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Generated Nov 10, 2026
  1. Programmable
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  3. CareSwift
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growth playbook · Nov 10, 2026

careswift.com (opens in a new tab)

CareSwift growth playbook

Diagnosis

CareSwift is a Y Combinator (S25) startup with a small team in New York, a clear new message ("Faster EMS narratives. Your agency's standards.") and a claim of 100,000+ narratives generated.

The rebuilt site is fast and careful about what the product does and does not do, but the funnel around it leaks: the demo link on the YC profile and launch post now returns a 404, the old site with bigger, unsourced claims is still live, the security page still shows internal pending notes, and with no analytics the team cannot see any of it.

The plan fixes those leaks first, then adds the proof an agency buyer needs (a pilot result, a security packet, pricing guidance, per-ePCR pages), builds channels through crews, billing companies and associations, and treats a supervisor review queue and one ePCR partnership as the big bets.

Growth Score

6/10

Biggest Opportunity

Turn 100,000+ provider narratives into agency-level proof: one measured pilot result, published security answers and clear pricing guidance would let chiefs say yes faster than a 20-minute call alone.

Biggest Risk

ESO already gives its own EHR customers an auto-generated narrative at no extra cost, and low-cost scribes like Twofold sell straight to medics, so CareSwift has to prove that agency standards and clarifying questions are worth paying for.

01

Start here

The three moves to make first. Each one is written up in full below.

  1. 1

    Fix the 404 behind the "Book a demo" links on CareSwift's Y Combinator profile and launch post

    Add a 301 redirect from /demo to /book-demo in the CloudFront or Next.js config today.

    High impact First result in 1 day
  2. 2

    Take the internal "pending" notes off the security page and the homepage banner

    Search the site's source for the milestone codes and list every public line that contains one.

    High impact First result in 1 week
  3. 3

    Retire the old careswift.pages.dev site, whose claims the new site no longer makes

    List the old site's pages and map each to a careswift.com page.

    High impact First result in 2 weeks

02

Your idea portfolio

23 ideas, grouped by when to run them. Open any idea for how to run it: the steps, who to approach, copy you can use, and how to measure it.

  • 7 ideas are marked Unexpected: plays you are unlikely to have tried.

Every idea placed by the effort it takes against the impact it could have. Quick wins sit top left; select a number to open that idea. The filters below narrow the list by status, timing, category and what Programmable can build.

Effort vs impactEach number is an idea. Select one to open it.
Impact →
Quick wins · 5Big bets · 6Fill-ins · 5Reconsider · 7
Effort →

Showing 23 of 23 ideas

This week 6

Quick wins with a clear first action.

  • 01

    CareSwift's Y Combinator company profile and its YC launch post both send buyers to careswift.com/demo. Since the site was rebuilt, that address returns 404 Not Found (on both careswift.com and www.careswift.com, checked twice), because the demo page now lives at /book-demo. The old site's paths (/how-careswift-works, /financial-benefits, /faq) also return 404. A chief who reads about CareSwift on YC, the most trusted page about a two-person startup, and clicks to book lands on an error page.

    High impactLow effort First result in 1 day Founder & CTO

    First action

    Add a 301 redirect from /demo to /book-demo in the CloudFront or Next.js config today.

    How to measure it

    Bookings arriving via /demo and old paths

    Now
    –
    Target
    0 404s on old paths; every redirected visit able to book
    By
    7 days

    Steps

    1. 1

      List old links

      Every path the old site used, plus /demo, from the old pages.dev copy and the YC pages.

      Founder & CTO 1 hour

    2. 2

      Add redirects

      301s from each old path to the closest live page; /demo to /book-demo.

      Founder & CTO 2 hours

    3. 3

      Check both hosts

      Test careswift.com and www.careswift.com for every path.

      Founder & CTO 30 minutes

    4. 4

      Update YC

      Point the profile and launch post demo links to /book-demo.

      Founder & CEO 30 minutes

    5. 5

      Fix the 404 page

      A short page with the demo button and the main sections.

      Founder & CTO 2 hours

    6. 6

      Check other profiles

      LinkedIn, X, Crunchbase and the App Store listing links.

      COO 1 hour

    7. 7

      Watch

      Count visits and bookings that arrive through redirects.

      Founder & CTO weekly

    First result
    1 day
    Cost
    $0, a few hours of engineering
    Owner
    Founder & CTO

    Smallest test

    Redirect /demo alone today and click the link from the YC profile.

