For home care and home health agencies
Your clients, your team and your business in one app.And the family is already in it.
The family already runs the care in ExpressAgain. Your office, your nurses and your aides join that same record: the day plan, the medications, the shifts, the checklists, the timesheets and the invoices in one place, each person on their own side of it.
In the browser on any phone, tablet or computer. Nothing to install.
- Home care agencies: companion and personal care, private pay or Medicaid waiver
- Home health agencies: nurses, aides and therapists visiting at home
- Independent professionals growing into an agency
One roof
The family, your office and your people on one record.
We can actually help them manage their patients and their team and their practice all under one roof, in one app.
Your clients
The family's record and your agency on the same page: the plan, the day, the medications, the readings and the team feed.
See your clients ↓Your team
Your office in each home, the weekly schedule, open shifts, the location-checked clock, the checklists and the credentials.
See your team ↓Your business
Timesheets from the clock, one agency invoice per home, agreements signed in the app, quote requests and the Marketplace.
See your business ↓
Built for fewer phone calls between the office, the home and the family, and for invoices that match the clock. A pilot measures these with you, in your own homes.
Your clients
Your people walk into a home where the plan is already written down.
The family runs the record and names the patient, so the app says Sam's Day, Sam's Schedule, Sam's care. Your nurses and aides join it with a code. Every card below is in the app today and links the Help Center article that describes it.
Home Care Team Plan: 25 sections, already filled
The family's 25-section plan, filled from what is already in the app, ready for your intake visit.
Home Care Team Plan →How it works
The 25 sections of a home care team plan on one page, from the Patient Profile and the Weekly Coverage Plan to the Medication Plan and the Team Readiness Checklist, each filled live from what the family already entered: the Emergency Plan Card, Prescriptions, the day plan, the care targets, the weekly schedule and the shift checklists. Where two pages disagree, it shows both and says These don't match. The family prints it for your intake visit.
The patient's day, step by step: Sam's Day
The day in time blocks with steps and how-to videos, ticked off by whoever is on shift.
The day plan →How it works
The day as the family wants it run, in time blocks, each with its steps and a how-to video the family records. Your professional taps each step off and the log keeps who did it and when. Story view reads like a note for a first shift; Schedule view prints as a timeline. Every label says the patient's name, never a pronoun.
Medications, the dose log and dose reminders
Times from the label, a dose-due pop-up for whoever is clocked in, and a log of every dose.
Medication schedules and the dose-due reminder →How it works
Each medication with its times from the label. When a set is due, the professional who is clocked in gets a pop-up to log it as given, skipped or refused, and a phone reminder if they turned those on. A set nobody logged counts as missed in the Medications report. The app reminds; it does not decide when a medicine is taken.
A symptom log with photos and videos
One tap to log a symptom, with up to three photos or short videos on the entry.
The symptom log →How it works
One tap for pain, a fall, swelling or nausea, with which leg or where the pain is, and up to three photos or short videos on an entry. Every entry carries the time and who logged it, and the app never scores or interprets it. Only the people who can read the symptom log see the pictures, and they are never sent in an email or a text.
Health Tracking, against the care team's targets
Readings against the targets the physicians and nurses set, with care alerts to the clinicians.
Targets, when to call, and care alerts →How it works
Blood pressure, glucose, temperature, oxygen, weight, sleep, meals and the bathroom and personal-care logs, typed by whoever is there. The family types the targets the clinicians gave them, and a physician or nurse on the team can update them on the Care targets tab, stamped with who changed it. Green and red only say inside or outside the target; a reading outside goes to the clinicians as a care alert at once.
The Emergency Plan Card, in the app
The patient emergency plan identification card, kept current and ready to print.
The Emergency Plan Card →How it works
A home health agency's Patient Emergency Plan Identification Card, kept in the app: demographics, qualifying conditions, the evacuation plan and the rest of the paper card's fields. The family keeps it current, every clinical login reads it, and one button prints it.
Communicate, for a client who cannot speak
Tap a phrase and the app says it out loud, for a client who cannot speak.
Tap any phrase to speak it →How it works
After a stroke, with aphasia or with ALS, the patient taps a phrase and the app says it out loud, builds a message, or spells a word on the letter board. Your professional hears what the patient wants, out loud. There is no timer and no rush.
The team feed, with the family and the clinicians
One conversation for the family, the clinicians and your people, with the day's activity in it.
The IDC Team feed →How it works
The care team's own conversation: the family, the clinicians and your aides and nurses post there, and a reading, a dose or a ticked step of the day shows as an activity line with the initials of who logged it. Your office reads and posts on the feed too, with the staffing lines and never the health activity.
We walk through one of your clients' homes with you.
Your team
Your office, your schedule and every shift, in each home you serve.
