Improving The Pediatric Discharge Process

The Problem at Hand

Across all hospitals and healthcare systems, reducing the length of stay (LOS) and on-time discharges are the greatest objectives. Pediatric hospitals and care management teams work towards minimizing excess days so patients can be back home comfortably with their families. 

The shortage of quality home care nurses and caregivers within the market is due to major pain points throughout the discharge process. Today, the system suffers from the low retention rates of home care professionals. These challenges stem from the unique skills that are required for pediatric patients’ plan of care, along with low hourly wages earned.

Discharge Case Managers are now dedicating most of their shift searching for staffing solutions, resulting in delayed discharges. With an average of 52 delayed discharge days per patient in the United States, hospitals face lower patient capacities, readmissions, and increased costs.

Current Discharge Process

The current discharge process was designed before the market suffered from a shortage of home care employees. Pediatric hospitals rely on home care agencies to staff discharge cases every day, but with a shortage of home care professionals, post-care management is negatively impacted. Additionally, many home care agencies do not have the ability to thoroughly match nurses with available cases. With this imbalance, there is a disconnect between nurses looking for cases and patients who are in need of care.

This process resembles a long game of “telephone,” creating obstacles in providing the best health outcome for the patient. The process is not a fully optimized process due to the lack of technology.

How Can We Improve the Results? 

SWIFT SHIFT’s transitional care management system helps to improve the efficiency of case managers. We use our platform to broadcast available cases to home care nurses and caregivers, sharing HIPAA-compliant case descriptions and details. Moreover, nurses and caregivers are able to view cases that work for their skillset and schedule, ensuring that it is a successful match not only for them but also for the patient.

With a database of over 20,000 nurses and caregivers, we have access to quality home care professionals who can provide the needed services. After a home care professional shows interest in a case, our team connects the nurse or caregiver with the patient’s family to assess the match. 

Through the use of our platform, we help to increase the amount of discharged cases, improve the quality of the care, and boost the retention of nurses and caregivers in home care.



How SWIFT SHIFT Is Tackling COVID-19

Maddie Michowski


Maddie Michowski

While we continue to serve our communities, we are working to play a key role in the wellness and safety of our team, users, and home care clients.  

Over the last few weeks, we completed a series of in-depth interviews with home care professionals on the effects of the coronavirus within home care and identified safety and financial wellness as two primary concerns across the industry (read about that here!). In response, SWIFT SHIFT has launched a number of capabilities to improve caregiver health, safety, and financial stability. 

Improving Patient Hospital Discharge 

SWIFT SHIFT is offering a free partnership to hospitals to help safely expedite hospital patient discharge. Our platform helps discharge case managers find local, available, high-quality care teams quickly, enabling hospitals to make room for patients with the most urgent needs. 

Making Payroll Faster to Help Make Ends Meet

With SwiftPay, SWIFT SHIFT enables caregivers to receive their earned wages immediately following a shift, rather than having to wait until payday.  During these trying economic times, this service can help close the gap and reduce financial stress for caregivers.

Staying Connected with Group Chats and Community Chats 

In response to the communication frustrations during this time, we launched Care Team Chat. The tool enables home care professionals to communicate with their teams securely, and in real-time, through the SWIFT SHIFT mobile app. Teams can easily stay informed on patient needs and health changes, schedule updates, and more.

Our team has also created Community Chats. This feature enables caregivers to share news, comment on current events, ask questions, and engage with members of their geographic community. These features will enable caregivers to stay connected in an environment where information-sharing and safety tips are playing an especially critical role.

Standing Together, Even if  Virtually

Our team has been working collaboratively and passionately, from our own homes, as we navigate these unchartered waters. As an organization, SWIFT SHIFT is committed more than ever to making thoughtful choices to improve home healthcare employee work conditions.  We will continue to monitor COVID-19 developments and look for additional ways to keep professional caregivers healthy, connected, and financially secure during this challenging time. 

Thank you again to our SWIFT SHIFT users, as well as all healthcare professionals, for your work and service during this time. You are true superheroes.

Coronavirus Pandemic: Call & Response, Literally.

