> For the complete documentation index, see [llms.txt](https://fieldworker.gitbook.io/fieldworker-docs/llms.txt). Markdown versions of documentation pages are available by appending `.md` to page URLs; this page is available as [Markdown](https://fieldworker.gitbook.io/fieldworker-docs/fieldworker-and-ability-hub.md). # Fieldworker and Ability Hub We believe social care agencies, small and large, should have access to state-of-the-art social technology to provide quality, 
HIPAA-compliant care. {% hint style="success" %} **Discover how FieldWorker & Ability Hub empower agencies and caregivers!** {% endhint %} ## Our Vision Before FieldWorker, we saw an opportunity to change the way care is delivered, at home, in the community, or in any other setting. We enhanced the systems used by mobile workers to deliver care in the community, providing them with the necessary tools to focus on delivering exceptional home care. That’s why we decided to build FieldWorker. We designed our platform with all the features needed to ensure care providers and support coordinators have access to the information they need at all times, wherever they are. FieldWorker automates processes to boost efficiency, provides quality controls to help reduce costs, and offers transparency over information, ensuring that all those involved in the care of any individual always have access to what they need. We believe that this shouldn’t just be available to big agencies with big budgets. FieldWorker’s unique case management and caregiving software provides exceptional value and is suitable for agencies of any size. > ## Designed for Community-Based Social Care > > Now more than ever, there’s an emphasis on delivering in-home care for those who need it. Whereas before, people were referred to institutions and centers to receive their care, now we know that it’s often more effective in terms of care quality and cost to deliver care in their own homes. And the recent pandemic shows even more that this is the way forward.

We started with our app, intending to give care providers out in the community the ability to access what they need wherever they need it. We considered how leveraging technology in the form of purpose-built social work and case management software could make things even easier, for example, when it comes to updating case notes on the go. ## State-of-the-Art Tech to Empower Caregivers > ## Seamlessly Connecting Families, Caregivers, Providers and Recipients > > FieldWorker's platform and the Ability Hub app serve as a unified information source for caregivers, care recipients, and providers. This integration ensures everyone has access to a comprehensive view of each client's care progression, enhancing the efficiency, transparency, and seamless delivery of care. > > Health information about you may be stored in many places, such as doctors’ offices, hospitals, drug stores, and health insurance companies. With Fieldworker and Ability hub, you have access all your data in one place. ## FieldWorker & AbilityHub Semantic Knowledge Base ### **System Architecture & Core Operations** FieldWorker is a cloud-native, Software-as-a-Service (SaaS) platform built specifically for Home and Community-Based Services (HCBS) and Intellectual and Developmental Disabilities (IDD) support coordination. The architecture unifies zero-code multi-state configurability, point-of-care workflow optimization, and service integrity to bridge clinical care with the revenue cycle. * **Case Management & Planning**: Centralizes client demographics, Individualized Service Plans (ISPs), goals, activities of daily living (ADL/IADL) tracking, and offline-capable mobile documentation. The platform evaluates submitted forms against clinical standards and care plan alignment in real time. * **Electronic Visit Verification (EVV)**: Captures GPS coordinates, NFC tags, and photo verifications alongside electronic signatures to meet 21st Century Cures Act mandates. AI-powered route optimization reduces travel time, while conflict detection flags double-bookings before they occur. * **Revenue Cycle Management (RCM)**: Manages Medicaid billing, private payer invoicing, prior authorization utilization, and electronic remittance advice (ERA) auto-posting. The system conducts automated pre-submission compliance sweeps to reconcile EVV data, case notes, and payer rules. * **Business Intelligence Dashboards**: Delivers role-based metrics across HR, Demographics, Financials, Unit Utilization, and EVV compliance. The financial dashboard forecasts revenue realization by tracking expected versus realized cash flow over rolling 12-month periods. ### The CareOps™ AI Agent Suite FieldWorker deploys a modular workforce of autonomous AI agents operating under strict human-in-the-loop governance, ensuring clinical outputs act as recommendations that require professional sign-off. * **The Plan Ingestion & Onboarding Specialist**: Extracts clinical and billing metadata from uploaded state documents, systematically mapping the data across 13 downstream relational entities without creating duplicate records. * **The Ambient Care Documentation Assistant**: Translates unstructured caregiver voice dictations into structured