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Roll Call HM

Clipboards out. Audit trail in.

Roll Call HM iPhone screens showing shift headcounts and audit-ready house management workflows
Roll Call HM, Behavioral Health / Operations, 2025.
Practice
Venture Lab
Category
Behavioral Health / Operations
Year
2025
Engagement
10 months, live
№001The problem

Residential behavioral health facilities still run daily operations on paper: clipboards at the nursing station, handwritten headcounts, incident logs that never reconcile, and census changes tracked in three places. When surveyors arrive, staff scramble to reconstruct what happened, who was present, and when. Generic checklist apps don't understand role gates, shift handoffs, or the compliance export format state reviewers expect.

№002The approach

We shadowed real residential workflows, morning chore checks, afternoon walkthroughs, evening headcounts, and mapped each action to a time-stamped, role-gated event in a single iOS surface. Offline-tolerant sync means hallway and courtyard work continues when WiFi drops. Every headcount captures geolocation context; every incident auto-escalates with an immutable audit trail. Compliance exports ship in the format facilities already use for state review.

№003Deliverables

What we shipped.

  • 01iOS-native app tuned for one-handed use in hallways, courtyards, and vans
  • 02Chore checks and room walkthroughs with photo verification
  • 03Meeting attendance and group session tracking with roster sync
  • 04Incident reports with automatic timestamp, escalation, and supervisor sign-off
  • 05Real-time census and bed management across units
  • 06Shift headcounts with geolocation and tamper-proof audit trail
  • 07Offline-tolerant sync with automatic reconciliation on reconnect
  • 08One-click compliance exports formatted for state survey review
№004Outcomes

What it moved.

  • Replaced multi-clipboard workflows with a single source of truth on the nursing station
  • Headcounts and incident logs reconstructable in seconds, not hours, before audit
  • Staff adoption driven by workflow fidelity, not training overhead
  • Foundation for Solvhaus's behavioral health operations product line
Services
  • Product strategy
  • Workflow modeling
  • iOS engineering
Stack
  • Swift
  • Supabase
  • Offline Sync

From our venture lab: see BedFlow, the census-aware CRM we built for treatment centers.

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Founded by Becka Karle and Noah Ames. Currently accepting select SaaS developments and technical advisory engagements.