Skip to content
Rostor
I.01·Industry pack · Healthcare

Rosters that respect acuity,
ratios, and human limits.

Rostor is the first scheduling platform built for clinical operations from the inside out. Acuity-aware coverage, credential walls, charge nurse rules, float pool routing, and agency cost control — all enforced by the solver, not bolted on as a settings page.

−18%
agency / travel nurse spend
−54%
time per published roster
+11
staff NPS (12-month cohort)
98.4%
ratio compliance, daily
01 / The work nobody automated

The realities your existing tools pretend don't exist.

Acuity shifts faster than your roster

Patient acuity changes hour to hour. A roster built Monday at 7 AM is fiction by Tuesday. Most platforms don't even model acuity.

Credentials expire on Tuesdays

BLS, ACLS, PALS, state license, unit-specific competencies — when a credential lapses on shift, you have a Joint Commission problem.

Float pools are the safety net no one tunes

Floats absorb the chaos but routing them well requires understanding skill, fatigue, and travel time across the campus.

Travel and agency cost is a slow bleed

Each shift filled by agency at 2.4× cost adds up. Most ORs and EDs don't see it until the quarterly close.

Ratio law varies by state and unit

CA AB394, OR HB 2697, NY S1168, MA pending — different ratios by unit, different exemptions, different penalties. Easy to break by accident.

Charge nurses can't be everywhere

Coverage of charge / preceptor / resource nurse roles is its own constraint problem, separate from line-staff coverage.

02 / What Rostor brings to your floor

Pre-tuned for your work — not a generic shift app.

Acuity-aware coverage

Pull live acuity from Epic, Cerner, or Meditech. The solver flexes coverage curves by unit, by hour, by patient mix — not just headcount.

Credential walls

No expired BLS, ACLS, or PALS on the floor. Ever. Rostor blocks the assignment and surfaces alternatives.

Float pool intelligence

Cross-train matrix, fatigue index, and unit familiarity all feed the float assignment model. Floats land where they help most.

Charge & resource rules

Author 'one charge nurse per unit per shift, ACLS-certified, ≥3 years tenure' as a first-class constraint. Reviewed in audit.

Agency budget ceilings

Set per-unit, per-month agency caps. Rostor warns before you breach and recommends OT or float alternatives.

Self-scheduling with guardrails

Nurses pick from a constrained pool of shifts. The solver guarantees coverage even when preferences pile up.

03 / Compliance packs included

Authored. Versioned. Audit-ready.

  • HIPAA — full PHI handling, BAA included on paid plans
  • Joint Commission audit-trail exports (HR.01.01.01, NR.01)
  • CMS-aligned coverage and staffing record retention
  • CA AB394 (nurse-to-patient ratio enforcement)
  • OR HB 2697 (ratio + meal/rest enforcement)
  • NY S1168 (safe staffing committee reporting)
  • MA H.4434 (anticipated; pre-built constraint pack ready)
  • NNU, SEIU, CNA, ONA bargaining agreement authoring
04 / Integrations that matter

Plug into the stack you already run.

Epic (Clarity, Clinical Doc, Resolute)
Cerner (PowerChart, FirstNet, Surginet)
Meditech (Expanse, Magic)
Workday HCM
UKG Pro Workforce
ADP Workforce Now
API Healthcare credentialing
Symplr credentialing
Microsoft Teams + Slack alerts
Twilio voice / SMS shift fills
05 / Proof
"We had a culture problem disguised as a scheduling problem. Nurses didn't believe the schedule was fair, so they didn't trust their charge nurse, so they didn't trust me. Rostor's fairness layer changed the conversation in three months."
Renata Ozawa, RN, MSN
Director of Nursing Operations · Northstar Health · 7 hospitals, 1,800 beds
Case metrics · trailing 6 months
Time per published roster
−54%
Agency + travel nurse spend
−18%
First-year voluntary attrition
−27%
Joint Commission staffing findings (since go-live)
0

See Rostor on your healthcare floor.

A real operator from your industry will run a 20-minute working session — no sales pitch, no slides we'd rather not show.

Book a working session