It’s Tuesday, 2:47 PM. Jennifer, your billing coordinator, is on hour THREE of matching EVV records to payroll. Same spreadsheet. Same 15 browser tabs. Same soul-crushing manual process she does every. single. week.
Meanwhile, your best nurse just gave notice. Reason? “I became a nurse to care for patients, not spend 4 hours daily on paperwork.”
Jennifer prints timesheets, logs into multiple systems, compares, updates Excel, calls caregivers, and re-enters data into payroll. Billing repeats it all.
Total: 3.5 hours | 35% error | 3–5 days delay.
Paper notes → EMR → print → scan → upload
Paper calendar → call → Excel → text → EMR
Compare lists manually → call pharmacy → update
Print → code → mail → track in spreadsheets
If you have 25 employees spending just 3 hours daily on manual tasks at $35/hour
That’s 12 additional full-time employees you’re paying for but not getting.
Healthcare processes are systematic workflows required to deliver patient care and manage operations—but 70% remain manual despite automation tools.
| Category | Description | Manual Reality |
|---|---|---|
| Clinical | Assessment, diagnosis, treatment, documentation | 4.5 hrs/day lost |
| Operational | Scheduling, staffing, routing | 2.8 hrs/day lost |
| Administrative | Admissions, discharge, referrals | 3.5 hrs/admission |
| Financial | Billing, claims, collections | 5.1 hrs/day |
| Compliance | Reporting, credentialing | 2.4 hrs/day |
One patient visit touches all five categories, yet agencies use 10–15 disconnected systems requiring manual handoffs.
Any workflow that requires human intervention for repetitive tasks that technology could handle automatically—the essence of Tangleware™.
| Method | Time Wasted | Error Rate | Monthly Cost |
|---|---|---|---|
| Paper forms → System entry | 45 min/form | 23% | $4,200 |
| Copy-paste between systems | 3.2 hrs/day | 18% | $3,500 |
| Phone scheduling | 2.5 hrs/day | 15% | $2,750 |
| Excel tracking | Aggregated outcomes, trends | Missed risk prediction | 30% value-based penalties |
| Manual reconciliation | 16 hrs/week | 31% | $2,240 |
| Fax communication | 1.5 hrs/day | 12% | $1,650 |
Total Monthly Loss: $17,420
Manual = human dependency.
Automatic = technology execution without human effort — Tangleware™ vs Single Architecture™.
| Aspect | Manual Process | Automatic Process |
|---|---|---|
| Speed | 45 min/task | 45 sec/task |
| Accuracy | 77% | 99.9% |
| Cost | $35–50/hr ongoing
|
One-time setup |
| Availability | 8 hrs/day | 24/7 |
| Scalability | Hire more people | Same system |
| Staff Impact | Burnout | Patient focus |
70% lower billing cost, 50% faster payment, 90% fewer denials.
Your agency loses money every single day to family communication problems in home care. Not metaphorically—literally. While you’re juggling texts, emails, phone calls, and sticky notes across 10-15 different systems, critical information falls through the cracks. Medications get missed. Families get frustrated. Caregivers burn out.
4-minute assessment reveals your exact efficiency losses.
15-minute demo shows real workflow automation.