For Hospital-at-Home
The dispatch layer your hospital-at-home program needs
Hospital-at-home is the most operationally demanding form of home-based care. Acute patients, multiple clinician types per day, hard time windows, and zero tolerance for missed visits. Capillary Health is the optimization engine that holds it together.
Four problems we are built to solve
These are the operational realities that show up in every hospital-at-home program at scale.
Multi-resource visit coordination
A single hospital-at-home patient day can require an RN visit for a vitals check, a lab tech for a morning draw, a pharmacy courier for an IV refill, and a physician video visit on a specific time window. Sequencing those resources across 30 to 80 patients in a metro area is a combinatorial problem; spreadsheets cannot solve it.
Credentialing and scope-of-practice constraints
An RN cannot perform a procedure that requires a physician. A med-tech delivery cannot replace a nursing visit. A clinician must be credentialed to administer a specific therapy. Capillary Health matches credentials to service requirements automatically and never assigns a clinician to a visit they are not qualified to perform.
Time windows and continuity
Scheduled antibiotics need to land within their window. The morning vitals visit cannot collide with breakfast care. And patients do better when the same clinician sees them across the episode. We score continuity, respect time windows, and balance workload simultaneously.
Real-time disruption
Cancellations, no-shows, weather, traffic, and clinician callouts all break the optimized plan within hours of pushing it. The command center re-optimizes in real time, with the smallest possible disruption to the rest of the day.
A typical morning, optimized
The coordinator uploads the day's census and visit list at 5:30 AM. Service requirements come from the EHR, the daily care plan, or a CSV. The optimization engine assembles routes for every clinician on shift, respecting credentialing, time windows, lunch breaks, and continuity preferences.
The optimized plan is in clinicians' hands by 6:30 AM. The first morning visits land on time. By mid-morning, the inevitable cancellations, no-shows, and add-ons hit the dashboard, and the engine re-optimizes around them in seconds rather than hours.
At the end of the day, the dispatch data feeds back to the program's analytics: visits completed on time, drive miles, continuity scores, workload balance. Operationally and financially, the program runs on a closed loop.
Is your program a fit?
Capillary Health is built for programs that match most of these. If you are smaller or less acute, the same engine works at lower per-clinician pricing.
- Operating an Acute Hospital Care at Home program under the CMS waiver
- Running a hospital-at-home or hospitalization-at-home pilot
- Census of 20+ patients with daily multi-clinician visits
- Currently using spreadsheets, whiteboards, or manual phone-based dispatch
- Have an EHR (Epic, Cerner, custom) and want optionality for integration without forcing it on day one
- Care about continuity of clinician assignment across an episode
Further reading
Hospital-at-Home and the CMS waiver
Eligibility, billing codes, and what current policy uncertainty means for new programs.
Dispatch vs. routing: a working glossary
Terminology reference for home-care logistics, from time-window compliance to credential matching.
Anatomy of a closed-loop referral
For programs that take referrals from the ED or primary care, the standards that close the loop.
Bring optimized routing to your program
We will show you what optimized dispatch looks like with your real schedule data, in the first conversation.