PREPARED FOR ERG LEADERSHIP · JACKSONVILLE, FLORIDA

The AI Operating System Helping ERG Make Scheduling Resilient

Capture personal preferences, holiday rules, APC tiers, and productivity data in one system — making schedules that are more profitable and provider-friendly.

Describe
Scheduling
Credentialing
Payroll
Provider Scorecards
CFO Copilot
1 — THE CONTEXT

ERG Has Outgrown Manual, "Oral-History" Scheduling

ERG’s scheduling works because experienced schedulers know the nuances of provider preferences and site-specific rules. But that “oral history” is impossible to scale. Describe documents those preferences and judgement, and makes scheduling resilient.

Scheduling cost vs. site count
More sites mean more overstaffing risk, room for error, and added staff/hours.
cost climbs with sites SCHEDULING COST 1 site61220 sites
Manual scheduling cost
WHAT ERG ALREADY DOES WELL

Provider-First Culture

ERG prioritizes provider happiness, preferences, fairness, and retention — and this should be protected as ERG modernizes scheduling.

Clinical Judgment

Clinician-schedulers understand ED rhythm, provider dynamics, and what a realistic schedule feels like.

2 — THE SCALING PROBLEM

Where Generic Scheduling Tools Break

There are too many variables involved for humans to optimize schedules manually.

  • Preferences live in scheduler's heads and are not properly documented
  • Consumes several tedious weeks of scheduler time every month 
  • Low visibility into productivity metrics when pairing providers together 
  • Contract obligations, payroll cost, and preferences are impossible to optimize by hand
  • Shift templates aren't optimized using volume/arrivals forecasting
  • Humans naturally over- and understaff because they can't weigh every variable at once
  • Fairness reporting for nights, holidays, and weekends becomes endless spreadsheet work
SCHEDULING VARIABLES
Manual
Schedule
Volume Preferences Holidays / High-Utilization Days Productivity Credentialing Contracts Fairness Shift Templates Forecasted Volume & Arrival Curves Workload BalancingCost

Human schedulers cannot manually hold every variable at once.

3 — HOW IT WORKS

Data-driven Scheduling for ERG

Describe's AI generates optimized schedules by analyzing ERG's operational data and provider preferences — turning what schedulers hold in their heads into a transparent system that scales.

INPUTS
Historical visits & arrival curves Provider preferences Contractual Requirments Productivity CredentialingSite Eligibility / APC Tiers
CUSTOM AI MODELS

Site-specific models trained on ERG's historic demand that deliver hourly volume forecasts.

OUTPUT
Optimized Schedule
Better preference satisfaction
Reduced over- and understaffing
A resilient and repeatable process
SIGNALS DESCRIBE WEIGHS SIMULTANEOUSLY
Day-of-week patterns Seasonal trends Provider availability Fairness and holiday rules Provider pairing logic Consecutive days off Night / weekend balancing
4 — VOLUME FORECASTING & SHIFT TEMPLATES

Staff to Patient Demand — Not Historical Assumptions

Instead of fixed templates, Describe minimizes cost by using custom-trained AI to predict patient arrivals and staff to volume.

Coverage vs. patient arrivals
rigid template creates gaps overstaffed understaffed peak overstaffed coverage tracks arrivals 0006121824
Predicted arrivals
Coverage

Key takeaway

Scheduling more efficiently means matching provider coverage to actual demand — so ERG can reduce waste, protect patient care, and give providers more time off.

AI-optimized scheduling keeps coverage closer to actual arrivals.

Lower staffing cost
Less provider idle time
More provider time off
Better work-life balance
5 — TAILORED TO ERG

ERG-Specific AI Use Cases

USE CASE 01 Resiliency

Turn Sensitive Knowledge Into a Resilient, Scalable System

ERG's scheduling knowledge is valuable, but too much of it lives informally today. Describe captures provider preferences, site rules, and scheduler judgment into structured workflows that can be reviewed, updated, and taught to new schedulers.

Scheduler Knowledge
Structured Rules
Resilient Process

The goal is not to replace the scheduler, but rather to make ERG's scheduling knowledge durable.

USE CASE 02Cost

Reduce Overstaffing & Understaffing With Volume-Aware Templates

Use patient volume forecasts to optimize templates by site, day, zone, and hour — reducing unnecessary coverage while adding support where demand actually requires it.

00081624
Coverage Predicted demand
USE CASE 03 Productivity

Productivity-Aware Provider Pairing

Using productivity metrics, Describe avoids risky pairings — never two historically slower providers during peak — and pairs newer physicians with faster, experienced ones to support onboarding. Describe analyzes provider performance patterns and helps pair clinicians who work well together.


Fast + New (mentor pair) ✓ recommended
Slow + Slow at peak ✕ avoided
USE CASE 04Fairness

Never Use Spreadsheets Again

ERG's schedulers should not need spreadsheets to answer whether nights, holidays, weekends, high-utilization days, and preferences are distributed fairly. This exact fairness logic is built into Describe's algorithm.