    Why it works

    Add permanent (301) redirects from /demo, /request-demo and every old path to the closest live page: /demo to /book-demo, /how-careswift-works and /faq to the homepage sections, /financial-benefits to the homepage agency section. Then update the website and demo links on the YC profile and launch post to careswift.com/book-demo, and check the LinkedIn, X and Crunchbase links the YC profile lists. Add a helpful 404 page with a "Book a 20-minute demo" button so no future broken link is a dead end.

    The YC profile and launch post are among the most visited and most trusted pages about an early startup, and buyers who click a demo link from them already intend to talk. A redirect turns every one of those clicks back into a booking chance, and it also returns the search value of the old links to the live pages.

    Ready to use

    ChecklistOld link redirect list

    [ ] /demo -> /book-demo (301)
    [ ] /request-demo -> /book-demo
    [ ] /how-careswift-works -> /#how-it-works
    [ ] /financial-benefits -> /#for-agencies
    [ ] /faq -> /#faq
    [ ] /hipaa-compliance -> /security
    [ ] /contact -> /book-demo
    [ ] Test apex and www
    [ ] YC profile and launch post links updated
    [ ] 404 page with a demo button

    Risks and how to handle them

    • A redirect sends visitors to the wrong section

      Map each old page to the closest topic and test by hand.

    • Other old links are missed

      Log 404s for a month and redirect any that recur.

    Evidence

    • Your websiteOld URLs (fetched twice on November 10, 2026): careswift.com/demo and www.careswift.com/demo return 404 Not Found, as do /how-careswift-works, /financial-benefits and /faq. The working demo page is /book-demo.Source
    • Y CombinatorYC company profile: Summer 2025 batch, team of 2, New York City; the CEO is a current EMT who worked four years in the NYC 911 ambulance system. The profile's demo link and the YC launch post both send visitors to careswift.com/demo. The launch post still describes an AI copilot that plugs into existing ePCR systems, with dictation and auto-filled fields, for agencies from small volunteer squads to large ones.Source
    • Your websiteThe previous site is still live at careswift.pages.dev (copyright 2025), with /how-careswift-works and /financial-benefits. It claims narratives in "under 2 minutes", documentation-related denials cut "by up to 75%", over 200 hours reclaimed per provider a year, "hundreds" of EMTs using it and up to $219,000 more revenue per ambulance a year, with "Expected ROI within 60-90 days based on current customer results" and no sources.Source
    • Your websiteBook-demo page: a 20-minute call where you "meet directly with a CareSwift founder", a date picker and a "Request another time" link. The page has no proof points, customer names or security summary.Source
  • 02

    The Security, Data, and AI Practices page is what an agency's IT or compliance reviewer reads first, and two of its lines still carry internal "pending" notes with project milestone codes: one on the default retention preset and one on what the Trust Center covers. The homepage banner about the separate ePCR product carries the same kind of note. To a reviewer, a security page with draft markers reads as unfinished.

    High impactLow effort First result in 1 week COO

    First action

    Search the site's source for the milestone codes and list every public line that contains one.

    How to measure it

    Follow-up security questions per agency in review

    Now
    –
    Target
    -30%
    By
    90 days

    Steps

    1. 1

      Find the notes

      Search the code and pages for pending notes and milestone codes.

      Founder & CTO 1 hour

    2. 2

      Decide each line

      State the fact, or remove the line until it is true.

      COO 2 hours

    3. 3

      Check with counsel

      Make sure each statement matches the agreement and BAA.

      COO 2 days

    4. 4

      Publish

      Updated security page with a last-updated date.

      Founder & CTO 1 hour

    5. 5

      Clean the banner

      Remove the milestone note from the homepage banner.

      Founder & CTO 30 minutes

    6. 6

      Add a release check

      A build check that fails on internal codes in public copy.

      Founder & CTO 2 hours

    First result
    1 week
    Cost
    $0
    Owner
    COO

    Smallest test

    Remove the two pending notes from the security page today.

    Why it works

    Replace each pending note with a firm statement or remove the line until it is true: state the default retention preset, and state what the Trust Center covers today (or say "available on request during security review"). Remove the milestone note from the homepage banner. Add a "last updated" date to the security page, and set a rule that no internal codes go on public pages.

