Today's schedule

12 caregivers · 47 patients · 7 unstaffed
EVV synced · 2 min ago
→ Today · Wed Jun 10

Today's caregiver schedule

Routing engine respects certification match, hours-of-service, patient time-windows, and minimizes drive time. Open slots auto-fill with the best-fit caregiver in under 2 seconds.

Visits today
47
+3 vs yesterday
Drive time total
4h 22m
-38m optimized
Open · unstaffed
7
Assign by 9am
EVV compliance
98.4%
+0.8% MoM
Caregiver
Today's visits · 7am → 7pm · drive-time-optimized
MA
Maria Alvarez
PCA · Spanish
5 visits · 4.5h · 14mi
7:30a · 60m8mi
Eleanor R.
412 W Oak St
Personal care · vitals
9:15a · 90m→ 3mi
Harold S.
218 Loma Vista
Medication mgmt
11:30a · 60m→ 2mi
Beatrice K.
907 Mulberry Ln
Bathing assist
1:30p · 45m→ 6mi
Frank D.
3204 Cedar Pk
Late-start risk · traffic
3:00p · 90m→ 4mi
Margaret W.
521 Elm Ct
Meal prep · companion
JT
Jennifer Thompson
RN · Wound care
5 visits · 3.5h · 18mi
8:00a · 45m11mi
Robert L.
1448 Bandera Rd
Wound · post-op
9:30a · 30m→ 2mi
Doris M.
2107 Vance Jackson
Vitals · INR check
11:00a · 60m→ 1mi
Patricia G.
919 W Magnolia
Wound · diabetic
1:00p · 60m→ 3mi
William F.
3015 Olmos Dr
Cath care
+ Open · 3:00p
RN required
DR
Daniel Reyes
HHA · TB cert
4 visits · 4.0h · 12mi
7:00a · 90m5mi
Catherine B.
704 Castle Ridge
Bathing · ambulation
9:30a · 60m→ 2mi
Joseph H.
1206 Loma Linda
Personal care
11:30a · 60m→ 3mi
Linda O.
2818 N New Braunfels
Bathing assist
+ Open · 1:30p
PCA or HHA
3:30p · 60m→ 4mi
Nancy P.
645 W Ashby
Light housekeeping
SK
Sophia Kim
PT · Mobility
4 visits · 4.0h · 16mi
8:30a · 60m7mi
Charles N.
2330 W Woodlawn
Post-stroke gait
10:30a · 60m→ 4mi
Helen T.
1502 W Summit
Balance · falls prev
1:00p · 60m→ 3mi
George V.
410 Donaldson Ave
Knee rehab post-op
3:30p · 60m→ 2mi
Lillian Z.
1235 N Flores
Strength · arthritis
CW
Carlos Whitfield
PCA · Bilingual
3 visits · 3.0h · 9mi
7:30a · 45m4mi
Theresa I.
812 Hammond Ave
Companion · meds
9:00a · 60m→ 2mi
Edward C.
307 W Lullwood
Refused last 2 · RN review
11:00a · 90m→ 3mi
Florence Y.
2206 Pasadena Pl
Personal care
+ Open · 2:00p
Bilingual pref
+ Open · 4:00p
PCA
LM
Lakshmi Menon
OT · Adaptive
3 visits · 3.0h · 11mi
9:00a · 60m6mi
Albert J.
1418 W Mistletoe
ADL · hand therapy
11:00a · 60m→ 2mi
Vivian Q.
2622 N St Mary's
Kitchen adapt eval
+ Open · 1:30p
OT required
3:30p · 60m→ 3mi
Henry X.
521 W Lynwood
Bath safety eval
→ San Antonio · Bexar County · live
Today's caregiver routes
Optimized · saves 38 min vs naive
SAN ANTONIO RIVER I-410 LOOP Downtown Eleanor R · ✓ Harold S · ● Beatrice K · 11:30a Margaret W · 3p Robert L · ✓ Doris M · ✓ Patricia G · ● live William F · 1p + open 3p Catherine B · ✓ Joseph H · ● Linda O · 11:30a + open 1:30p Nancy P · 3:30p N ▲ 5 mi ━━━
Maria Alvarez5 · 14mi · 4h22m
Jennifer Thompson4+1 · 18mi · 3h30m
Daniel Reyes4+1 · 12mi · 4h00m
Sophia Kim4 · 16mi · 4h00m
Carlos Whitfield3+2 · 9mi · 3h00m
Lakshmi Menon3+1 · 11mi · 3h00m
Engine notes: Route optimizer ran 4.2 sec. Considered 12 caregivers × 47 visits = 564 assignment combinations. Constraints respected: certification match (RN-required visits to RNs only), language preference (Eleanor R / Florence Y → Spanish-speakers), patient time-windows, caregiver hours-of-service caps. Net saving vs naive sequential: 38 minutes drive time / day = ~3.2 extra billable hours / week across the team.
→ Federal mandate · 21st Century Cures Act