Maddie Michowski


Maddie Michowski

The SWIFT SHIFT team has completed a series of in-depth interviews with home care professionals on the effects of the coronavirus within the home care industry. Spearheading the project was Marge Maybury, Head of Nurse Recruitment and Sales at SWIFT SHIFT. 

After speaking with countless nurses and caregivers on COVID-19, Marge was able to share her learnings with the team. This helped us to help further understand and better approach the pandemic in an actionable way that improves caregiver health, safety, and financial stability.

I sat down with Marge (virtually) for a Q&A to gain insight on what she found within our SWIFT SHIFT community.


Q: What is the overall impact you see within the home care industry right now?

A: The day-to-day has changed entirely for so many home healthcare professionals. Families and patients are worried during this unprecedented time. The biggest impact I’ve seen is shift cancellations by patients due to fear of COVID-19 coming into their already immunocompromised home. 

Q:  What have you found is most helpful to caregivers in response to this?

A:  These cancellations are putting a strain on caregivers and nurses financially. It is vital for health care agencies and other employers in home care to maintain active and timely communication with their employees. This way, caregivers and nurses can provide the best care possible. 

Q: What is SWIFT SHIFT doing to help?

A: In my department, one area I am strongly focused on is understanding how we can help caregivers financially. With SwiftPay, our daily payment tool, caregivers are able to receive their earned wages once they complete a shift, which is especially useful during this time. This service allows home care employees to have access to their earnings before their scheduled payday. Moreover, we have hundreds of hospital discharge cases that are in need of home care, so I am working diligently on delivering cases to home care employees who are looking for work.

Q: What is the biggest theme in the lives of professional caregivers at this time?

A: Safety. Home healthcare employees are working carefully to ensure they’re following the proper and provided protocols. Additionally, keeping up with daily changes that may occur within their work environment. 

Q: What resources do people need most? 

A: More supplies, specifically more gloves, and masks. This is not only to protect the patient but also for the caregiver and nurse to protect themselves. 

Q: What extra steps are nurses and caregivers taking to make sure their clients stay safe? 

A: Staying up-to-date with universal protocols and procedures. Reading frequent agency updates, along with communicating directly with clients. As for the patient’s plan of care, home healthcare professionals are monitoring their clients more than they typically would during their shift. 

Q: If there is one thing you could say to all home healthcare providers, what would it be?

A: You are the true heroes! Your effort in protecting our communities and vulnerable populations does not go unnoticed. We thank you for your dedication.


Seriously, what Marge said. We cannot thank our SWIFT SHIFT users enough, as well as all healthcare professionals, for their work during this time. You are not alone in your struggles, as we’re all getting through this together.  As a team, SWIFT SHIFT is doing what we can to take action and help with home care professionals’ health, safety, and financial stability. 


To find out if you are a home care nurse or caregiver eligible for free daily pay through SwiftPay, fill out this form and a representative will get back to you as quickly as possible.

If you have any questions or are interested in joining the SWIFT SHIFT community, please reach out to our support team via email or phone (646.585.9284)

To donate to local healthcare professionals in need of resources, check out PHL COVID-19 Fund. 

Homecare Interview Prep 101

Maddie Michowski


Maddie Michowski

Any interview process can be daunting— we’ve all been there. At SWIFT SHIFT, we’re speaking with nurses and caregivers day-in and day-out and we have answers to the burning questions that come along with the homecare agency interview process. 

What To Bring

Before leaving for your interview, you definitely want to make sure you’ve packed the essential documents: your driver’s license or a government-issued ID, proof of residency, and any home healthcare certifications (or pictures of the documents).

When To Arrive

Now, we’ve all heard the saying, “Early is on time, on time is late, and late is unacceptable.” The same applies when it comes to your homecare agency interview. It’s best to arrive at least fifteen minutes prior to the start time of your interview (make sure you don’t arrive too early as this can pose an inconvenience for the interviewer, making them feel rushed and uncomfortable). There are various reasons for this early arrival—from travel complications to check-in to calming the nerves and preparing your game face— you want to make sure that you are on-time and prepared to present your best self.  

“Remember, you landed this interview for a reason so get out there and show them how great you really are.”

