PULSE· a Covershift product
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Autonomous coverage for hospitalsField notes from 4 a.m.Built on Covershift
A new way to schedule a hospital

It’s 4:07 AM.
The schedule
just blew up.

Most hospitals start the rescue. Pulse already finished it. It built the rotation, filled the callout before sunrise, posted the rest to Covershift, and told every department who’s on. Live.

Open the live floorOr send your roster, get your own gap back in 48 hours

Plain-English rotations · In-house fills first · Installs to any phone

The floor · live looping
HOSPITALIST · NIGHT · 19:00–07:00TUE · 04:07
covered
Dr. Patel
on call · all set
04:07 · callout
“Can’t make it tonight.” Dr. Patel
12 hours · ED bench is thin. Most hospitals start phoning.
Pulse · ranking 23 candidates
Dr. Cohen · best fit
No rule conflicts · 14 shifts this month · already credentialed
04:08 · confirmed
Dr. Cohen · on call
phone pinged · MSO notified · the floor never knew
covered
Dr. Cohen
on call · all set
04:07 · ED night released by Dr. Patel
04:07 · ranked 23 candidates · no schedulers paged
04:08 · Dr. Cohen confirmed ✓ · MSO notified
04:09 · ED board updated · charge nurse pinged
Pulse
You’ve got tonight’s ED.
19:00–07:00 · tap to confirm

One ED night, 4:07 to 4:09 a.m. The callout, the search, the confirm. Looping, live. No schedulers were paged.

The night, before Pulse

What 4 a.m. sounds like
at most hospitals.

Forty hours a month, hand-built. A callout at 3:47, a phone tree, a wrong-doctor page, a charge nurse short. Agencies fill the rest at 22% over fair market. None of this is a software problem to your physicians. It’s a Tuesday.

10–40 hrs
rebuilding the rotation each month
Becker's Hospital Review
14%
of clinical pages reach the wrong doctor
AHRQ
22%
agency markup over fair-market rate
Fair Market Fast index
03:47
MISSED CALL·Dr. P███████
missed · 3 calls
03:51
TEXT·Charge · ED
is anyone awake? we’re short a hospitalist tonight
03:53
TEXT·MSO
working through the list … Dr. R declined, Dr. M out of state
04:18
EMAIL·Agency · Locumate
Emergency rate $385/hr · 4-hr min · ETA 11:00
04:22
TEXT·ED Director
we’re diverting unstable peds until we have coverage.

And then it doesn’t.

A schedule that runs the floor, instead of asking the floor to run it.

The next three pages are the same hospital. Same callout. Same 4 a.m. The only thing that changed was the system around it.

How Pulse runs the floor

One system, from rotation
to covered.

Three moves. Each is what your medical staff office spends their week on. Pulse does each in under a minute.

SCENE / 01Build

The rotation builds itself.

Describe coverage in plain English: required staffing, call rules, who can’t work nights. Pulse generates a fair, balanced month, and explains every choice.

“Two hospitalists day · two night · one admitter from 11 a.m. No call after a night. Dr. Lee can’t do weekends. Surgeons rotate Gen Surg call · 24h.”
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generated in 38 seconds rules respected
SCENE / 02Fill

Callouts fill before 6 a.m.

Pulse spots the gap the moment it opens, ranks the eligible roster, and confirms in-house first. Phone tree off.

ED · NIGHT · TUE Pulse ranked 23
Dr. Cohen
no conflicts · 14 shifts
confirmed
Dr. Diaz
tight rest · best alt
Dr. Sullivan
needs one rule relaxed
Dr. Hill
weekend cap
SCENE / 03Cover

What can’t be filled goes to Covershift.

Anything in-house can’t cover, Pulse prices at fair market and hands to Covershift. Same family, same loop. No agency markup.

ED · NIGHT · FRI on Covershift
fair-market rate
$2,425
Sacramento metro · P50
agency would charge
$2,955
save $530 · 22%
picked up · 11 minutes
Day one, not month three

Bring your schedule.
Pulse reads the rest.