EVV check-in flow

The Electronic Visit Verification screen the caregiver sees on the phone at the patient's location. GPS-locked + task completion + biometric confirm. Auto-syncs to state EVV aggregator.

9:14 ● ● ● ● ●
Visit · Eleanor Rodriguez
412 W Oak St · scheduled 9:00–10:00 AM
Status● Checked in 9:04 AM
GPS412 W Oak St · 4m accuracy
BiometricVerified · Face ID
Care plan · 5 tasks
Personal care · bathing assist
Medication reminder · 9:30 AM
Vitals · BP 132/78 logged
Light housekeeping · kitchen
Observation note (optional)
Check out · 56 min elapsed

Why every state inspector loves this view

EVV failures are how agencies lose Medicaid certification. The phone screen above produces a verified audit record per visit: who was there, when they arrived, when they left, what tasks were performed, GPS-locked location. Auto-syncs to your state's EVV aggregator (Sandata, HHAeXchange, Tellus, or state-specific) in the format they require. No double entry.

Today's verified visits · live log
9:04 AM
Maria Alvarez
→ Eleanor Rodriguez · 60m visit
In progressGPS ✓
8:34 AM
Daniel Reyes
→ Catherine Bell · 90m completed
VerifiedSynced
8:11 AM
Jennifer Thompson
→ Robert Lin · 45m wound care
VerifiedSynced
8:02 AM
Sophia Kim
→ Charles Nguyen · 60m PT
VerifiedSynced
7:42 AM
Carlos Whitfield
→ Theresa Iverson · 45m
Edit pendingGPS off-site
7:34 AM
Maria Alvarez
→ Eleanor Rodriguez · cancelled
Patient refusedReason logged
→ Per-patient care plans

Care plans

One source of truth per patient. Care plan tasks, visit history with observations, family contact, RN supervisory notes. Updates from any caregiver, RN, or physician order propagate immediately.

47 active patients
Eleanor Rodriguez
82 · Medicaid waiver · 5 visits/wk
Harold Steinberg
79 · Skilled · post-CHF
Robert Lin
71 · Skilled · post-surgical
Beatrice Klein
88 · Non-medical · private pay
Margaret Wong
76 · Companion · Medicaid
Charles Nguyen
68 · PT · post-stroke
Catherine Bell
85 · Bathing + ambulation
Patricia Garcia
73 · Diabetic wound care
Eleanor Rodriguez
82 yo · Female · 412 W Oak St · Medicaid waiver #M-4421
Active Spanish-pref DNR on file

Care plan · 5 visits/week · approved by RN Thompson 2026-05-22

Personal care · bathing assist 5x/wk
Medication reminder · BP meds, anticoag 5x/wk · 9:30 AM
Vitals capture · BP, pulse, weight Mon/Wed/Fri 3x/wk
Light housekeeping · kitchen, bathroom 5x/wk
Companionship + meal prep · lunch 3x/wk

Recent visits

Jun 10 · todayMaria AlvarezIn progress · checked in 9:04Live
Jun 9 · MonMaria AlvarezBP 128/76 · all tasks completeDone
Jun 7 · SatCarlos WhitfieldLight housekeeping. Family present.Done
Jun 6 · FriMaria AlvarezBP 134/82. Mentioned dizziness AM — RN flagged.Flag
Jun 5 · ThuMaria AlvarezAll tasks complete. Patient cheerful.Done

Family contact

DAUGHTER · PRIMARY
Sofia Rodriguez-Hill
(210) 555-0184 · daily summary opt-in
SON · EMERGENCY ONLY
Miguel Rodriguez
(512) 555-2207 · escalation #2
→ Family communication

Family view + secure messaging

What family members see on their phone. Sanitized post-visit summary, HIPAA-compliant message thread. Configurable per patient: opt-in cadence, what details to share, who gets which alerts.

