Hospice agencies lack a sustainable on-call staffing model for after-hours coverage, leading to nurse burnout and turnover.

Current scheduling approaches either split shifts into unsustainable blocks or expect nurses to work 15-hour shifts with no sleep, causing burnout. There is no software that helps agencies predict call volume, fairly distribute overnight work, or enable safe, sustainable shift design.

Severity

4High

Willingness to Pay

implied

Added

Jul 17, 2026

Workarounds Described

Piloting a 7 on/7 off 15-hour night shift expecting nurses to sleep between calls
Splitting after-hours into evening and night shifts with handoffs but still overloaded

Implied Software Gaps

Scheduling tool that enforces fatigue-mitigation rules and prevents continuous 15-hour shifts
Call-load predictor for overnight hospice triage to right-size staffing levels

App Concept

NightShift Balance Scheduler

An intelligent scheduling platform for hospice and home health agencies that uses historical call data to build equitable, sleep-safe on-call shifts. It prevents burnout by capping consecutive hours, distributing overnight burden fairly, and alerting managers when workloads exceed safe limits.

Key Features

AI-powered call volume forecasting optimized for after-hours hospice operations
Rule-based shift auto-generation balancing patient needs with nurse fatigue limits
Real-time workload monitoring with proactive alerts for unsafe call density
Mobile shift-swapping and preference submission with fatigue risk scoring

Target Users: Clinical managers and on-call nurses at mid-to-large hospice and home health agencies

Revenue Model: $149/mo per 10 scheduled nurses SaaS subscription, with volume tiers for larger agencies

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