    Security review is often the slowest step in selling to an agency that handles PHI. A page that answers firmly removes questions before they reach the founder's inbox, and it matches the careful, precise tone of the rest of the site.

    Risks and how to handle them

    • Stating a default before it is confirmed

      Remove the line instead of guessing.

    Evidence

    • Your websiteSecurity, Data, and AI Practices page: HIPAA compliant for approved agency deployments; a BAA is signed before any PHI; a separate environment per agency; retention presets of 30, 90 or 365 days, with unfinished drafts deleted after seven days of inactivity; CareSwift support has no PHI access by default; a Vanta-hosted Trust Center. Two lines still carry internal "pending" notes with project milestone codes (on the default retention preset and on the Trust Center scope). No SOC 2 report, subprocessor list, hosting region or MFA detail is published.Source
    • PageSpeedGoogle PageSpeed (mobile, November 10, 2026): performance 100 (desktop 100), LCP 1.2 s, CLS 0, 306 KB, no third-party scripts. Accessibility 98, with one issue: "Heading elements are not in a sequentially-descending order". The largest element on screen is the top banner "Looking for CareSwift's separate ePCR product?". There is no real-visitor (field) data yet, and the homepage has no social share image.Source
  • 03

    The new careswift.com is careful: it says CareSwift does not write back to the ePCR and does not certify billing readiness. But the previous site is still live at careswift.pages.dev and still shows up in search. It promises denials cut "by up to 75%", up to $219,000 more revenue per ambulance and "Expected ROI within 60-90 days based on current customer results", with no sources. A buyer who finds both sees two different companies.

    High impactLow effort First result in 2 weeks Founder & CEO

    First action

    List the old site's pages and map each to a careswift.com page.

    How to measure it

    careswift.pages.dev pages in search results

    Now
    –
    Target
    0
    By
    60 days

    Steps

    1. 1

      Map pages

      Each old page to its closest new page.

      Founder & CTO 1 hour

    2. 2

      Redirect

      301s from the old project to careswift.com.

      Founder & CTO 2 hours

    3. 3

      Review claims

      Decide which old numbers you can prove today.

      Founder & CEO 1 day

    4. 4

      Move the proven ones

      Add them to the new homepage with their source.

      Founder & CEO 1 day

    5. 5

      Request removal

      Ask search engines to drop the old URLs.

      Founder & CTO 1 hour

    6. 6

      Check in a month

      Search for the old site and its claims.

      COO 30 minutes

    First result
    2 weeks
    Cost
    $0
    Owner
    Founder & CEO

    Smallest test

    Redirect the old homepage today and watch referrals arrive on careswift.com.

    Why it works

    Redirect every careswift.pages.dev page to its closest careswift.com page (or take the project offline and leave a single redirect). Keep only claims you can back up: move the time-saving story to the new site in the form you can prove from your own data (for example, time to finalization in CareSwift), and drop revenue promises until a pilot measures them.

    One consistent story builds trust with chiefs and with the compliance reviewers who read every claim. It also stops the old site competing with careswift.com in search.

    Risks and how to handle them

    • Losing a page that still brings visitors

      Redirect rather than delete, so the visitors reach the new site.

    Builds on

    Evidence

    • Your websiteThe previous site is still live at careswift.pages.dev (copyright 2025), with /how-careswift-works and /financial-benefits. It claims narratives in "under 2 minutes", documentation-related denials cut "by up to 75%", over 200 hours reclaimed per provider a year, "hundreds" of EMTs using it and up to $219,000 more revenue per ambulance a year, with "Expected ROI within 60-90 days based on current customer results" and no sources.Source
    • Your websiteHomepage FAQ: supervisors can read finalized narratives and team analytics, but there are currently no approvals, comments, sendbacks or correction queue; the product is browser-based and needs an internet connection; CareSwift cannot confirm whether the ePCR chart was completed; in a deployment, using agency data, it can compare late charts, corrections, sendbacks and supervisor follow-up against an agreed baseline; formatting and copy-paste are tested with synthetic data in each ePCR, browser and device combination.Source
    • Site historyChanges since December 10, 2025: the headline moved from "AI Scribe + Compliance for Ambulance Reports" to "Faster EMS narratives. Your agency's standards."; the site moved from Framer to Next.js and dropped Google Analytics, PostHog and Crisp chat. No analytics tool is detected on the site now.Source
  • 04

    The sitemap lists only three URLs: the homepage, the privacy policy and the terms. The two pages that sell, /book-demo and /security, are linked everywhere but missing. PageSpeed also flags the homepage headings as out of order, and the homepage has no social share image, so links shared in EMS group chats and LinkedIn show no picture.