Sofia's view · daughter of Eleanor R.

Daily post-visit summary, delivered to her phone within 15 min of the caregiver checking out.

Today's visit · Eleanor
Maria Alvarez · PCA
9:04 AM → 10:00 AM
Mood
Cheerful. Asked about the grandkids.
Tasks
Bathing assist · medication reminder · BP check · housekeeping
Vitals
BP 132/78 · pulse 74 · within range
Meds
Took morning BP + anticoag with breakfast
Note
Mentioned she'd like to call you later today.
Visit verified

Message thread · Sofia ↔ Agency

HIPAA-compliant. Caregivers, RN supervisor, and family on one thread per patient.

Hi — saw the note about the dizziness on Friday. Should we be worried? Has she had it before?Sofia · Fri 8:42 PM
Hi Sofia. RN Thompson reviewed Friday's visit. She'd like to do a vitals + medication review Monday morning. Not concerning yet, but worth tracking. We'll watch BP closely this week.Jennifer T. (RN) · Fri 9:14 PM
Thank you. Please let me know what Monday turns up.Sofia · Fri 9:17 PM
Monday update: BP 128/76, no dizziness reported. Maria says mom was sharp + cheerful. We'll keep monitoring.Jennifer T. (RN) · Mon 11:30 AM
That's a relief. Thanks for keeping me posted.Sofia · Mon 12:08 PM
Today's summary just went out. BP 132/78, all tasks complete. She mentioned wanting to call you later.System · today 10:04 AM
→ Caregiver compliance · auto-blocking

License + cert + background tracker

Every caregiver's CPR, TB, background check, state license, and required training tracked. Auto-alerts before expiry. Schedule blocks any caregiver with a lapsed credential before they can be assigned a visit.

Active caregivers
12
Full compliance
10
83%
Expiring < 30 days
2
Email sent
Lapsed · blocked
0
Last lapse 2 mo ago
Caregiver · role
State license
CPR / FA
TB test
BG check
HHA training
Status
Maria AlvarezPCA · Spanish
2027-08-14
2027-03-02
2026-11-08
2027-01-15
2027-06-12
Full compliance
Jennifer ThompsonRN · Wound
2028-02-04
2026-12-19
2027-02-10
2028-04-22
N/A · RN
Full compliance
Daniel ReyesHHA · TB-21
2027-04-30
2026-07-08
2027-05-15
2027-02-28
2027-08-04
CPR < 30d
Sophia KimPT · Mobility
2028-01-19
2027-09-30
2027-01-08
2028-03-12
N/A · PT
Full compliance
Carlos WhitfieldPCA · Bilingual
2026-10-22
2027-05-14
2026-07-02
2027-09-18
2027-04-30
TB < 30d
Lakshmi MenonOT · Adaptive
2027-12-08
2027-06-20
2026-11-30
2028-05-05
N/A · OT
Full compliance
Aisha PatelHHA · Bilingual
2027-11-04
2027-09-08
2027-02-22
2027-12-30
2027-07-15
Full compliance
Robert ChenRN · Geriatric
2028-03-30
2027-10-12
2027-04-08
2028-06-22
N/A · RN
Full compliance
→ Medicare + Medicaid + Private pay

Visit-to-billing batch

Verified EVV visits become billable units. State-specific claim formats. Denial tracking with reason codes. Private-pay invoices auto-generated with hour breakdowns. No double entry.

