A New Jersey home-care agency

The audit · document 06 of 07

Prioritized opportunities

Everything the audit surfaced, ranked by volume × time × error cost. Out-of-scope finds are recorded, not audited — each moves only on the owner’s approval.

Annual value identified

At the agency's own rates. Measured means from the logs and invoices; estimated means the agency's figures, pending their own audits.

measured — this engagement$73,000 per yearthe weekly cycle plus the platform swap, from the logs and the invoice
estimated — pending own audits$5,000 more per yearthe small items below — recorded, not audited
not pricedrisk & capacity upside≈ 34 caregiver-hours a week of Sunday paperwork, overruns blocked, review-readiness
#ProcessHours given back / yrAnnual valueTimeline
P1The weekly documentation cycle~1,000 h≈ $73k4 w — built
P2State-review preparation est.est. ~5 office daysest. ≈ $1.5kconfirm at next review
P3New-hire & annual training paperwork est.est. ~90 hest. ≈ $2.5kown audit first
P4Rollover-hours handling est.est. ~30 hest. ≈ $1k + fewer disputeswith P3
P5Outcome-note guidance & pre-checks — AI, gated est.workforce time + returnsnot pricedafter the compliance gate

Ranks follow the audit’s score (volume × time × error cost). Only P1 is audited; P2–P5 are recorded for later. The remaining items are small: the finding was one heavy weekly loop, not ten light ones.

The detail, per opportunity

What each item is, who owns it today, and its status.

1

The weekly documentation cycle audited & built — this engagement

Fully traced in documents 02–04, built as Slate in chapters 08–09. The build case: it runs every single week, it carried the $5,000/month platform, and the chasing, re-typing, and correction time all concentrated here.

volume ~70 packets/weektime today 24 h 15 m/weekcost ≈ $8,100/movalue ≈ $73k/yr
2

State-review preparation side effect — confirm at next review

Twice a year, ~3 office days reconstructing the record for a state review: pulling PDFs, matching them to spreadsheets, filling holes. With filing organized and current, preparation becomes retrieval — the remaining piece is the summary binder. Not built; expected to mostly dissolve, and measured at the next real review.

volume 2 reviews/yrtime ~3 days eachvalue est. ≈ $1.5k/yr + easier reviewsstatus watch, then decide
3

New-hire & annual training paperwork out of scope — recorded

Issue a document, collect a signature, track who still owes one, file the result — the same shape as the weekly cycle, at yearly volume. Would reuse the sign-in, signatures, reminders, and filing that already exist. Spikes at annual renewals, when the office can least afford it.

time ~8 h/monthowner office coordinatorvalue est. ≈ $2.5k/yr + compliance risk downstatus pending owner approval
4

Rollover-hours handling out of scope — recorded

Participants’ authorized hours flex across weeks and months; today the reconciliation is a spreadsheet negotiation between the office manager and the program. The ceilings now live in the system — carrying the arithmetic across periods is a small module, discussed and parked.

time ~2–3 h/monthowner office managervalue est. ≈ $1k/yr + fewer disputesstatus pending owner approval
5

Outcome-note guidance & pre-checks AI — designed, gated, off

A drafted assist layer: it would flag thin or missing outcome notes before submission and offer guidance on what a complete note covers — it drafts nothing and rewrites nothing. Built far enough to demonstrate; shipped switched off. The gate is written and non-negotiable: the agency’s own compliance review approves it, in writing, or it stays off.

value workforce time + return rate downgate compliance review, in writingstatus deliberately last

How the ranking works: volume (instances per period) × time per instance × error cost (what going wrong costs, from the failure stories). The weekly cycle outranked everything on all three. The AI layer ranks last on purpose: it is considered only once the base workflow runs reliably.

Prepared by /analog · part of the home-care case study.
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