What To Expect

Once the actual interview begins, you should expect to hear the common questions one would typically be asked, no matter the industry. You know, the “tell me about yourself,” or “would you consider yourself organized?” kinds of questions. You’ve heard these before (easy!). Past experience is also a huge talking point within the interview process. In homecare, your experience is crucial in demonstrating your skills as a nurse, caregiver, or aide. These questions will often refer to past jobs and how your experience will transfer over to the current position at hand. Agencies can also raise behavioral experience questions. With this, the interviewer might propose a situation and then ask you to explain how you would typically respond to the circumstances. 

While you’re not expected to study and memorize interview answers, you should make sure that you take time to think about and prepare answers for questions that may come up throughout the process. This way, you can calmly convey your honest answer.

What To Wear

Let’s talk about what to wear. Many who work within the homecare industry typically wear scrubs for their shifts. However, it’s important to wear more professional clothing to the interview. At SWIFT SHIFT, we recommend wearing business casual attire (things like slacks, skirts, blouses, or button-downs). While you may be getting a little dressed up for the occasion, remember that it’s important to feel comfortable in your own skin and to be yourself (do you!). 

You Got This 

Us folks at SWIFT SHIFT are wishing you the best of luck (we know you are going to rock it) in your interview. Remember, you landed this interview for a reason, so get out there and show them how great you really are. We’re motivated by creating a better experience for all individuals involved in the industry—agencies, caregivers, and patients— and are happy to help you crush this interview in any way we possibly can. If you have more questions, feel free to reach out to us here.

If you’re interested in landing an interview with a home healthcare agency with the help of SWIFT SHIFT, click this link here to get started and we will get back to you shortly! 

Catch us at HLTH!

SWIFT SHIFT is headed to Vegas! Join us at HLTH from October 27th through October 30th.

We saw the amazing opportunities and doors that would open when bringing technological advances to the homecare industry. Through the implementation of AI and Machine Learning, SWIFT SHIFT visioned the best technology solution for the homecare industry. Our main priority is to improve the state of America’s home healthcare industry by taking better care of nurses and caregivers, attracting more to the industry and keeping them for longer periods.

Stop by our kiosk #K-776 for a quick demo of our product and to learn more about our vision to improve the well-being of homecare professionals. We look forward to meeting and connecting!

Introducing Machine Learning to the Homecare Industry: An Opportunity to Empower

Amazon uses it to predict what product you may want to buy. Netflix uses it to predict which show you would like to watch. Chase and other banking apps use it to predict what your handwriting says on a check, and Uber uses it to predict where the next rider will be to send a car.

“Imagine 100 human brains trying to crack the ‘best-fit’ client for a caregiver and succeeding in milliseconds.”

Machine Learning gives us the ability to predict the very near future in relatively high certainty.

Machine Learning gives us the ability to predict the very near future in relatively high certainty.

How Does It Work?

To make accurate predictions, Machine Learning crunches a lot, and I mean, a lot of data. When Chase first introduced check reading capabilities they had to teach the machine to read a check by feeding it with millions of check images. Along with this, they had to introduce every transaction that the bank had recorded when processing the check until the machine finally “got it” and quickly understood how to read a check with almost 100% accuracy.
At SWIFT SHIFT, we strive to make the work of homecare nurses and caregivers better, easier, more comfortable, and more lucrative.

Our Platform Increases Homecare Reliability (with the use of Machine Learning) by Driving 4


  1. Better Relationships → Between caregivers and nurses, their teams, clients, and CSMs— our platform drives better communication and a sense of commitment and connection to the team and to the client.
  2. Better Data → The platform provides nurses and caregivers with accurate, up-to-date, relevant information about their clients, their team and their work so that they can make the best decisions and take the right action.
  3. Better Knowledge → We can now give nurses and caregivers the resources and tools they need to excel in their professional life.
  4. Choice & Ownership → Nurses and caregivers now have a choice and the ability to manage their shifts and clients with the help of technology.

