Matching capacity to demand across 13 regions without firefighting coverage

Results at a glance

• Call-outs, coverage gaps, and float handled in real time
• Surges and scale-downs managed across 13 regions
• Capacity matched to forecast — ready for flu season
• The right licensed, skilled care team members moved between regions without a fire drill

About Dialogue

Dialogue runs primary care, mental health, nutrition, and care coordination across 13 regions, staffed by a blended care team of RNs, MDs, therapists, psychiatrists, psychologists, and nutritionists.

The pain

Gaps surfaced late. Call-outs and coverage holes left clinical leaders firefighting instead of leading.

Demand moves between regions. A surge in one region and a lull in another means people need to move fast; by hand it's too slow, and patients wait.

A static schedule breaks under seasonality. Flu season and volume spikes overwhelm a grid built weeks earlier.

One region floods while another goes quiet — and moving nurses between them happens in a spreadsheet, after patients are already waiting.

The challenge

Dialogue had to hold coverage tight across 13 regions and a blended workforce as demand shifted by region and season — without overstaffing away its margin.

The solution

Untether keeps capacity matched to forecast across regions and service lines and handles the day-to-day automatically: call-outs, coverage gaps, and moving the right licensed, skilled people between regions. When volume surges or a region scales down, coverage adjusts without a scramble.

The impact

Clinical leaders stop firefighting, coverage holds through surges and flu season, and capacity tracks demand instead of sitting idle — protecting both patient access and margin. Manual coverage work fell roughly 75%.