FAIRNESS REPORT · AUTO-TRACKED
Night shifts
Holiday blocks
Weekends
Preferences
6 — DESCRIBE VS QGENDA

Manual Scheduling Software, or 
an AI Operating System for ERG

The question is whether Qgenda can truly capture the complexity of ERG's scheduling — or whether the team will end up rebuilding the same non-resilient workarounds in a new system.

ERG is early enough in the Qgenda implementation (~1-2 months) that now is the right time to evaluate whether Describe fits ERG's needs — before months of workarounds become embedded.

ERG NEED
Qgenda
Describe for ERG
Resilient Scheduling
Sensitive knowledge remains with schedulers
Captured and documented as transparent, structured rules & reports
Shift Template Optimization
Nonexistent / all manual
AI-generated templates by site/hour volume and predicted arrival curves
Over/Understaffing & Cost Optimization
Nonexistent / reactive
Identifies inefficient coverage patterns, forecasts demand, and recommends shift templates
Productivity-Aware Scheduling
Nonexistent / outside the scheduling workflow
Productivity/performance metrics are used as parameters for AI scheduling
High-Utilization Days
Hard to model separately from holidays
Admin-defined days, custom thresholds
APC Tiering
Needs to be manually factored
Built into provider/site/shift rules
Reporting
Has customization ability
Fairness, preferences, workload, and holidays
Implementation & Support
Remote, several months (from what we've heard from ERG)
In-person with dedicated implementation engineer(s), minimal work from your schedulers, and 24/7 support
Broader Operating System
Scheduling, credentialing, and time-keeping
Scheduling, credentialing, payroll, metrics scorecards, utilization, chart reviews, AI Copilot for CFO, and more.
7 — IMPLEMENTATION

A Low-Risk, In-Person 
Implementation Approach 

24/7 TEAM SUPPORT DEDICATED IMPLEMENTATION ENGINEER

Describe's 2-month scheduling implementation pairs ERG with a dedicated, in-person Implementation Engineer who will lead the pilot, starting with one site (e.g. Georgia site or Lakeland).

1

Knowledge Capture & Data Setup

Work with Dr. Gutierrez, Shauna, Erin, and Dylan to gather roster, templates, contracts, rules, preferences, and holiday logic. Capture what lives in schedulers' heads.

2

AI Scheduler Configuration

Customize Describe around ERG's goals: provider happiness, fairness, transparent scheduling, and shift-template efficiency.

3

Month 1 Schedule Generation

MONTH 1 VALUE, LOW-RISK

Describe generates real schedules in Month 1 for the pilot region so ERG can compare it against the manual process.  

4

Weekly Feedback

Meet weekly with ERG's core team to review progress, gather feedback, adjust rules, and customize Describe.

5

Provider Onboarding

After finishing admin onboarding and core customization, we onboard providers in Month 2.

6

Expand Across ERG

Once schedule quality is proven, expand from the pilot region to additional ERG sites.

8 — PRICING & ROI

Resilient Schedules That Improve Margins

AI SCHEDULING PLATFORM
Per provider
$50/ mo

Includes AI scheduling, volume forecasting, shift optimization, analytics, implementation, and 24/7 ongoing support.

CONSERVATIVE BREAK-EVEN

Describe pays for itself by conservatively removing just ~14 shifts (or 14 shifts-worth of hours) from the monthly template — less than 0.5% of ERG's total monthly scheduled hours. Even a 0.5% efficiency increase from AI (vs. the current manual process) means ERG profits from Describe.

Proof from Baptist Health

5-site ED group using Describe scheduling.

BUSINESS OUTCOMES
$150k/yr
Avoided admin hires savings
$14k/mo
Provider payroll savings
More provider preferences met
94%
Less scheduling time
OPERATIONAL METRICS IMPROVED
+7%
Press Ganey
−11%
Length of stay
−40%
Door-to-Doc
ROI DRIVERS & BENEFITS
Less payroll cost from leaner schedules
Resilient scheduling that doesn't depend on one person's knowledge
Less time spent and burden on schedulers
More transparent fairness across holidays, nights, weekends, and sites
More time off for providers
Avoid more scheduling hires as ERG grows
Improvement in site metrics
Higher retention and recruiting advantage by having flexible schedules
09 — THE BIGGER PICTURE

Scheduling Is Where We Start

Once Describe is integrated into scheduling, ERG can expand the same operating system into credentialing, payroll, provider performance scorecards, and financial intelligence.

Credentialing
  • Provider onboarding
  • Document tracking
Credential providers 6 weeks faster
Payroll
  • Shift-based pay
  • RVU / productivity calculations
Reduce overpayments — save up to 1% of payroll
Provider Scorecards
  • Site-level performance
  • Provider trends & action plans 
Metrics improve with provider visibility
AI Copilot for CFO
  • Revenue leakage alerts
  • Billing vendor scorecards
Increase revenue
FUTURE STATE ERG, 6 Months
from now

Scheduling is resilient, volume-based staffing is routine, and providers have one place to see their pay breakdown, performance metrics, and credentialing. An intelligence layer lives on top of financial data to help boost revenue.