    Medium impactLow effort First result in 2 weeks Founder & CTO

    First action

    Add the two URLs to the sitemap.

    How to measure it

    Sitemap pages indexed

    Now
    –
    Target
    All public pages indexed
    By
    30 days

    Steps

    1. 1

      Update the sitemap

      Add /book-demo and /security; generate from routes.

      Founder & CTO 1 hour

    2. 2

      Make a share image

      Headline and a synthetic product screen.

      Founder & CEO 2 hours

    3. 3

      Add meta tags

      Open Graph and Twitter tags on every page.

      Founder & CTO 1 hour

    4. 4

      Fix headings

      One H1, then H2 and H3 in order.

      Founder & CTO 1 hour

    5. 5

      Submit

      Sitemap to Google Search Console and Bing.

      Founder & CTO 30 minutes

    6. 6

      Test previews

      LinkedIn, X and text-message previews.

      COO 30 minutes

    First result
    2 weeks
    Cost
    $0
    Owner
    Founder & CTO

    Smallest test

    Add the two sitemap URLs and the share image today.

    Why it works

    Add /book-demo and /security to the sitemap and generate it from the routes so new pages are included. Add a share image (headline plus a product screenshot with synthetic data) and titles and descriptions for each page. Fix the heading order the accessibility audit flags.

    Search engines and AI assistants find and describe the pages buyers need, and every shared link looks like a real product. Accessibility fixes also matter to public-sector buyers.

    Risks and how to handle them

    • Screenshot shows real data

      Use only synthetic call details.

    Evidence

    • Your websiteSitemap: 3 URLs (homepage, privacy policy, terms). /book-demo and /security are linked from every page but not listed. There is no blog, case study, pricing, FAQ or per-ePCR page.Source
    • PageSpeedGoogle PageSpeed (mobile, November 10, 2026): performance 100 (desktop 100), LCP 1.2 s, CLS 0, 306 KB, no third-party scripts. Accessibility 98, with one issue: "Heading elements are not in a sequentially-descending order". The largest element on screen is the top banner "Looking for CareSwift's separate ePCR product?". There is no real-visitor (field) data yet, and the homepage has no social share image.Source
  • 07

    When the site moved from Framer to Next.js it dropped Google Analytics, PostHog and its chat tool, and no analytics tool is detected now. That is part of why a broken /demo link from the YC profile could go unnoticed: nobody can see visits, sources, 404s or how many people open the booking page and leave.

    High impactLow effort First result in 1 week Founder & CTO

    First action

    Pick a cookie-free analytics tool and add it to the marketing pages.

    How to measure it

    Booking-page conversion visible by source

    Now
    –
    Target
    Weekly funnel report live
    By
    14 days

    Steps

    1. 1

      Choose a tool

      Cookie-free, marketing pages only.

      Founder & CTO 1 hour

    2. 2

      Install

      Homepage, book-demo and security pages.

      Founder & CTO 2 hours

    3. 3

      Add events

      Demo viewed, date chosen, booking made.

      Founder & CTO 3 hours

    4. 4

      Log 404s

      Alert on any path hit more than twice.

      Founder & CTO 1 hour

    5. 5

      Tag links

      UTMs on YC, LinkedIn, email and app links.

      COO 1 hour

    6. 6

      Review weekly

      A one-page funnel every Monday.

      Founder & CEO weekly

    First result
    1 week
    Cost
    $0-$20 a month
    Owner
    Founder & CTO

    Smallest test

    Install it on the book-demo page alone and count views this week.

    Why it works

    Add one lightweight, cookie-free analytics tool on the marketing site only (never inside the PHI app), plus 404 logging and three events: demo page viewed, date chosen, booking made. Tag every outbound and YC link with UTM parameters so each source can be counted. Review a one-page funnel every Monday.

    With two or three people selling, knowing which source produces booked demos decides where the founder's time goes. It also proves whether ideas 1 and 3 worked.

    Risks and how to handle them

    • Tracking near PHI

      Keep analytics off the app domain; marketing pages only.

