Hospice documentation intelligence

Know what is open on every chart, before the deadline does.

Hesovia™ is designed to read the documentation your team already writes, with no added charting, and to show plan-of-care reviews, HOPE windows and the certification paperwork still open in one place. Every finding opens onto the note behind it.

In development. Everything shown is a working prototype on invented data, and we are looking for pilot agencies.

The Hesovia Today screen for a case manager on Team 2 — North County, on invented data: 6 patients have notes she hasn't seen, 19 open items, 8 to start today, with what each discipline recorded since her last visit.Open full size ↗
Invented data Today, as a case manager opens it. Each change is Hesovia’s reading, labelled as such.
01Your team’s words, one step away

Every finding opens onto the note behind it, verbatim and attributed.

02Inference marked as ours

A reading of a note is prefixed Hesovia reads.

03Says what it cannot see

Unknowns are counted on the screen, never shown as a pass.

04The physician decides

Eligibility questions are routed to the physician, not answered.

The problem

The chart is written by many hands. Nobody holds the whole thread.

Coverage shifts between visits and within each discipline, so one patient’s record is written by several nurses, aides and social workers. Someone rebuilds the picture by hand, per patient, the night before IDG.

Clinical time should be spent interpreting the story, not hunting for it.

The operating principle behind Hesovia
01

The aide often sees it first

The hospice aide is not a core IDG member, so what she observed reaches the meeting only if somebody deliberately puts it there.

02

The clocks do not pause

Benefit-period, plan-of-care and HOPE clocks keep running through vacancies and coverage changes.

03

Gaps surface when it is already late

A narrative that cites none of the findings, or an unsigned attestation, is usually found under deadline pressure.

What you get

One record, two seats.

The case manager sees her team’s work, ranked. Leadership sees the agency: every patient’s plan-of-care interval and the certification work still open, with what Hesovia cannot see counted rather than hidden.

Case manager

The night-before-IDG rebuild, assembled.

For each patient on the agenda, what every discipline documented since the last meeting, in one panel, ranked by clinical risk and what is time-critical to certify.

  • Aide, nurse and social-work observations side by side, each attributed.
  • Open tasks with an owner and a due date, and how each one closes.
  • Notes and open items handed over as text for your EMR.
One patient panel on the IDG prep screen, on invented data: an 86-year-old with end-stage heart failure, PPS 50 to 30 and weight down 17 lb, three Hesovia reads lines from the nurse, aide and social worker, and open work marked Do first and Soon with owners and due dates.Open full size ↗
Invented data IDG prep, one patient panel.
Owner & administrator

The agency’s open work, on one screen.

The plan-of-care review interval is checked for every patient on the census. It is arithmetic on two dates, so it needs no documentation Hesovia cannot see.

  • Certification paperwork still open, by owner and due date.
  • The charts Hesovia cannot confirm either way, counted, not hidden.
  • HOPE windows about to close, and the timeliness picture for 2026.
The three figures at the top of the Census screen widened to all teams, on invented data: 8 patients with the plan of care overdue, past the 15-day review interval; 4 past 240 days on service; 6 of 64 charts with full documentation.Open full size ↗
Invented data Census, the whole agency: confirmed from dates, on every chart.

Seven screens, in the order a walkthrough takes them.

HOPE

HOPE timeliness counts from 2026.

CMS counts 2026 HOPE submissions toward the FY2028 payment update. Hesovia shows Admission and HOPE Update Visit windows about to close, and symptom follow-up visits due, in the same worklist as the rest of the day’s work.

As of October 2026 (42 CFR §418.312(j); FY2027 Hospice final rule). Informational, not legal, billing or coding advice.

Pilot

A 90-day pilot, free of charge.

No software to install: your team sends an export your EMR already produces. Stop at any time; we return or destroy your data as the BAA and pilot agreement specify, and confirm it in writing.

What we need

A standard EMR export

Patient list, dates and visit notes, sent the way your EMR already exports them. How your notes reach Hesovia is the first thing we settle together.

Pricing

Set after the pilot

The 90-day pilot is free of charge, under a short pilot agreement. Pricing is set with each agency after the pilot.

Patient data

BAA first

We sign a BAA before any patient data is shared. Pilot data will be hosted in AWS in the United States, encrypted in transit and at rest.

What a pilot looks at: the plan-of-care interval across your whole census, the certification paperwork still open by owner and due date, HOPE windows in the daily worklist, and your IDG team’s own read on whether it replaces the night-before rebuild.

Trust

Security designed in from the first build.

A case manager sees her own team by default; widening for coverage is permitted and recorded; money is visible only to leadership.

  • No eligibility decisions: those stay with the certifying physician.
  • No clinical sentence written into your record.
  • No connection to an EMR yet, and no write-back: output is handed over as text.
  • Nothing marked fixed that Hesovia cannot see in the record.

Security architecture supports a compliance program; it is not, by itself, a certification or guarantee of compliance. The full limits list.

01

Scoped by team

Each role sees its own population by default, and every screen states which population it shows.

02

Isolated data paths

Designed so clinical data stays within private network boundaries, with intentionally constrained routes.

03

Named, temporary access

Designed around short-lived identities instead of shared credentials, so each action is attributed to a person.

04

Independent audit history

Security records are designed to survive the workload systems they describe.

Build journal. The architecture, trade-offs and failed assumptions behind Hesovia, written as we go.

Read the build journal
Book a walkthrough

Fifteen minutes, on a hospice week like yours.

Screen-shared, on the invented agency in the demo: no data from you, nothing to install. Then we ask what would decide a pilot for you: whether handing the IDG record over as text works at first, what your EMR already reports, and what a pilot should measure.

Book a 15-minute walkthrough

Or write to info@sabacareanalytics.com. Please don’t include patient information in your email.