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01 — THE PROBLEM
The math doesn't work.
The population is aging quickly. Demand for care is rising. The workforce required to deliver that care is not keeping pace – and healthcare spending is already growing faster than the economy.
U.S. 65+ POPULATION
Nearly 12M more seniors by 2035.
From 64.6M today (18.9%) to 76.5M, or 22% of the population.¹
U.S. HEALTH SPENDING
$9T USD a year by 2035.
Up from $6T today, rising from 18.2% to 20.6% of GDP.²
U.S. NURSING GAP
Up to 300,000 nurses short.
Today’s 8–9% shortage is projected to reach 200,000–300,000 nurses.³
More patients. Fewer available clinicians. Higher costs.
Healthcare cannot solve this challenge simply by hiring more of the same workforce to deliver care in the same way.
¹ U.S. Census Bureau, ² CMS Office of the Actuary, ³ HRSA / McKinsey & Company, ⁴ Statistics Canada, ⁵ CIHI, ⁶ Canadian Nurses Association / Statistics Canada.
CANADA 65+ POPULATION
1 in 5 Canadians is 65+.
8.4M today (20%), rising to 10.3M, or 23.5%, by 2035.⁴
CANADA HEALTH SPENDING
About $600B CAD a year by 2035.
Up from $399B today, rising from 12.7% to 13.8% of GDP.⁵
CANADA NURSING GAP
78,000 nurses short.
On top of roughly 68,000 healthcare job vacancies today.⁶
EHR
Record & inform
AI
Analyze & predict
RPM
Monitor & alert
Telehealth
See & communicate
There's still a need for more skilled hands at the bedside.
THE TECHNOLOGY GAP
Technology is transforming healthcare.
02 — THE SOLUTION
That's the gap eShift closes.
Multiply clinical capacity without adding staff.
eShift extends licensed clinical expertise through skilled hands at the bedside.
eShift enables a regulated clinician to direct 4+ upskilled bedside care providers in completing predefined and approved treatments and clinical tasks in real time.
The clinician retains responsibility for assessment, clinical judgment, authorization and direction. The bedside provider performs the approved care under that direction using structured eShift workflows.
One clinician. More capable bedside teams. More patients cared for.
Clinical judgment stays with the clinician. Skilled hands deliver the approved care at the bedside.
One clinician at the center of clinical decision-making.
eShift extends licensed clinical expertise across multiple upskilled bedside care providers, each completing predefined and approved care under real-time direction.
HOW IT WORKS
Clinical judgment stays with the clinician. Care reaches the patient.
Every step is captured in eShift and your EHR, creating a complete, auditable record of directed care.
Direct
Initiates the patient-specific procedure as a scheduled task or an ad hoc instruction.
Prepare & report
Follows the defined workflow, prepares the patient and records observations in eShift for review.
Assess & decide
Receives and reviews the information from the bedside team in real time and makes the go/no-go call.
STAGE GATE – No-go: re-prepare
Deliver & document
Performs the care as directed under live supervision, records the encounter and escalates any change in condition to the clinician.
Review
Reviews the documented encounter, confirms the outcome and updates the plan of care.
THE TECHNOLOGY
Built to increase care capacity.
eShift provides the digital infrastructure required to safely operate distributed clinical teams across different care environments.
Structured clinical workflows
Guide preparation, review, treatment, documentation and escalation.
Real-time clinical direction
Connect the bedside team directly with the responsible clinician.
Clinical safeguards
Embed competencies, authorization, role clarity and stop conditions.
Interoperability
Works alongside the EHR, monitoring, telehealth and other systems already in place.
Operational visibility
See how, where and when clinical capacity is being used.
Traditional
Clinical expertise and physical presence are tied together. One clinician must personally travel to and perform every required encounter.
eShift-enabled
One clinician can direct multiple trained bedside team members across defined encounters, focusing scarce expertise where it is needed most.
THE CAPACITY EQUATION
More capacity with the care team you already have.
eShift separates clinical expertise from constant physical presence – without separating the clinician from the care.
SAFETY, TRUST AND ACCOUNTABILITY
Expanding capacity without compromising care.
The eShift model is designed around clear clinical ownership, defined workflows and transparent oversight.
Safety
Defined activities, trained personnel and active clinician oversight.
Transparency
Clear roles, decisions, actions and documentation throughout the encounter.
Clinical accountability
Clinical judgment remains with the responsible regulated professional.
Quality
Standardized workflows, decision points and escalation pathways.
Accessibility
Clinical expertise can reach patients wherever appropriate care is delivered.
Regulatory alignment
Programs are configured to applicable professional requirements, organizational policy and local regulation.
03 — OUTCOMES
One platform. Care delivered wherever the patient is.
The language changes by market. The need does not: put the right expertise behind the skilled people physically delivering care.
Complex Pediatrics
Mechanically dependent, medically fragile.
Children who have complex 24/7 care needs.
Adult Therapies
Stretch therapy expertise further.
Let therapists direct rehab assistants in real time, so more patients get consistent, guided therapy sessions.
Senior Care
Extend expertise across teams and shifts.
Connect bedside staff to real-time clinical direction and structured workflows.
Transitions
Move care to the right setting sooner.
Create the clinical support needed to transition patients safely from higher-acuity settings.
End of Life
Bring responsive support when it matters.
Give bedside teams and families access to timely clinical direction and escalation.
Complex Care
Make scarce expertise continuously available.
Support patients who need recurring or extended clinical oversight across the day.
15+ years
of real-world eShift-enabled care delivery.
40,000+
patients served across eShift programs.
2.5M+
hours of in-person care supported by eShift-enabled models.
Multiple
care environments, clinical roles and healthcare markets.
PROVEN IN REAL CARE DELIVERY
A refined care-delivery model.
ESHIFT
Healthcare will always need skilled hands.
eShift makes sure clinical expertise can reach them.
Clinical expertise
eShift
skilled hands
patient
See eShift in Action
Start with your region and the problem you are trying to solve.
eShift can support multiple care settings. The form routes the conversation without forcing you to define the program too early.
What happens next
We will connect you with the right regional and clinical lead, review your current care model and identify where eShift may fit.