Verified visits
427
+8% MoM
Billable hours
624
Jun 1 → 10
Pending revenue
$48.3k
4 batches ready
Denials this month
3
All EVV-fixable
Batch summary · ready to submit
Medicaid waiver (state EVV)$22,840
Medicare home health (CMS-1500)$14,210
Private pay invoices$8,475
LTC insurance claims$2,790
Total · 4 batches$48,315
→ Denial detail · 3 open
Eleanor R. · 5/27 visit
Code 16 · EVV time mismatch · GPS drift 8min
Robert L. · 5/30 wound care
Code 197 · prior auth missing · 60-day recert
Margaret W. · 6/2 visit
Code 96 · task documentation incomplete
Recent claim activity
Jun 9
Medicaid waiver · batch 142
38 visits · 7 patients
$4,310Paid
Jun 8
Medicare HH · CMS-1500
4 patients · 60-day episode
$8,920Submitted
Jun 7
Private invoice #1438
Beatrice Klein · 47 hrs
$1,645Paid
Jun 6
Medicaid waiver · batch 141
42 visits · 9 patients
$5,180Paid
Jun 5
LTC insurance · Met
Harold S. · 84 hrs
$2,940Pending
Jun 3
Private invoice #1437
Margaret W. · 28 hrs
$980Paid
Jun 1
Medicare HH · CMS-1500
Robert L. · post-op episode
$5,290Denied · fixed
→ New patient pipeline · referrals → admission

Intake

Hospital discharge planners, physicians, and family referrals enter the pipeline. The cockpit tracks every referral through pre-screen, intake visit, and admission. The agency's growth engine — usually run in a spreadsheet or a string of voicemails.

New referrals · 7d
23
+8 vs prior week
In pipeline
17
5 today, 7 this week
Conversion rate
78%
+6% MoM
Avg days to admit
4.2
target ≤5d
New referrals5
2h
Robert Hammond
78 · post-op hip · skilled HH
Methodist Hosp
Medicare HH · F2F pending
5h
Donna Patel
71 · diabetic wound care
Dr. Garcia
Medicare HH · order signed
today
George Yamamoto
84 · companion + bath assist
Family · self-refer
Private pay · $32/hr
today
Maria Sanchez
69 · CHF · medication mgmt
Baptist Disch
Medicaid waiver · STAR+PLUS
today
William Foster
73 · post-stroke PT
Dr. Mendez
Medicare HH
Pre-screening4
1d
Anita Brooks
67 · oncology · palliative
Methodist Onc
Medicare HH · auth pending
1d
Charles Lim
81 · falls risk · safety eval
Dr. Carter
Medicare HH
2d
Dorothy Vance
74 · bath assist · meal prep
Family
LTC insurance · 84 hrs
2d
Stephen Kowalski
88 · post-op knee · PT
San Antonio Reg
Medicare HH
Intake visit scheduled4
tmrw
Janet Olsson
76 · CHF + COPD
Methodist Hosp
Visit · RN Thompson · 10am
tmrw
Lawrence Brooks
82 · wound · stage 3
Dr. Wong
Visit · RN Chen · 2pm
Fri
Margaret Brennan
77 · diabetes mgmt
Baptist
Visit · RN Thompson · Fri 11am
Fri
Edward Chen
85 · companion + meds
Self
Visit · PCA lead · Fri 3pm
Admission ready3
today
Lillian Hayes
79 · PCA · 5x/wk
Methodist
OASIS done · care plan ready
today
Albert Greer
71 · wound care · 3x/wk
Dr. Garcia
First visit tomorrow 9am
today
Frances Polanski
83 · PT + bath assist
San Antonio Reg
First visit tomorrow 11am
Active · admitted 7d11
Recent admissions flow into the patient roster. View in Care plans →
Mon
Helen Tao
Active · PCA · 5x/wk
Mon
Lucia Esparza
Active · companion
Sun
Beatrice Okonkwo
Active · post-op vitals
+ 8 more →

Top referral sources · 30d

Methodist Hospital
Discharge planner: Lisa Park
14
Dr. Maria Garcia · primary care
Westover Hills office
9
Baptist Health · discharge
DC planner: Maria Lopez
7
Family / self-referral
Direct call + website form
6
Dr. Carter · cardiology
North Central
4

Needs your attention

Robert Hammond · F2F encounter pending
Medicare HH cannot start without it. Day 2 of 30.
Anita Brooks · auth pending Methodist Onc
Day 3 · contact Lisa Park to expedite
Donna Patel · ready to schedule intake visit
Orders signed yesterday · RN slot Friday
George Yamamoto · private-pay quote sent
Awaiting family response · sent 9:15 AM
→ The caregiver's phone view

Caregiver app

The 80% of the cockpit that lives on the caregiver's phone. Today's visits, in-app messaging with the office, time-off requests, pay stubs, license expiry alerts. Caregiver retention is the #1 problem in home health and software that respects their day is the cheapest fix.