Imagine 100 human brains trying to crack the “best-fit” client for a caregiver and succeeding in milliseconds. We recently completed an 8-month project to power our platform with Machine Learning so that we can better serve caregivers nurses and CSMs.
The new platform we built provides us with the ability to start and make really cool predictions that give our beloved users a much better service:

  • Predict which is the best client for you → Client retention is a huge challenge in homecare. 30% of nurses and caregivers leave their clients within the first month. At SWIFT SHIFT, we process millions of shifts per month and track client retention across hundreds of thousands of clients. This allows the platform to make better predictions as to which client can be the best potential fit for each caregiver. Now you can spend less time looking for the best client and more time working with your favorite ones.
  • Provide nurses and caregivers with a personal “assistant” → Machine Learning allows applications to have conversations in natural language and answer support questions quickly and effectively by finding the relevant information and giving it to the user quickly. We spoke with SWIFT SHIFT users and many said they preferred a conversational experience within our app. Instead of buttons and text fields, we have a conversational chat that offers available shifts and cases, announces schedule changes, and answers simple questions on clients and schedules. Our chat bot, Marge (named after our customer service manager), is managing over 10,000 conversations at any given point in time and is able to learn from each conversation. This way Marge continues to learn over time what information is important for you to know when a shift becomes available to make the best decision.What hourly rate will generate some interest in the shift? Who should be approached first to minimize spam and unread communications? The ability to learn from each conversation and instantly implement the learning in 10,000 other dialogues is helping us constantly improve the nurse and caregiver experience as well as fill more hours and help serve more employees.
  • Predict the future → Our Machine Learning roadmap includes predictions that will help nurses and caregivers to focus on the right client by predicting which clients are at high risk. The platform can predict which nurse or caregiver will deliver the best outcome for each client. SWIFT SHIFT can also predict which certification or training will be the most useful for a nurse or a caregiver to acquire to maximize their job opportunities.

At SWIFT SHIFT we’re always looking for ways to use technology to make nurses and caregivers happier at their job, and now we can use the power of machine learning to deliver a more personal service to more nurses and caregivers and help them spend less time on finding work and managing work and more time with their clients – helping them thrive and recover.

To find out more about how our Machine Learning technology can help you, your office, or your agency ⁠— visit to request a demo today.

How A Change in Logo Can Reflect the Evolving Company’s Vision

When building SWIFT SHIFT, our main priority was to improve the state of America’s home health care system, starting with those affected most: nurses and caregivers. As a nation, we have a nursing shortage causing foreseeable crisis in the coming years. With this, it became apparent that the outdated homecare system needed a solution-oriented revamp. At SWIFT SHIFT, we envisioned a system powered by technology that serves homecare workers foremost, and subsequently permeates and helps to benefit all parties involved: our agencies and patients. We came to find that this begins at the scheduling and recruitment level.

Understanding that the task at hand was no small feat, yet still absolutely essential, we visioned the best technology solution for the home healthcare industry, leveraging experience from companies like Google, Juno, Uber, 888, etc. We imagined how AI and Machine Learning implemented in a fine UI would revolutionize the industry and transform the lives of workers, agencies, patients and their families. This became our end goal.

Today, SWIFT SHIFT resides at the intersection of technology and people. We wanted our logo to represent the way that our technology serves as both a professional function, but also allows for an improved lifestyle for homecare workers, better care for patients, and higher satisfaction for agenciesall feats from the heart.

The starting point for our new logo became quite obvious. The home and the heart quickly came to represent our company and symbolize our “people-first” approach.

For our font, we used Ryoichi Tsunekawaa’s Bebas Neue. Because of its familiar clean lines, elegant shapes, blend of technical straightforwardness, and simple warmth, we felt that this is a blend that reflects who we are and what we do. For our website and communication, we picked the Rajdhani font. The squared and condensed appearance may be interpreted as technical or even futuristic; similar to our vision.

Our colors were to make it clear that this is not just one symbol, but a connection of twothe homecare industry and the backbone of its survival: people.

Since 2016, SWIFT SHIFT continues to grow and evolve into a company that is passionate about working through everyday issues facing caregivers and their agencies. Through this growth comes change, including our logo and branding.  We are proud of these changes and excited to share the future of homecare with the rest of the world.

We would like to thank Studio Almog Dvir for developing and executing the brand transformation.


