Crisphive

Built for home healthcare agencies

Deterministic scheduling for home healthcare, embedded in the software your clinicians already use.

Crisphive sits behind your existing EVV platform, agency management system, or AI assistant. When a nurse calls in sick at 6:30 or a hospital discharge lands mid-shift, it re-cascades wound care, infusion visits and personal-care shifts across credentialed, nearby clinicians in under 3 seconds — without missing an authorized visit window, and without anyone learning a new tool.

Try the sandbox
cascade re-schedule on a call-in
< 3 s
MCP tools for Claude & ChatGPT
43
new screens for dispatchers
0

Every job inside its window

The day Crisphive protects

  • Home health visit bag and a tablet on the passenger seat of a compact car parked in front of a bungalow, front path leading to the door

    The route

    6–10 visits a day per clinician across a county. One absent nurse is a day of missed care — and missed authorized units.

  • Wound-care supplies laid out on a kitchen table — gauze, saline, gloves — beside a blood-pressure cuff and a tablet showing a visit timer

    The visit window

    Payer authorizations, medication times and EVV check-ins define when a visit counts. Outside the window it isn't billable.

  • Care plan binder open on a living-room side table next to a pill organizer and reading glasses, afternoon light through the curtains

    The credential

    RN vs LPN vs aide, plus continuity-of-care and patient preference. The solver treats scope of practice as a hard constraint, not a note.

The problem is statistical, not occasional· Nearest published benchmark shown as a proxy

Every week, roughly 1 in 30 of your field crew won't show up as scheduled.

Closest published benchmark for field staff: 3.2% of U.S. full-time workers miss part of any given week and 1.7% of scheduled hours are lost — illness and injury, not vacations. Clinical field roles carry the same exposure plus the risk of exposure-related absence.

3.2%
of U.S. full-time workers absent in any given week (2025), up from 3.1% in 2023
BLS, CPS Table 47
4+ days
lost per full-time employee per year — 1.7% of scheduled hours, before vacation and holidays
BLS, CPS Table 47
US$3,600
cost of unscheduled absence per hourly worker per year — about US$36K for a 10-tech crew
Circadian
US$150–300
direct disruption from a single field-tech no-show, before any missed-appointment revenue
U.S. field-ops stat sheet

Weekly absence by field segment

% of full-time workers who worked under 35 h in the reference week for illness, injury or personal reasons · all-worker benchmark 3.2%

  1. Installation, maintenance & repair3.2%
  2. Last-mile delivery & transport3.4%
  3. Facilities / grounds maintenance3.4%
  4. Production / plant3.4%
  5. Skilled trades / construction2.7%
  6. Construction industry overall2.3%

U.S. Bureau of Labor Statistics, Current Population Survey Table 47, 2025 annual averages (11-month average, excluding Oct 2025). Construction reads low partly because unpaid hourly absences go unrecorded.

Planning rule of thumb

1 absent tech per 30, every week

At a 2.7–3.4% weekly absence rate and 1.5–1.9% of hours lost, plan for about one absent technician per 30 in any week and 4–5 lost days per technician per year. The CDC puts absenteeism-linked productivity losses at US$225.8B a year — US$1,685 per employee.

In a home health agency each no-show is a manual re-plan: schedulers phone around, credentials get guessed, an infusion slips outside its window, authorized units go unbilled, and the patient's family finds out last. That's the work Crisphive removes — inside the tools you already run.

Sources: BLS CPS Table 47 (2025 annual averages); CDC Foundation, "Worker Illness and Injury Costs U.S. Employers $225.8 Billion Annually"; Circadian, "Absenteeism: The Bottom-Line Killer"; Integrated Benefits Institute ($530B total illness-related lost productivity).

Three ways in — Copier le lien vers cette sectionLien copié

Pick the surface. The same deterministic solver answers behind all three.

Call the solver from your own backend.

Your dispatch system already owns jobs, techs and contracts. Send Crisphive the delta — "tech 04 is out" or "new urgent stop" — and get back a complete, SLA-valid plan to write wherever you keep schedules. Idempotent, deterministic, versioned.

  • Event in, plan out. One call returns reassignments, new start times and a plain-language reason per move.
  • Webhooks for drift. Traffic, overruns and no-shows trigger re-solves you can accept automatically or review.
  • Nothing to host. Constraints and territories live in your tenant; we never see customer data you don't send.

FitsExisting FSM platformsIn-house dispatch toolsVoice agents (Twilio, Vapi, Retell)

POST /v1/solvedeterministic
POST https://api.crisphive.com/v1/solve
{
  "schedule": "2026-10-06/portland-metro",
  "event": { "type": "tech.unavailable",
             "tech": "T-04", "from": "06:30" },
  "constraints": ["certifications",
                  "sla_windows", "drive_time",
                  "daily_capacity"]
}

200 OK  · solved_in: 2.41s · sla_breaches: 0
{ "moves": [
  { "job": "ACME-7781", "to": "T-07",
    "start": "11:30", "shift_min": 240,
    "why": "nearest certified tech
            with window slack" },
  … 3 more ] }

Home care, modelled properly — Copier le lien vers cette sectionLien copié

Every service type carries its own credential, duration and window. The solver knows the difference.