Your office gets its own login in each client's home. Your professionals clock in at the house, work through the checklist and the day plan, and see every schedule change on their own dashboard.
Your office in each home, and your whole team in one place
A login in each home, and your whole team and their week on one page across every client.
Your team across every client →How it works
The office login has two doors, Office and My paperwork. Team lists your aides and nurses in that home with this period's hours, who is on shift now, their regular slots and today's checklists. Add a staff member sends an aide or a nurse a join link by email or text, with Resend and Revoke, and the office can adjust or close its own people's shift times, stamped with the agency's name. Team · all clients shows your whole team across every client home that added your office: each person's homes, this week's hours per home and in total, anyone over 40 hours, the credential to renew soonest, the week Monday to Sunday with open slots and open shifts, and what needs attention. It is read-only: Open this home takes the office into that home, where changes, claims and invoices happen. The office never sees the clinical record.
Getting started, without the paperwork that is yours
One checklist for each new professional, without the tax and pay steps that belong to your agency.
The Getting started checklist →How it works
Each new professional has one Getting started checklist: learn the app, the screening consents, credentials, learning about the patient, the skills checklist and the pay-release acknowledgment, then I'm ready to work. Someone staffed through your agency skips tax and pay, which stay your agency's business.
A weekly schedule that changes from a date
Changes start from a date, nothing is deleted, and Schedule history keeps every change.
The weekly schedule and its history →How it works
Each regular shift on the family's Weekly schedule is kept as versions. Change from a date starts the new days and times next Monday, or the day picked, and the weeks before keep the schedule they had. End this shift ends it without deleting it. Schedule history lists every change with who, when and why, and its rows cannot be edited. Your professional sees each change on My shifts.
Open shifts, and Offer to …
A shift someone cannot work goes on the open board, and your office can claim it for one of your people.
Clock in, open shifts and pay release →How it works
When someone cannot come, Can't make it puts the shift on Open shifts for the rest of the team, and your office can claim it for one of your people. The family can also offer an open slot to one professional by name with Offer to …, answered with Accept or Decline on My shifts.
A location-checked clock-in
Clock in and out only at the patient's home, checked against the phone's location at the tap.
Clock in and out only at the patient's home →How it works
With the family's switch on, your professional clocks in and out only at the patient's home, or a pick-up place set for that day, checked against the phone's location at the tap and never tracked in between. Away from the house, Ask the family to fix my time is the only way; the family chooses Fix the time or Send them back, and the shift keeps that history.
Start and end of shift, with photo proof
Start and end of shift lists, with a photo before a flagged item counts.
Shift checklists and photo proof →How it works
Start of shift and End of shift lists the family writes. An item can count only when the day's data shows it, such as vitals logged or medications given, or only with a photo, and with photo proof on, nobody clocks out until the flagged photos are in. Your office sees today's checklists on Team.
Medication shifts go to people cleared for medications
A medication shift goes only to someone confirmed for medications.
Medication shifts →How it works
Only someone confirmed for medications, by a validated skills checklist, the questionnaire before hire or a credential such as CNA or LPN, can pick up a shift marked This shift gives medication from the open board, even when your office claims it for them. On the weekly schedule, assigning anyone else warns the family first and Assign anyway records who overrode it; a professional the family marked not allowed to give medication cannot be put on it.
Skills checklists and credentials with expiry dates
Skills checklists validated by the family or their nurse, and credentials with their expiry dates.
Agreements, credentials and skills checklists →How it works
The family assigns a skills checklist (RN, CNA, companion or older adult); your professional rates each item and the family or their nurse validates and signs. One table shows who has the agreement, the W-9, CPR, the license, TB and the skills checklist, and a license or CPR card within 30 days of expiring shows amber, expired red. Your agency can also credential each professional once: the license, CPR card, TB test, training and a skills checklist your agency validates, filed with their expiry dates and read in each client home where that professional's login comes through your organization, where the stricter of the family's rule and yours applies.
Door access when people rotate
Who has a door code, never the code itself, with reminders when people change.
Door access →How it works
The family keeps a Door access list of who has a door code, never the code itself, with a reminder to remove a code the day someone leaves the team, to give a temporary code when someone picks up an open shift without one, and to review every three or six months.
See the office's Team, Open shifts and Invoices in the demo.
Your business
The clock becomes the timesheet, and the timesheet becomes your invoice.
Hours come from the clock at the house, the invoice comes from the hours, and the family approves and records the payment in the same app. New work comes in through quote requests and the Marketplace.
Timesheets from the clock
The clock adds up into the pay period's timesheet, and hours worked are always owed.
Clock in, the time log and pay release →How it works
Every clocked shift, with its breaks, adds up into the pay period's timesheet. A day with a required checklist item or log missing is held for the family's review, never unpaid: hours worked are always owed.