5 Technologies That Inspire Our Home Healthcare Recruitment Engine

Healthcare is undergoing a modern reformation. Just look at the latest headlines from JPMorgan, Amazon, Walmart, and Berkshire Hathaway. Times they are a changin.

After years of staving of tech disruption, healthcare as an industry, collectively set itself apart from the gold rush of big data, engagement, and cloud computing. The time of tech reckoning has come for healthcare, and although the barriers seem big and the pathways grossly unpaved, many of the technologies that are so desperately needed, have already been developed, fine-tuned, and rolled out for many other industries.

The same smart tech that is empowering a $30 billion digital ad industry, can use fine-grained targeting to connect healthcare providers and caregivers. The constantly-optimizing recommendation engines, helping us fill our online carts with products we love, can connect patients with clinicians and doctors who offer relevant services. The smart location-based apps powering shared ride services, could lend their learnings to health tech companies looking to extinguish unnecessary inconveniences from nomadic health care professionals, in the trenches daily, delivering care to those who need it the most.

Our team at SWIFT SHIFT is constantly looking at the tech giants who have gone before us for inspiration. The lessons already learned and best practices that have been refined over trial and error support us as we pioneer an industry that is in need of a touch of tech. We have the privilege of improving the lives of nurses and caregivers, and ultimately helping the most vulnerable sections of our society.

Here is our homage to the tech disruptors who have gone before us.


Lesson: How to induce demand

UberCab, as it was called five years ago, allowed San Franciscans to do something revolutionary – order a ride from their smartphones. Uber has fought regulations and new barriers with each new geography it has conquered. Now operating in 58 countries, Uber has made it, but the road wasn’t easy. Learn more about that here.

Uber helped induce demand for an industry that wasn’t broken but had an abundance of untapped potential. Taxis worked perfectly fine before Uber came along. However, the vision was much bigger and now this pioneering company is working hard to bring driverless calls into fruition.


Lesson: How to induce demand

UberCab, as it was called five years ago, allowed San Franciscans to do something revolutionary – order a ride from their smartphones. Uber has fought regulations and new barriers with each new geography it has conquered. Now operating in 58 countries, Uber has made it, but the road wasn’t easy. Learn more about that here.

Uber helped induce demand for an industry that wasn’t broken but had an abundance of untapped potential. Taxis worked perfectly fine before Uber came along. However, the vision was much bigger and now this pioneering company is working hard to bring driverless calls into fruition.

Why it matters to Health Tech:

As healthcare faces a nurse shortage that is reaching crisis level, there is much we can learn from Uber and it’s persistence to create convenience and ease. By breaking down barriers for nurses and caregivers to join the industry, and injecting the same digital efficiency to their jobs that other careers enjoy, we can attract, hire, and keep greater numbers in this valuable workforce.


Lesson: Taking a Risk While Building Trust

Pre-2014, if you suggested that over 640,000 people would be earning additional income by hosting strangers in their homes, apartments, or extra bedrooms – most people would scoff. That’s exactly what Brian Chesky, Co-Founder and CEO of AirBnB encountered for years as he pedaled his vision. Now valuated at $31 billion dollars, Airbnb’s success can be attributed to stubbornness and ambition. AirBnb had a willingness to borrow lessons from various online rental businesses such as car, bike, and clothing.

Early on, safety concerns plagued this fledgling startup. With a willingness to address each issue aggressively, AirBnb created a platform that even technologically-conservative consumers were open to exploring. This was perhaps best supported by the social aspect of their platform, which includes reviews and references, and a brilliant application of Facebook Social Graph. Trust is imperative when convincing people to open their homes to strangers.

Why it matters to Health Tech:

HIPAA compliance and security are top priorities for any technology in the healthcare sector. There is no room for mistakes. Health-tech would benefit from a few lessons from AirBnB, and their readiness to address safety concerns in a meaningful way, while not letting it deter their growth. Medicine is one of the last verticals to be touched by tech – it is digitally uncharted in many aspects and has many more barriers than ecommerce. Yet, just as AirBnB didn’t give up, we follow in their stubborn footsteps.


