PREPARED FOR ECS LEADERSHIP · GRAND RAPIDS, MICHIGAN

AI That Helps ECS Build Smarter Schedules, Faster

Eliminate manual spreadsheet work while optimizing schedules for provider satisfaction, fairness, coverage, and cost.

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

Humans Have Optimized What They Can

ECS has already created a strong scheduling foundation with experienced schedulers, and thoughtful medical directors.

Describe builds on top of this with AI that continuously analyzes thousands of scheduling decisions humans simply can't evaluate.
Human Expertise + Describe AI
Describe continuously evaluates thousands of scheduling scenarios beyond what is practical to optimize manually.
Scheduling quality Operational complexity Practical limit of manual optimization
Human expertise
Human expertise + Describe AI
WHAT ECS ALREADY DOES WELL

Provider-First Culture

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

Strong Operational Foundation

ECS already uses time studies and site-level workload patterns to shape staffing.

2 — THE OPTIMIZATION GAP

Too Many Variables to Optimize Manually

ECS has a strong scheduling process, but maintaining high-quality schedules across 12 sites and ~300 providers requires a lot of manual work.

  • Preferences, nights, weekends, recovery time, and other metrics are updated and tracked manually.
  • Fairness/shift reports are maintained across many spreadsheets.
  • Qgenda auto-generation requires substantial manual correction to resolve coverage gaps and undesirable shift patterns.
  • Medical directors must constantly review volume data to identify overstaffing, understaffing, and opportunities to adjust coverage.
SCHEDULING VARIABLES
ECS
Scheduling
Team
Patient demand Site coverage Provider preferences Recovery time Nights & weekends Fairness Provider workload Performance Call-outs Training shifts Contracted hours Labor cost

Human schedulers cannot manually hold every variable at once.

3 — HOW IT WORKS

AI-powered Scheduling for ECS

Describe analyzes ECS's operational data, preferences, and fairness rules to auto-generate schedules that balance coverage, workload, provider satisfaction, and cost.

INPUTS
Historical visits & arrival curves Provider preferences Contractual Requirments Productivity & Workload CredentialingCross-site coverage
CUSTOM AI MODELS

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

OUTPUT
Optimized Schedule
Balanced provider workload
Improved coverage during peak
Less manual scheduler work
Fairer schedules across months
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

Predict Patient Demand Before It Happens

Describe minimizes cost by using custom-trained AI to predict patient arrivals and staff to volume, by zone.

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 ECS can reduce waste, protect patient care, and give providers more time off.

AI-optimized scheduling keeps coverage closer to actual arrivals.

Predict staffing shortages
Lower staffing cost
Balance provider workload
Reduce over/under-staffing
5 — TAILORED TO ECS

ECS-Specific AI Use Cases

USE CASE 01

Automate Fairness Reporting

ECS currently tracks fairness, nights, weekends, shifts, call-outs, and over/under hours using Excel spreadsheets. Describe auto-tracks these metrics, allowing schedulers to focus on higher-value decisions.

MANUAL TRACKING
Fairness
Nights & weekends
Training shifts
Call-outs
Over-under hours
Describe
AUTO-UPDATED
Live
Accurate
Ready to share
USE CASE 02

Productivity-Aware Provider Pairing

Describe avoids risky pairings — never two historically slower providers during peak — and pairs newer physicians with faster, experienced ones to support onboarding. Describe helps pair providers who work well together.

Fast + New (mentor pair) ✓ recommended
Slow + Slow at peak ✕ avoided
USE CASE 03

Operational Intelligence for Medical Directors

Describe continuously monitors staffing, patient demand, provider workload, and scheduling patterns to surface actionable recommendations and anomalies.

AI INSIGHTS BRIEFING
Butterworth — Staffing Risk

Patient volume projected 18% above scheduled coverage

Recommendation: Add APP coverage from 2 PM–8 PM

Provider Workload Anomaly

One APP is averaging 32% more workload than the site average

Recommendation: Review staffing mix

July Coverage Forecast

Projected shortage of 8 APP shifts (based on SurveyMonkey responses and volume forecast)

Recommendation: Begin recruiting or adjust availability

USE CASE 04

Automatically Update Preferences

ECS surveys providers for preferences, but manually updating them is too time-consuming, so some sites are scheduled manually. Describe updates preferences automatically so every site can use auto-generation consistently.

CURRENT PROCESS
Provider survey
Preferences entered manually
Updates become too time-consuming
Some sites are scheduled manually
WITH DESCRIBE
Provider survey
Preferences update automatically (with admin approval)
Auto-generation runs with current data
Scheduler reviews and publishes
6 — IMPLEMENTATION

An In-Person Implementation Approach 

24/7 TEAM SUPPORT DEDICATED IMPLEMENTATION ENGINEERRUNS ALONGSIDE QGENDA

Describe's 2-month scheduling pilot pairs ECS with a dedicated, in-person Implementation Engineer who will help run a side-by-side comparison of Describe vs. your current process.

1

Discovery & Data Setup

Gather roster, templates, contracts, rules, preferences, holiday logic, and historical volume. Capture what lives in schedulers' heads.

2

AI Scheduler Configuration

Configure Describe around ECS's goals: provider satisfaction, fairness, and optimal staffing.

3

Month 1 Schedule Generation

MONTH 1 VALUE

Describe generates real schedules in Month 1 so ECS can compare it against the manual process. 

4

Weekly Feedback

Meet weekly with ECS' core team to review progress and gather feedback.

7 — PRICING AND ROI

Schedules That Improve Margins

Scheduling Optimization Plugin

AI Intelligence Layer that works on top of QGenda

$30per provider / month
AI scheduling optimization
Provider pairing intelligence
Fairness reporting
Medical director insights
Staffing forecasts
Implementation & support
ROI DRIVERS & BENEFITS
Less payroll cost from leaner, efficient schedules
Save 90% of scheduling time
Balance provider workload more effectively
Improve fairness across nights, weekends, and locations

Describe pays for itself by removing just ~5 unnecessary shifts per month.

PROOF POINT

Proof from Baptist Health

5-site ED group using Describe scheduling.

BUSINESS OUTCOMES
$150k/yr
Avoided admin hires savings
$14k/mo
Provider payroll savings from more efficient shift templates
More provider preferences met
94%
Less scheduling time
OPERATIONAL METRICS IMPROVED
+7%
Press Ganey
−11%
Length of stay
−40%
Door-to-Doc