PREPARED FOR RELIAS LEADERSHIP · TUPELO, MISSISSIPPI

The AI Operating System Helping Relias Build More Profitable, Provider-Friendly Schedules

Centralize scheduling across 32 sites, reduce clinician scheduling time, minimize locums usage, and build better schedules by optimizing across provider preferences, fairness, cost, and coverage.

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

Relias Has Outgrown Manual Scheduling

Relias is coordinating schedules across 32 sites with 20–25 providers involved. Providers handwrite schedules, which are then uploaded into WhenToWork. As preferences, sites, and cross-coverage changes every month, this becomes very expensive and unscalable.

Scheduling cost vs. site count
32-SITE FOOTPRINT
SCHEDULING COST / ADMIN EFFORT 6 sites13192632 sites cost accelerates
Manual scheduling cost
Number of sites
WHAT RELIAS ALREADY DOES WELL

Provider-First Culture

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

Clinical Judgment

Clinician-schedulers understand ED rhythm, provider dynamics, and what a realistic schedule feels like.

2 — THE SCALING PROBLEM

Where Manual Scheduling Breaks 
Across 32 Sites

There are too many variables that change every month for humans to optimize schedules manually.

  • 20–25 providers involved, which is very expensive and gives those providers less flexibility/time to work shifts 
  • Manual errors occur today, such as double-booking shifts or entering the wrong schedule into WhenToWork
  • Contractual hours, provider cost, and locums usage hard to optimize by hand

  • Shift lengths may need to change based on the providers staffed
  • Humans naturally over- and understaff because they can't weigh every variable at once
ONE SCHEDULER · EVERY VARIABLE AT ONCE
Manual
Schedule
Volume Preferences Holidays Productivity Credentialing Contracts Fairness New sites Shift lengths LocumsCost

Human schedulers cannot manually hold every variable at once.

3 — HOW IT WORKS

Data-driven Scheduling for Relias

Describe's AI generates optimized schedules by analyzing Relias' operational data and provider preferences — turning what schedulers hold in their heads into a system that scales.

INPUTS
Historical visits & arrival curves Provider preferences Contractual Requirments Productivity CredentialingLocums usage & cross-site coverage
CUSTOM AI MODELS

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

OUTPUT
Optimized Schedule
Fewer avoidable locums shifts
Better preference satisfaction
Fewer manual errors
A more repeatable process
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

Staff to Patient Demand — Not Historical Assumptions

Instead of fixed templates, Describe can evenly distribute workload across providers and minimize cost by using AI to understand whether the shift structure itself is efficient — analyzing predicted volume, site needs, and availability.

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

AI-optimized scheduling keeps coverage closer to actual arrivals.

Lower staffing cost
Less provider idle time
Lower scheduling cost
More provider time off
Reduced Locums Dependency
Better work-life balance
5 — TAILORED TO RELIAS

Relias-Specific AI Use Cases

USE CASE 01 Centralization

Centralized Scheduling Without Losing Local Judgment

Describe stores provider preferences, site-specific rules, contractual obligations, credentials, cost, and scheduler intuition so Relias can move from 20–25 local schedulers toward 1 centralized scheduler. Describe can also enforces availability rules for providers to ensure proper coverage.

20–25 local schedulers
Describe engine
Human review & publish

A central scheduler can manage more sites without needing every detail to live in 20 provider's heads.

USE CASE 02 Cost

Minimize Locums by Placing Existing Providers First

Describe knows each provider's contract and associated cost — so it can prioritize lower-cost eligible providers before using locums.

PLACEMENT ORDER BY COST
Employed · low1st ✓
Employed · mid2nd ✓
Locums · highlast
If locums are still needed, Describe places them in the most efficient way possible.

Reduce avoidable locums usage while protecting provider happiness, fairness, and coverage.

USE CASE 03 Productivity

Productivity-Aware Provider Pairing

Using productivity metrics, Describe avoids risky pairings — never two historically slower providers during peak — and pairs newer physicians with faster, experienced ones to support onboarding. Describe analyzes provider performance patterns and helps pair clinicians who work well together.

Fast + New (mentor pair) ✓ recommended
Slow + Slow at peak ✕ avoided
USE CASE 04 Recruiting

Know Whether a Candidate's Ideal Schedule Can Work

If a candidate wants 6 shifts in a row, limited weekends, or specific sites, Describe can simulate whether that request is feasible before Relias makes a promise.

CANDIDATE REQUEST · FEASIBILITY
6 shifts in a row✓ feasible
Limited weekends✓ feasible
Sites 3 & 7 only~ tradeoff
Result: feasible with minor tradeoffs

Better recruiting conversations, data-backed commitments, stronger retention.

6 — IMPLEMENTATION

An In-Person Implementation Approach 

24/7 TEAM SUPPORT DEDICATED IMPLEMENTATION ENGINEERSIDE-BY-SIDE COMPARISON

Describe's 3-month scheduling pilot pairs Relias with a dedicated, in-person Implementation Engineer who will help run a side-by-side comparison of Describe vs. your current process, starting with one site cluster (e.g. Dr. Pond's sites).

1

Discovery & Data Setup

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

2

AI Scheduler Configuration

Customize Describe around Relias' goals: provider happiness, fairness, locums reduction, central scheduling, shift-template efficiency, and cross-site coverage.

3

Month 1 Schedule Generation

MONTH 1 VALUE

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

4

Weekly Feedback

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

5

Expand Region-by-Region

Once schedule quality is proven in the pilot region, expand to additional Relias sites.

7 — ROI

ROI: Better Schedules That Improve Margin

Describe improves margin by reducing clinician scheduling time, minimizing avoidable locums usage, and creating efficient shift templates around actual demand.

Estimated Scheduling Cost Today

Based on Dr. Pond's estimate that at least 20–25 providers are involved in scheduling:

20
provider-schedulers
×
10
hrs / mo
×
$150
/ hr
~$30k/mo
Estimated clinician scheduling cost
If Describe reduces scheduling time by 75%:
~$23k/mo saved
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
ROI DRIVERS & BENEFITS
Minimizing locums usage
Cut manual provider scheduling time
Detect when hiring beats recurring locums
More transparent fairness across holidays, nights, weekends, and sites
Less payroll cost from leaner schedules
More time off and flexibility for providers

Describe pays for itself by removing just a few unnecessary shifts per month.

08 — THE BIGGER PICTURE

Scheduling Is Where We Start

Once Describe is integrated into scheduling, Relias can expand the same operating system into credentialing, payroll, provider scorecards, and financial intelligence.

Credentialing
  • Provider onboarding
  • Document tracking
  • Site-specific requirements
Payroll
  • Shift-based pay
  • RVU / productivity calculations
Provider Scorecards
  • Productivity & throughput
  • Site-level performance
  • Provider trends & action plans 
AI Copilot for CFO
  • Revenue leakage alerts
  • Billing vendor scorecards
  • Margin protection recommendations
FUTURE STATE Relias, 6 Months
from now

Scheduling is centralized with little-to-zero provider involvement. Relias has a repeatable scheduling process that increases provider happiness.