No integrations. No IT lift. No data-migration project. Pulse’s AI reads what you already use, QGenda, Amion, Tangier, ShiftAdmin, Excel, even a print-out, and rebuilds it natively in under an hour.

PATH / 01 Any CSV

Drop in your export. We map every column.

QGenda, Amion, Tangier, ShiftAdmin, Excel, anything that exports a CSV. Pulse’s AI auto-detects every column, providers, dates, shifts, rules, and shows you the mapping before anything imports.

qgenda-export.csv AI auto-mapped · 12 columns
Dr,Date,ShiftProvider · Date · Shift
Smith,5/3,NDr. Smith · May 3 · Night
Patel,5/4,DDr. Patel · May 4 · Day
2,847 shifts · 84 providers ready to import
PATH / 02 Vision AI

No CSV? Send a screenshot.

For the PDF-only systems, the print-out from the office wall, or a QGenda screenshot, Pulse’s vision agent reads the calendar like a person, then rebuilds it cleanly. The worst onboarding takes a phone photo.

schedule-photo.jpg reading
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rebuilt natively · 42 shifts found7 sec
MON
Send us your roster, an export, or a screenshot.
TUE
Pulse is live on your floor. Schedulers sign in.
ANY DAY
No vendor handshake. Switch back any time. Your data, exportable.
The numbers, plainly

For a 220-bed
hospital, year one.

Model conservative. Inputs from real hospital ops audits. No promises of double-digit cost outs. Adjust to your hospital below in the calculator.

Run it on your hospital
Scheduler hours returned
430
hrs / yr
ED callouts auto-filled in-house
84%
vs 11% today
Agency spend avoided (Pulse → Covershift)
$612,000
conservative
Diversions traced to coverage gaps
−68%
3-month sample
Doctor retention lift (year over year)
+3.4 pts
ASHP-weighted
SOURCES · AHRQ · Becker’s Hospital Review · ASHP · Fair Market Fast index
From the floor

Said by the people who run the schedule.

“
The first month, my office didn’t call a single doctor at night. That hadn’t happened in eleven years.
Director, Medical Staff Office
200-bed community hospital · Pacific Northwest
“
Pulse let us stop paying for what locum agencies were calling “emergency.” It’s the same shift; it just isn’t an emergency anymore.
CFO
Independent health system · Mountain region
“
It builds a fair month. That’s the whole point. The schedule stopped being a thing my ED docs argue about.
ED Chief
Level II trauma center
No PHI · staff scheduling only· Built on Covershift· Encrypted · MFA · audit log· Installs to any phone. No App Store
The math

See what Pulse saves you in a year.

Drag your numbers. Pulse replaces the software, builds the schedule so your office stops doing it by hand, and fills open shifts internally at fair-market rates before the agency ever gets a call.

Providers scheduled40
Current scheduling software / yr$40,000
Locum & agency spend / yr$450,000
Hours building schedules by hand / qtr12 hrs
Estimated annual impact live
Net annual savings
$105,302
≈ 25× returnon a $4,320/yr Pulse subscription
Scheduling software replaced$40,000
QGenda / Amion renewal you stop paying
Admin hours reclaimed$2,122
12 hrs/qtr built by hand → AI
Locum & agency premium avoided$67,500
filled internally + fair-market-fast pricing
Less Pulse subscription− $4,320/yr
40 providers × $9 × 12 mo$105k net
See it on your real schedule

Conservative estimate · 85% of by-hand time reclaimed at $52/hr · 15% agency premium avoided. Your numbers, not ours.

The invitation

Show me my hospital’s
coverage gap, live.

Send us your last month’s schedule (or just your roster). In 48 hours we’ll send back a live Pulse floor: your hospital, your physicians, the open shifts found, the dollars at risk. No deck. No call. Read it on your phone.

Send me my hospital’s floor Try the live demo

built on Covershift · no agency markup · no PHI · staff scheduling only

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Pulse · a Covershift product