  • Blood-pressure cuff wrapped on a patient's forearm resting on an armchair, stethoscope and visit tablet on the side table

    Skilled nursing visit

    Assessments, wound care, med reconciliation. RN or LPN by plan of care, with a frequency the payer authorized.

    Credential
    RN / LPN
    Duration
    45–60 min
    Window
    Authorized window
  • Portable infusion pump on an IV pole beside a living-room armchair, medication bag labelled with a blank pharmacy tag

    Home infusion

    Timed to the drug schedule and pharmacy delivery. Cannot slide without clinical sign-off.

    Credential
    RN · infusion certified
    Duration
    60–120 min
    Window
    Fixed time
  • Hospital discharge folder and a new medication box on a dining table, admission paperwork and a pen beside a cup of tea

    Start of care / discharge

    Hospital discharges arrive with 24–48 h to first visit. The emergency insert of home health.

    Credential
    RN · OASIS
    Duration
    90–120 min
    Window
    ≤ 48 h
  • Walker standing in a sunlit hallway with a gait belt and resistance bands draped over it, therapy notes on the hall table

    PT / OT visit

    Separate credential, separate route, often sequenced after nursing on the same day.

    Credential
    PT / OT licence
    Duration
    45 min
    Window
    ± 1 day
  • Breakfast tray being set on a kitchen counter — oatmeal, juice, a pill cup — with a daily care checklist pinned to the fridge

    Personal care shift

    Aide shifts with fixed start times, continuity preference and EVV clock-in. The volume of the week.

    Credential
    HHA / CNA
    Duration
    2–4 h
    Window
    Shift start
  • Nurse's visit bag on a porch step at dusk, porch light on, front door ajar with warm light inside

    Hospice / on-call

    After-hours symptom visits with a tight response commitment and a named on-call nurse.

    Credential
    RN · hospice
    Duration
    Variable
    Window
    ≤ 1 h response

What happens in those 3 seconds — Copier le lien vers cette sectionLien copié

Deterministic means the same inputs always give the same plan — auditable, explainable, no surprises at 6:30 AM.

  1. 010.0 s

    Event arrives

    A call-in, an overrun, an urgent hospital discharge — from your app, a webhook, a voice agent, or a sentence typed to Claude.

  2. 020.1 s

    Constraints load

    Certifications, SLA contract windows, live drive-time matrix, remaining daily capacity and territory rules for the affected day.

  3. 03< 3 s

    Deterministic cascade

    The engine re-sequences the whole connected day, not just the broken slot, and returns one reproducible plan with a reason per move — zero SLA breaches or it says so.

  4. 04you decide

    Preview, approve, write back

    Humans see every move before it lands. On approve, your system of record is updated and technicians and customers are notified.

Hard constraints the solver carries

  • Credential & scope RN / LPN / HHA / PT, specialty certs
  • Authorized windows payer units, EVV check-in
  • Drive time live traffic matrix
  • Capacity visits, hours, documentation time
  • Continuity patient preference and prior assignment

What it's worth to your operation — Copier le lien vers cette sectionLien copié

Size the absenteeism tax on your own clinical field staff.

Field clinicians40
Visits per clinician per day7
Average visit reimbursementUS$140
Jobs recovered same-day with cascade rescheduling85%

Your assumption, not a benchmark — depends on cert coverage and territory density.

Techs out in a typical week
1.3
3.2% weekly absence rate
Tech-days lost per year
172
4.3 days per tech, illness & personal only
Jobs on absent routes / yr
1 204
7 jobs × lost tech-days
Unscheduled-absence cost / yr
US$144K
Circadian: about US$3,600 per hourly worker per year

Revenue kept on the calendar per year

US$143K

1 204 jobs a year sit on an absent tech's route. At 85% same-day recovery, Crisphive re-sequences 1 023 of them onto certified colleagues instead of a callback queue — plus 129 dispatcher hours not spent phoning around.

Illustrative. Lost tech-days and weekly rates are U.S. benchmarks from the sources above; dispatcher time assumes 45 min of manual re-planning per absent tech-day; recovery rate and ticket size are your inputs. Excludes overtime, backfill and SLA penalties.

Shipping it — Copier le lien vers cette sectionLien copié

Runs in shadow mode next to your current planner until you trust it.

Crisphive reads your jobs, techs, certifications and SLA contracts through the connector you choose, proposes plans beside the ones your team makes by hand, and only writes back once you flip it live. Your system of record stays the system of record.

  1. 1

    Connect days

    Point a connector at your jobs, techs, certs and contracts. Read-only.

  2. 2

    Shadow mode weeks

    Crisphive proposes a plan for every real disruption beside the one your dispatchers make by hand. Compare SLA breaches, drive time and wrench time.

  3. 3

    Go live your call

    Flip write scope on for the surfaces you chose — API, embedded components, MCP, or all three.

More embedded use cases

The same solver, your vertical's constraints