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AI Workflow Automation for Dialysis & Nephrology

A dialysis network is a schedulingproblem with lives attached. We built the engine for it.

Custom AI automation for nephrology practices and dialysis networks, chairs, shifts, labs, referrals, and calls, across every site you run.

Patient assigned
Chair matched
Reminded & transported
Labs reviewed
Treatment completed
Multi-sitechair & shift coverage rebalanced automatically
Same-daymissed-treatment outreach and rebooking
24/7every call answered, clinical calls escalated
100%HIPAA-first: BAA, encryption, audit logs

The problem

Chairs, shifts, labs, and rides, coordinated by phone and memory.

Chair schedules and staff shifts are rebuilt by hand every time someone calls out. Missed treatments get chased when someone notices. Labs pile up. And the phones never stop:

3x/weekevery patient, every week, one miss compounds fast
Every calloutcascades across chairs, staff, and sites, by phone

…and a missed treatment isn't a no-show. It's a clinical event.

Schedules rebuilt by hand

One nurse callout means an afternoon of calls across chairs, shifts, and sites.

Missed treatments slip

Without same-day recovery outreach, skipped sessions become ER visits.

Labs pile up

High-volume results reviewed manually, critical values compete with routine ones.

Transients take a day

Placing a traveling patient means faxes, calls, and records chasing.

Workups stall silently

Transplant evaluations wait on one pending item nobody is chasing.

One platform

Every step of the journey, automated on one platform

Chairs & Shifts

Rules engine · ratios · fairness · rebalancing

Treatment Adherence

Reminders · rides · missed-treatment recovery

Labs & Clinical Ops

Result routing · flags · sign-off queues

Referrals & Workups

CKD intake · transplant checklist tracking

Access & Analytics

24/7 agent · census & coverage dashboards

Module 01 · Chair & shift scheduling

One engine schedules the chairs and the people beside them

Minutesto regenerate a compliant schedule after a callout
Every rulecredentialing, ratios, rest & hours, never violated
All sitesone engine across your whole network
  • Hard rules, strictly enforcedCredentials and role requirements, nurse-to-patient ratios, no overlaps, PTO respected, rest and hour limits, coverage minimums per site and shift.
  • Preferences, fairly balancedNights, weekends, and holidays distributed evenly; preferred sites, shifts, and chair assignments honored where possible.
  • Multi-site rebalancingA callout or chair closure triggers automatic rescheduling with the next eligible staff or slot at a qualified site, with everyone notified.
  • Transient & visitor placementTraveling patients matched to open chairs with orders and records confirmed, in minutes, not a day of calls.
  • Published with an audit trailConflicts flagged with plain-language explanations; every manual edit logged; schedules pushed to staff automatically.

Module 02 · Treatment adherence & recovery

The schedule protects itself, and the patient

Reminders, transportation coordination, and same-day missed-treatment recovery run automatically, because in dialysis, a skipped session is a clinical event, not a calendar gap.

EVERY TREATMENT SLOT TRACKS ITS OWN STATE:

Scheduled
Confirmed
Ride Arranged
Checked In
Missed – Recovery
Rebooked

Reminder & ride coordination

Confirmations by call and text, with transportation arranged and re-confirmed, the top cause of missed treatments, handled up front.

Same-day recovery outreach

A no-show triggers immediate AI outreach with same-week rebooking into an eligible chair, and staff alerted for repeat misses.

Adherence analytics

Missed-treatment and recovery rates by site, shift, and patient cohort, the numbers your medical director and payers watch.

Module 03 · Labs, referrals & the phones

Clinical volume routed. Clinical judgment untouched.

01
Lab results routed & flagged

Results sorted against your thresholds and queued for clinician sign-off, critical values escalated per protocol, instantly.

02
CKD referrals captured

PCP referrals extracted, staged, and scheduled, stage 3–4 patients reach the nephrologist sooner.

03
Transplant workups chased

Multi-step evaluation checklists tracked across specialists, stalled items flagged before studies expire.

04
24/7 answering with boundaries

Scheduling, rides, and logistics handled by AI around the clock; clinical and symptom calls escalate to your on-call path, always.

ALSO HANDLES

Locations & hours · shift-change questions · dietary and prep reminders from approved content · reschedules · visitor-patient logistics.

SAFETY BY DESIGN

No clinical advice or results, ever. Urgent or symptomatic callers escalate immediately per your protocols. Every call recorded, transcribed & QC-scored.

Module 04 · Network analytics

Your whole network on one live screen

OPERATIONS
  • Census & coverageChair utilization, open slots, and staffing coverage by site and shift, live.
  • Adherence & recoveryMissed treatments, recovery rates, and transportation failures by cohort.
  • Schedule healthRule violations prevented, callout response times, overtime and fairness distribution.
GROWTH & CLINICAL
  • Referral trendsCKD referrals by PCP: top, growing, declining, and lost sources on a normalized registry.
  • Workup pipelineTransplant evaluations by stage, with stalled-item aging.
  • Leadership viewsRole-based dashboards for medical directors, operations, and finance.

Everything we automate

Dialysis & Nephrology: the full automation menu

Every engagement is scoped to your operation, start with the module that hurts most, and expand on the same platform, the same BAA, and the same HIPAA framework.

Chair & shift scheduling

Simz Shift builds chair schedules and staff shifts together, credentials, ratios, rest rules, and PTO enforced; preferences balanced fairly.

Missed-treatment recovery

A no-show triggers immediate outreach and same-week rebooking, because a skipped treatment is a hospitalization risk, not just a gap.

Multi-site rebalancing

A chair closes or a nurse calls out? The engine reschedules patients and staff to the next qualified site, automatically, with notifications.

Transient & visitor placement

Traveling patients placed into open chairs with records and orders confirmed, without a day of phone calls.

Lab review workflows

Results routed and flagged against thresholds, queued for clinician sign-off, critical values escalated per your protocols.

CKD referral intake

PCP referrals captured, extracted, staged, and scheduled, so stage 3–4 patients reach the nephrologist before they reach the ER.

24/7 AI phone agent

Scheduling, transportation coordination, and logistics handled around the clock, clinical and symptom calls escalated to your on-call path instantly.

Transplant workup tracking

Multi-step evaluation checklists kept moving across cardiology, labs, and imaging, stalled workups flagged before they expire.

Rounding & credentialing

Physician rounding schedules balanced across facilities; licenses, payer enrollment, and CAQH tracked so no one is sidelined.

Why we're confident

This engine is already running in production

We built this engine, intake extraction, real-time eligibility, auth tracking, 24/7 phone agent, analytics, and rules-based multi-site scheduling, for a multi-site medical imaging group. Dialysis networks run the same machinery, at higher clinical stakes:

Powered by Simz Conversational, Simz Shift, and Simz Chron, with custom development for everything else.

  • Rules-based scheduling engine with hard & soft constraints
  • Multi-site rebalancing when capacity or staffing changes
  • 24/7 phone coverage with strict clinical escalation
  • Referral intake with extraction and review queues
  • Live operational dashboards for leadership

Free dialysis workflow audit

Thirty minutes with your operations lead. We map your workflow, quantify what each manual touch costs, and hand you a phased automation roadmap, whether or not you build it with us.

No pitch deck. No obligation. Just a map of your busywork.