7:42 AM ● ● ● ● ●
Hey Maria 👋
5 visits today · 4.5 hrs · 14 mi
Up next · in 18 min
9:15a · 90mDrive now
Harold Steinberg
218 Loma Vista · 3.2mi · 9 min drive
Earlier today
7:30a · 60m✓ Done
Eleanor Rodriguez
412 W Oak St · all 5 tasks complete
Rest of the day
11:30a · 60m
Beatrice Klein
907 Mulberry Ln · 2.1mi from Harold
1:30p · 45m
Frank Daley
3204 Cedar Park · ⚠ traffic risk
3:00p · 90m
Margaret Wong
521 Elm Ct · last visit of day

Why the caregiver experience matters

Home health turnover runs 60% annually. Every replacement costs ~$2,500 in recruiting + training. Software that respects the caregiver's day is the cheapest retention lever available — cheaper than raises. The features below are the ones caregivers tell us actually move the needle.

Built into the caregiver app

Today's schedule with drive guidance
Visits in time order. Tap the next visit → opens Apple/Google Maps with one tap. No copy-pasting addresses.
One-tap EVV check-in
GPS auto-verified at the patient's location. No separate state EVV app to fight with.
In-app messaging
Direct line to RN supervisor and office scheduling. Caregivers' real questions get real answers without playing phone tag.
$
Live pay tracking
Hours-this-week and estimated pay update after every visit. The #1 retention question: "did I get paid for my hours?" — answered before they ask.
My licenses + expiry alerts
Caregiver sees their own certifications and gets push reminders 60 / 30 / 7 days before expiry. Office stops chasing.
Time-off requests + shift swap
Request PTO, see open shifts you can pick up, swap with another caregiver — all without calling the office.

Engine note · cross-vertical

This same caregiver-on-the-phone pattern powers the HVAC tech app, plumbing tech app, pool tech app, pet sitter app, landscape crew app — every field service vertical in the catalog. Different industry vocabulary, same architecture: schedule + GPS verify + message + pay + license expiry. Build it once, ship it to 10+ products.

→ CMS Star Rating · HHCAHPS · ACH rate · OASIS outcomes

Quality + outcomes

CMS Star Rating drives Medicare Advantage referrals. HHCAHPS satisfaction shows up on Care Compare. ACH (Acute Care Hospitalization) is the #1 outcome that referral sources track. This is the dashboard the agency owner watches when not putting out today's fires.

CMS Star Rating · Quality of Patient Care

4.5
Texas state average: 3.5 · National: 3.0
+0.5 stars over 12 mo

HHCAHPS · Patient Satisfaction

89%
"Would definitely recommend" — top-box score · last 4 quarters
+4 pts vs FY24

ACH · Acute Care Hospitalization rate

12.4%
Hospitalization within 60 days of admission. National benchmark: 15.5%
-2.1 pts YoY · below national avg

Improvement in ambulation

71%
OASIS M1860 outcome · % patients showing improvement
+6 pts vs national avg

Patient experience breakdown · HHCAHPS

Care of patients · how well caregivers treat me
94%
Communication · staff kept me informed
88%
Medications · provider discussed side effects
84%
Pain · provider treated pain
91%
Would recommend · overall
89%
Discharge info · what to do for problems
76%

ACH rate · 12-month trend

Nat'l 15.5% JulSepNovJanMay 12.4%
Down from 14.6% a year ago. The RN supervisory visit cadence change in Q1 is showing in the numbers.

Patients at high ACH risk · 3 flagged this week

Edward Cooke · 67 · CHF + diabetes
Refused last 2 visits · BP trending up · medication compliance flagged by Carlos W. on Mon
Doris Mitchell · 84 · post-fall
INR out of range Friday · second fall reported by family · OT consult overdue
Harold Steinberg · 79 · post-CHF
Weight up 4 lbs in 3 days · diuretic compliance unclear · RN flagged Wed
→ Heisenbug · Home Health Care cockpit · interactive demo
Back to product page →
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