Adoption, not invention.
16 of 16 nurses said they would use it on shift.
Demo feedback · 16 RNs · Aug 12 – Sep 23, 2026 · signed consent
The Platform
For every RN, every shift
The complete patient picture, summarized into one clean, concise, consistent handoff.
What nurses said
16 of 16 Would use on shift
16 of 16 Want it on my unit
16 of 16 Saves meaningful time
“Other hospitals' EMRs have pages dedicated to information like this, however it falls short in that it is still cluttered and difficult to sort through.”
Inside every Handoff
Signal, not noise.
Chart Gap is what upgrades every handoff: the chart review is already done when report starts, and it arrives inside it.
What nurses said
15 of 15 Would check Chart Gap findings every shift
15 of 15 Faster issue capture
15 of 15 Would improve care on my unit
For the charge RN
The whole unit in hand, and a balanced assignment to start the shift.
The Patient Load Score (PLS) uses nursing insight to give every patient a score from what's in the chart: a range for how labor-intensive that patient is, with no forms and no manual scoring. Sometimes a heavy assignment can't be avoided. An unbalanced one can.
What nurses said
6 of 6 Would use when in charge
6 of 6 Safer patient assignments
6 of 6 Saves 30+ min per charge shift
“I love the scoring of each patient to allow fair assignment in the unit.”
Bedside RNs across ICU, stepdown, and med-surg · 10 with ICU experience · 3 with 10+ years in critical care · Handoff rated by 16, Chart Gap by 15, Charge by 6 with charge experience.
The Problem
Every one of them is a point where inadequate communication can contribute to a sentinel event. The Joint Commission has said so, and its standing guidance calls for one fix: standardize the critical content of every handoff.¹ ²
The evidence is settled: standardized handoff is the gold standard, shown to improve nursing handoffs.³ Yet on most units, report is still a data recall exercise. The hard part was never the standard. It was adoption: a handoff easy enough to use, effective enough to trust, and easy enough to update that it stays current. Every hospital in the country has its own version, each one aiming to get all three right.
Take one 20-bed ICU: ten nurses a shift, 25 minutes of report at each change of shift. Then scale it.
These tables count change-of-shift report on ICU, stepdown, and med-surg units only. They leave out admissions from the emergency department, transfers from the OR and PACU, and every upgrade or downgrade between units mid-shift, so the real number is larger.
Change-of-shift report only.
| Unit or hospital | RNs on a 12-hour shift | Change-of-shift handoffs a year | Nurse-hours a year |
|---|---|---|---|
| One 20-bed ICU | 10 RNs | 7,300 | 3,000 |
| Small community hospital — 1 ICU, 1 stepdown, 7 med-surg units | 60 RNs | 43,800 | 18,000 |
| Large hospital — 3 ICUs, 7 stepdowns, 15 med-surg units | 176 RNs | 128,000 | 53,500 |
Illustration, not a study: ICU at 1:2, stepdown at 1:3, med-surg at 1:5; two changes of shift a day; 25 minutes each.
Change-of-shift report is the part everyone sees. Nurses also write, read, and update the handoff form throughout their shift.
15 bedside nurses, nine of them ICU, estimated the tool would save them about 35 minutes per shift across the written handoff form and shift report.
Time nurses said they would get back: per 12-hour shift, per nurse, then scaled.
| Unit or hospital | RNs on a 12-hour shift | Saved per RN, per shift | Saved per shift, whole unit | Saved a year |
|---|---|---|---|---|
| One 20-bed ICU | 10 RNs | 35 min | about 6 hours | about 4,300 hours |
| Small community hospital — 1 ICU, 1 stepdown, 7 med-surg units | 60 RNs | 35 min | 35 hours | about 25,000 hours |
| Large hospital — 3 ICUs, 7 stepdowns, 15 med-surg units | 176 RNs | 35 min | about 100 hours | about 75,000 hours |
The nurses' own estimate, scaled. Not a measurement. From the 15 nurses who answered the time question; demo feedback Aug 12 – Sep 23, 2026.
ACC transforms handoff from a data recall exercise into a clinical judgment conversation.
Founded by a nurse who spent 12 years where this product lives: critical care units across 17 hospitals, the sickest patients, the busiest shifts.
ACC runs on the SMART on FHIR standard, so it connects to the system a hospital already has, such as Epic, Oracle Health, or MEDITECH, rather than asking anyone to change it. Running a different EHR? Reach out, and we'll do the research and get you an answer.