How does the platform run an agency reduction program with auditable savings?
Design target · Expected outcome
Operator-baseline agency review
Design target modeled from workflow design. No operator community has been measured, no approved Evidence Record supports it, and business outcomes remain contributory — figures are targets, not results. See Industry Findings for methodology.
Incumbents this workflow touches
Performs in-platform: Agency invoice spreadsheet reviewed at month-end
Integrates with (Tier 3): ShiftMed · ShiftKey · IntelyCare · Clipboard Health
SeniorCRE does not “replace” the EHR. Where PointClickCare, MatrixCare, Yardi, or OnShift are in place, the workflow runs on top of the existing record via integration.
The problem
Agency spend is the single biggest controllable labor cost. Most operators know the number is too high but cannot tell you why a specific shift went to agency or who approved the rate.
How the platform runs it
Every agency shift is captured with the reason it was not filled internally — credential gap, call-out, acuity surge, or scheduling error. Agency rates are benchmarked against internal blended rate per role. A weekly agency dashboard shows hours, dollars, reasons, and trend by community. Agency-to-internal conversion programs run against the float pool with visible ROI.
On the shift
The agency dashboard shows agency hours by community, by department, by shift, with cost-per-resident-day plotted against budget. Property B’s agency exposure dropped 38% over the past quarter — traceable to two retention interventions and one schedule-template change. The system’s next-best-action queue surfaces three more interventions for the coming quarter, ranked by projected agency-hour reduction.
What the outcome looks like
Validation evidence should show agency hours, reasons, rates, credential gaps, acuity exceptions, and approval lineage against the operator’s own baseline. No generic agency-spend reduction or timing outcome is claimed.
What goes wrong without it
Without that visibility, agency is a number on the P&L that everyone agrees is too high. The interventions that worked at Property B never get propagated to Properties A and C because nobody knows what they were. Agency creeps back up after a turnover spike, and the operator is paying $90/hour to staff a shift that an internal CNA at $22/hour would have covered if she had been asked.
Sources for baselines cited above
Industry benchmarks referenced in the problem statement or outcome come from these third parties. SeniorCRE figures are labeled expected outcome — modeled from workflow design and benchmarks, not yet measured in a customer community.
Show me the evidence
Operators do not buy claims. They buy proof. If anything on this page reads as aspirational, ask us to walk you through the surface in production for a community at your acuity and payer mix.
Where this connects in the platform
Every workforce workflow runs on the same record. These are the feature pages, head-to-head comparisons, and pillar articles that go deeper on the surfaces this workflow touches.
Feature surfaces
Compared head-to-head
Workforce and labor references
Workforce workflows on this page draw on the CMS minimum staffing rule, BLS Occupational Employment and Wage Statistics, and the AHCA/NCAL workforce reports that shape current hiring benchmarks.
- Minimum Staffing Standards for Long-Term Care Facilities (Final Rule)
CMS / Federal Register
The 3.48 total / 0.55 RN HPRD standards and 24/7 RN-on-site requirement were rescinded by CMS effective Feb 2, 2026; the enhanced facility assessment remains in force.
- Occupational Employment and Wage Statistics — Healthcare Practitioners
Bureau of Labor Statistics
Authoritative wage benchmarks for RN, LPN, CNA, and Med Tech roles by MSA — drives our compensation benchmarking.
- AHCA/NCAL State of the Long Term Care Industry Workforce
AHCA / NCAL
Industry survey of turnover, vacancy, and agency reliance across the SNF and AL sectors.
- Payroll-Based Journal (PBJ) Submission Specifications
CMS
PBJ feeds Care Compare staffing stars; defines the auditable record for HPRD calculations.