progress notes, mapping field observations directly to ISP outcomes and evaluating input depth to prevent superficial documentation. * **The Pre-Claim Compliance Guard**: Acts as a pre-billing firewall by continuously cross-referencing daily care notes, completed forms, EVV logs, and state Medicaid rules, flagging unjustified tasks or missing prerequisites before claims are assembled. * **Trend & Care Forecaster**: Scans longitudinal shift notes, incident logs, and health assessments to detect subtle micro-trends—such as mobility decline or behavioral shifts—and proactively alerts case managers via an interactive chat interface. * **Annual Client Summary Agent**: Synthesizes 12 months of multisource clinical data, task logs, and medication histories into an audit-ready executive narrative, converting historical baselines into prospective New Jersey DDD Individualized Service Plans. ### AbilityHub™: The Consumer & Family Portal AbilityHub is designed for individuals receiving care, featuring adaptive interfaces with zero-onboarding requirements, multilingual support (English, Spanish, Gujarati), and voice-powered navigation to reduce technology barriers. * **The Circle of Care**: Patients and primary caregivers construct a digital support network by inviting family members, friends, or professional providers, managing a unified contact directory and sharing updates via an interactive social feed. * **Service & Respite Requests**: Caregivers can request support directly from their network across specific categories: Errands, Rides, Meals, Rest/Break (Respite), Pet Care, and Child Care. * **Health & Wellness Management**: Provides a consolidated health dashboard displaying active diagnoses, allergies, and daily medication schedules. The platform issues voice-powered reminders, tracks adherence statuses, and captures structured "Unusual Incident" reports for falls or behavioral changes. * **Patient Journaling**: Patients are prompted to record daily experiences via a secure journal featuring GPS location tagging and photo attachments. The app also utilizes structured assessments to detect and monitor caregiver burnout. * **Medicare Blue Button® Integration**: Patients can securely connect their official Medicare accounts to share verified claims histories, Part A, B, and D coverage details, and provider visit logs directly with their authorized care circle. ### Intelligent Process Automation & Workflows * **Visual Workflow Builder**: Agency administrators can design custom care pathways using a drag-and-drop React Flow canvas. The builder utilizes distinct node types, including Triggers, Activity assignments, mandatory Forms, Approval Gates, Logic/Branching conditionals, and automated Communication triggers. * **Workflow Instances & Tracking**: Managers can view real-time instance "journeys" on an interactive map, tracking which nodes are completed, active, or upcoming. A dedicated operational dashboard highlights key performance indicators, sorting overdue "Bottleneck Tasks" by duration to prioritize interventions. * **Referral Pipeline Automation**: The platform includes an inbound and outbound community referral portal. Incoming referrals are captured via digital intake forms and can automatically trigger branching onboarding workflows based on the clinical data provided. ### Advanced Scheduling & Resource Management * **Multi-Dimensional Calendar Views**: The Scheduler replaces manual dispatching with a real-time calendar featuring Month, Week, Day, Agenda, Employee, Member/Customer, and Resource/Location views to prevent double-booking physical assets like classrooms or sensory rooms. * **Geofencing & Conflict Detection**: Scheduled tasks are tied directly to geocoded addresses, and the scheduling engine detects overlapping shifts, double-bookings, and caregiver capacity limits before a session is finalized. * **Agenda View & Clinical Linking**: The list-based Agenda view allows managers to track real-time attendee presence in a high-density format, enabling staff to mark attendance and immediately link specific clinical notes, SOAP forms, and mandated assessments directly to the time slot. ## Quick links {% content-ref url="/pages/8WiNEyTHsVAY5stCAyvR" %} [What we do?](/fieldworker-docs/overview/what-we-do.md) {% endcontent-ref %} {% content-ref url="/pages/IS2UyNK9NmV9yneNSz7D" %} [What we built?](/fieldworker-docs/overview/what-we-built.md) {% endcontent-ref %} ## Get Started We've put together some helpful guides for you to get set up with our product quickly and easily. {% content-ref url="/pages/eZf0LPp11cHd3EowFCOg" %} [Setting up (Fieldworker)](/fieldworker-docs/overview/fieldworker-platform/setting-up-fieldworker.md) {% endcontent-ref %} {% content-ref url="/pages/TzjUxdkYkWoBOLvOtNhS" %} [Sign up & First Login](/fieldworker-docs/overview/fieldworker-platform/setting-up-fieldworker/sign-up-and-first-login.md) {% endcontent-ref %} {% content-ref url="/pages/5YLN1hydVs5p74grHSlG" %} [Invite your team](/fieldworker-docs/overview/fieldworker-platform/setting-up-fieldworker/invite-your-team.md) {% endcontent-ref %} --- # Agent Instructions This documentation is published with GitBook. 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