One agency invoice per home, every day Monday to Sunday
One draft per pay period from your people's shifts in that home, with every day listed.
Timesheets and invoices →How it works
Invoices makes one draft for the pay period from every one of your people's closed shifts in that home, each at the rate the family set. The office tidies the lines, submits and prints. Every day of the period is listed, with 0.00 on a day with no shift, and an aide staffed through your agency never sends a separate invoice: your agency bills.
Approved, paid and recorded
The family approves, pays by your agency's method and records how it was paid.
How you get paid →How it works
The family approves the invoice, Pay now shows how your agency gets paid, and Mark paid records the method and a reference. Your office keeps How we get paid printed on each invoice, with every invoice it billed in one list.
Your agreement, signed in the app
Your own contract uploaded, signed by your office and countersigned by the family in the app.
Home Team agreements →How it works
Your own service agreement as a PDF: the office uploads it, lists its rules and signs, and the family countersigns in the app; both sides keep the signed copy. Text sent for signature is frozen and fingerprinted, so a change means a new draft.
Agencies & Quotes: requests from families
Families send a de-identified request, and your agency quotes without a login.
Agencies and Quotes →How it works
A family writes a de-identified overview, the care tasks, the area and the proposed schedule, and sends one link. Your agency answers on a quote page with no login and no access to the record, and the quote lands in the family's app beside the others.
The Marketplace
A live profile as a home care agency, and families' care requests near you.
Join the Marketplace →How it works
Join as a home care agency: a live profile with your ZIP area, never a phone or an email, requests families send straight to you, and the Open Care Requests board with families looking for care near you.
Bring a week of your own schedule to the demo.
Coming into the family's circle
Two ways in: the family invites your office, or your agency enrolls the family.
A family invites your office
On the Care Team page the family creates the Home care agency (office / scheduler) code, or adds your office by name and sends the link. Your scheduler joins at the IDC Team sign-in with a role and your agency's name, the name the family sees on invoices. From there the office adds its own aides and nurses to that home.
Invite with a code →Your agency as an organization
ExpressAgain sets your agency up as an organization of the kind Agency, starting in preview. Enroll a client by the family's email or mobile number: the message names your agency and its location, never the patient, and the family accepts, creating a free account first if they need one. The organization panel then shows every client you enrolled: your nurses and aides see the last reading and open alerts, and Open takes one on that client's coverage into the client's dashboard. Invite your office and schedulers to your organization too: they see staffing, never the health record, and Open takes them into the client's home in the office view. When a client's family accepts your agency, your office and your people are already set up in that home, linked to your agency's invoice; a home already on your office's code joins your organization with the family's yes and keeps its invoices. Bring your own clients: add a client, start right away, the family claims the account and owns it, and decides what your agency keeps managing. Former clients: your records of the work you did stay with you, read-only, when a family moves on.
Running an agency on ExpressAgain today →Starting on your own
An independent professional joins each family with a code, clocks in at the house, keeps their own credentials and sends their own invoice from Billing & pay. As you bring people on, the family gives your office its own login in that home, and the people the office adds are linked to it.
How a professional gets paid →
One login per person per home: when a client's family accepts your agency, your office and your people are already set up in that home, linked to your agency's invoice, and nobody appears twice. A professional who also works there on their own, or for another agency, keeps that one login: your office sees only the shifts worked through you, and your invoice holds only those.
How an agency starts
Three steps, starting with one home.
Book the 30-minute agency demo
We walk through one of your homes with you: the day plan, the shifts, the clock, the checklists and the invoice.
Bring in your first homes
A family that already uses ExpressAgain gives your office the Home care agency code. For a client new to the app, add the client from your organization panel and start right away; the client or the family claims the account and owns it.
Add your people
The office adds its aides and nurses to each home with Add a staff member. They join from the link, clock in at the house and work from the same day plan.
Questions
What agencies ask us.
Start with one home. See your clients, your team and your business in one app.
Book the 30-minute agency demo, or tell us about your agency and a real person replies within one business day.
Request a demo
Talk to us about your agency.
How many clients and homes you serve, who is on your team, and how you schedule and bill today. A real person replies within one business day, and the demo walks through one of your homes.
Rather pick a time now? Book a 30-minute agency demo.
One team, one plan
Built for the interdisciplinary care team
An interdisciplinary care team is a group of different health professionals who work together closely with the patient and family to create a single, shared treatment plan. ExpressAgain is the platform where all of those parties care for one patient together: the same day, the same medications, the same notes, and the same record of who did what and when.
Family
the daughter, the siblings, the friends who show up
Home care
aides hired directly or sent by an agency
Clinicians
nurses, therapists, hospice, palliative, paramedics
Agencies
the office that staffs, schedules and bills