Scheduling for skilled nursing
You don't police people into reliability. You reward them into it.
autonoME turns dependable attendance into the thing nurses and aides want most: control of their own schedule. Facilities get steadier coverage from the staff they already employ, and less of it goes to agency.
The problem
Last-minute gaps were never a worker problem.
When a call-out is filled by agency at a premium, the people who hold out are rewarded and the people who show up every week get nothing extra. Over time the system teaches the wrong lesson, and the facility pays for it in agency spend, turnover and overstretched teams.
The usual approach
- Fills the gap after it has opened
- Rates people on a manager's opinion
- Rewards tenure, not behavior
- Leaves staff with no path to earn something better
autonoME
- Prevents the gap before it forms
- Scores everyone on the same objective criteria, set by the facility
- Rewards behavior; seniority only breaks a tie
- Shows every worker where they stand and what moves them up
How it works
A monthly cycle everyone can see.
The rules are the facility's, written down once and applied the same way to everyone, every month.
-
Score
Shifts completed, on-time arrival, call-outs and the behaviors the facility chooses become one reliability score.
-
Tier
At the end of each month the score sets a tier: Gold, Silver or Bronze. Every month is a fresh start, new hires included.
-
Bid
Staff rank the shifts they want and the days they need off. Higher tiers get first choice, within the facility's staffing rules.
-
Cover
When a gap opens, qualified staff are offered it first, in order, before anyone calls an agency.
For operators and administrators
Steadier coverage from the team you already have.
autonoME runs alongside your existing systems, or as your scheduler, across one facility or hundreds.
The month, built for you
Preferences, staffing minimums, credentials, overtime and rest rules go in; a schedule that respects all of them comes out, ready to review and release.
Clinical Bridge
Staff sign up ahead for days they would cover. When someone calls out, the eligible pool is told at once, and the first to accept fills the shift.
Trades and open shifts
After release, staff swap shifts and pick up open ones themselves, checked against the same rules, with every change on the record.
Census-aware staffing
Record the daily census and see what it requires in hours per patient day, with the schedule flexing up or down in the order your policy sets.
Reporting and an audit trail
Staffing, retention and performance summaries come from the same record that ran the schedule, so the numbers agree.
Works with your systems
An API for staffing and scheduling partners: report shift outcomes, rank a pool of workers, and read each worker's standing.
For nurses and aides
Earn the schedule you want.
Your score, what counts toward it and exactly what would move you up are always on your phone. Show up, and you choose your shifts first next month. Have a rough month, and the next one is a fresh start.
Your facility invites you to the app. Questions about your schedule or score go to your facility first.
"You've completed every shift this month." Small, specific, true, and it adds up.
See autonoME with your own rules.
We'll set up a demo facility with your scoring, tiers and staffing rules, so you can see the month your staff would get.
Request a demo