Lesson: The Power of Working Smarter

Asana was birthed out of the creative confines of Facebook’s offices, as Dustin Moskovitz and Justin Rosenstein were helping to build Facebook and needed a tool that fostered effective collaboration for teams. Years later, Asana is a core communication infrastructure, empowering teams to spend time on work, and not “work about work.” In health care, there are so many superfluous processes that we are looking to breakdown. Brands who eloquently streamline processes are our hero. Asana has managed to create an enterprise application that is actually a pleasure to use, even for something seemingly as unsexy as task management.

Marrying efficiency and excellence is not easy. Things that work and things that “shine” don’t always go hand in hand. Yet to create a solution that can be effective over time, it must offer a user experience that looks and feels easy and attractive. Each time Asana releases a new product update, it feels a flawlessly wrapped gift that its users get to unwrap.

Why it matters to Health Tech:

We are all digital consumers, regardless of the application we are interacting with, the user expectation bar is set high and a less mature industry such as health tech can’t afford to create sub-par tools. As we develop a mobile workforce management tool, our competitors are not necessarily in our field, but every mobile application our targeted users interact with daily. Elegance is just as imperative as efficiency to create a successful, sticky application.

Hotel Tonight

Lesson: If you build it smart, you still must hustle

Hotel tonight is a brilliant app allowing travelers to book a hotel stay no more than 7 days out from their reservation date. Sam Shank’s entrepreneurial drive took “a good idea” to having secured $35 million in funding and hired 100 employees. Shank’s small scrappy team built their app in only ten short weeks, but it was all hands on deck until they improved user acquisition and faced rejection from 10 VCs. Shank even manned customer service calls, sometimes answering calls at 3 am until the organization scaled.

Why it matters to health tech:

With so many added intricacies in health tech because of compliance, existing infrastructure and maturity of the industry, hustle is one of the main ingredients for startup companies to truly succeed. Not only is Hotel Tonight a genius business model,  offering a comfortable user experience, it’s also an organization built with the blood, sweat, and tears of their team – which is often the difference between a good idea, and a great company.

Zoc Doc

Lesson: Paving the way for meaningful marketplaces

Oliver Kharraz has built a billion dollar marketplace that equally serves providers’ and patients’ needs. Kharraz, a doctor himself, taught himself how to code, sold a business and paid for Medical School with the profit. After many years getting to know the Medical field intimately at McKinsey, he forged out his own opportunity in this space given that patients were taking an average of 3-4 weeks to see a doctor, but doctors were only being utilized 60% of the time.

He faced down the adoption issue head on and quickly deciphered the key stakeholders for creating a liquid marketplace and overcoming friction in adoption. Understanding that emotional connections are sometimes what it takes to really make an impact, his team would swing by doctor’s office with lattes and a big smile to build relationships that echoed the trust built into his product.

Why it matters to health tech:

Zoc Doc was one of the first health tech pioneers. Their solution seems so effortless and obvious, but anyone scything through this digital virgin land, can fully grasp the determination and wherewithal it must’ve taken to get where they are now. Hat’s off to Zoc Doc, thanks for doing what you’ve done.



[INFOGRAPHIC] Addressing the Nursing Shortage

Right now the U.S. is facing a nurse shortage crisis. With demand and costs rising everyday, it’s getting harder and more expensive to find the right talent for Home Healthcare.

Download our infographic to learn:

  • Avg. budget recruitment allocation in HHC
  • Best channels for HHC recruitment
  • How recruitment funnels are built

Private: White Paper: Discover Your Hidden Workforce

Stop the Revolving Door of Recruitment

Re-engage your most qualified, valuable nurses

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Recruitment is costing health care organizations close to $3 billion every year, with only 53% of this cost accounting for growth.

Download our latest White Paper to learn how to:

  • Increase cases filled/ hours worked without increasing overhead
  • Decrease churn with meaningful enagements
  • Re-engage & reinvigorate inactive roster of nurses & caregivers

Get Free White Paper!


Assaf Shalvi, CEO and Founder of SWIFT SHIFT, is an entrepreneur passionate about creating infrastructure to empower labor force sectors on the low end of the earning scale. Prior to launching SWIFT SHIFT, Shalvi built, an employee marketplace platform, and worked for MAXIMUS, where he assisted governments in upgrading and streamlining workforce participation programs and policies