @@ export const importTranslation = require.context(
   "lazy"
 );
 
+export const bedManagementAppMenuItem = getSyncLifecycle(bedManagementAppMenu, options);
+
 export function startupApp() {
   defineConfigSchema(moduleName, configSchema);
 }
diff --git a/src/routes.json b/src/routes.json
index cd138d4..c72f075 100644
--- a/src/routes.json
+++ b/src/routes.json
@@ -1,56 +1,61 @@
 {
-  "$schema": "https://json.openmrs.org/routes.schema.json",
-  "backendDependencies": {
-    "fhir2": "^1.2.0",
-    "webservices.rest": "^2.24.0"
-  },
-  "pages": [
-    {
-      "component": "root",
-      "route": "bed-management"
-    }
-  ],
-  "extensions": [
-    {
-      "component": "adminCardLink",
-      "name": "bed-management-admin-card-link",
-      "slot": "system-admin-page-card-link-slot"
+    "$schema": "https://json.openmrs.org/routes.schema.json",
+    "backendDependencies": {
+        "fhir2": "^1.2.0",
+        "webservices.rest": "^2.24.0"
     },
-    {
-      "component": "adminLeftPanelLink",
-      "name": "bed-administration-left-panel-link",
-      "slot": "bed-management-left-panel-slot"
-    },
-    {
-      "component": "bedTypeLeftPanelLink",
-      "name": "bed-type-left-panel-link",
-      "slot": "bed-management-left-panel-slot"
-    },
-    {
-      "component": "bedTagLeftPanelLink",
-      "name": "bed-tag-left-panel-link",
-      "slot": "bed-management-left-panel-slot"
-    },
-    {
-      "component": "summaryLeftPanelLink",
-      "name": "bed-management-home-dashboard-link",
-      "slot": "bed-management-left-panel-slot",
-      "order": 0
-    },
-    {
-      "component": "bedAdmission",
-      "name": "bed-admission-dashboard",
-      "slot": "bed-admission-dashboard-slot"
-    },
-    {
-      "name": "bed-admission-dashboard-link",
-      "component": "bedAdmissionDashboardLink",
-      "slot": "homepage-dashboard-slot",
-      "meta": {
-        "name": "bed-admission",
-        "slot": "bed-admission-dashboard-slot",
-        "title": "Bed-admission"
-      }
-    }
-  ]
+    "pages": [{
+        "component": "root",
+        "route": "bed-management"
+    }],
+    "extensions": [{
+            "component": "adminCardLink",
+            "name": "bed-management-admin-card-link",
+            "slot": "system-admin-page-card-link-slot"
+        },
+        {
+            "component": "adminLeftPanelLink",
+            "name": "bed-administration-left-panel-link",
+            "slot": "bed-management-left-panel-slot"
+        },
+        {
+            "component": "bedTypeLeftPanelLink",
+            "name": "bed-type-left-panel-link",
+            "slot": "bed-management-left-panel-slot"
+        },
+        {
+            "component": "bedTagLeftPanelLink",
+            "name": "bed-tag-left-panel-link",
+            "slot": "bed-management-left-panel-slot"
+        },
+        {
+            "component": "summaryLeftPanelLink",
+            "name": "bed-management-home-dashboard-link",
+            "slot": "bed-management-left-panel-slot",
+            "order": 0
+        },
+        {
+            "component": "bedAdmission",
+            "name": "bed-admission-dashboard",
+            "slot": "bed-admission-dashboard-slot"
+        },
+        {
+            "name": "bed-admission-dashboard-link",
+            "component": "bedAdmissionDashboardLink",
+            "slot": "homepage-dashboard-slot",
+            "meta": {
+                "name": "bed-admission",
+                "slot": "bed-admission-dashboard-slot",
+                "title": "Bed-admission"
+            }
+        },
+        {
+            "name": "bed-management-app-menu-item",
+            "component": "bedManagementAppMenuItem",
+            "slot": "app-menu-item-slot",
+            "meta": {
+                "name": "Bed Management"
+            }
+        }
+    ]
 }
\ No newline at end of file