    Evidence

    • Site historyChanges since December 10, 2025: the headline moved from "AI Scribe + Compliance for Ambulance Reports" to "Faster EMS narratives. Your agency's standards."; the site moved from Framer to Next.js and dropped Google Analytics, PostHog and Crisp chat. No analytics tool is detected on the site now.Source
    • Your websiteOld URLs (fetched twice on November 10, 2026): careswift.com/demo and www.careswift.com/demo return 404 Not Found, as do /how-careswift-works, /financial-benefits and /faq. The working demo page is /book-demo.Source
  • 21

    The first thing on careswift.com, and the largest element PageSpeed finds on a phone screen, is not the headline but a banner asking "Looking for CareSwift's separate ePCR product?" and pointing visitors to a prototype elsewhere. A chief arriving to learn about narrative software is first told about a different, unfinished product.

    Medium impactLow effort First result in 2 weeks Founder & CEO

    First action

    Decide whether the ePCR product is for sale today.

    How to measure it

    Homepage to book-demo click rate

    Now
    –
    Target
    +15%
    By
    60 days

    Steps

    1. 1

      Decide

      Is the ePCR product for sale now?

      Founder & CEO 1 day

    2. 2

      Move the banner

      To the footer or an FAQ answer.

      Founder & CTO 1 hour

    3. 3

      Or build a page

      If for sale: one page on careswift.com.

      Founder & CEO 1 week

    4. 4

      Remove the note

      No internal status notes in public copy.

      Founder & CTO 30 minutes

    5. 5

      Retest PageSpeed

      Headline becomes the main element.

      Founder & CTO 30 minutes

    6. 6

      Measure

      Click rate to the demo page.

      COO monthly

    First result
    2 weeks
    Cost
    $0
    Owner
    Founder & CEO

    Smallest test

    Move the banner to the footer for two weeks and compare demo clicks.

    Why it works

    Decide the two-product story. If the ePCR is not for sale yet, remove the banner and add a single footer link or an "early access" FAQ answer. If it is, give it its own page on careswift.com that explains how it relates to the narrative product. Either way, the headline should be the first thing a visitor reads.

    The first line decides whether a visitor reads on. A clear single message keeps attention on the product that is ready to buy.

    Risks and how to handle them

    • ePCR prospects lose their way in

      Keep a clear footer link and an FAQ answer.

    Evidence

    • PageSpeedGoogle PageSpeed (mobile, November 10, 2026): performance 100 (desktop 100), LCP 1.2 s, CLS 0, 306 KB, no third-party scripts. Accessibility 98, with one issue: "Heading elements are not in a sequentially-descending order". The largest element on screen is the top banner "Looking for CareSwift's separate ePCR product?". There is no real-visitor (field) data yet, and the homepage has no social share image.Source
    • Your websiteHomepage (checked November 10, 2026): headline "Faster EMS narratives. Your agency's standards."; crews answer clarifying questions, then copy the reviewed narrative into the ePCR they already use, and CareSwift does not write back to or submit charts; "100,000+" EMS narratives generated by providers; the call to action is "Book a 20-minute demo"; pricing depends on deployment scope and is given after the demo, and individual providers are not charged; no customers, logos or testimonials are shown; it argues that personal AI tools or saved text don't give agencies consistent standards or governance.Source

This quarter 13

The core plays for the next three months.

  • 05

    The homepage says providers have generated 100,000+ EMS narratives, yet it names no agency, shows no logo or testimonial, and the only trade feature on CareSwift says the writer wants to see "pilot programs and crew adoption". The product already measures time to finalization and can compare late charts, corrections and sendbacks against an agreed baseline, so the proof can come from data CareSwift already collects.

    High impactMedium effort First result in 2 months Founder & CEO

    First action

    Ask the most engaged agency whether it will be named in a short result.

    How to measure it

    Demos that become pilots

    Now
    –
    Target
    +25%
    By
    1 quarter

    Steps

    1. 1

      Pick the agency

      Highest adoption and a willing chief.

      Founder & CEO 1 week

    2. 2

      Agree the baseline

      Late charts, sendbacks, follow-up and time to finalization.

      COO 1 week

    3. 3

      Measure

      60 days of in-product and agency data.

      Founder & CTO 60 days

    4. 4

      Write it up

      One page: before, after, method and a quote.

      Founder & CEO 3 days

    5. 5

      Approve

      The agency signs off on every number.

      COO 1 week

    6. 6

      Publish

      A /customers page, the homepage and the demo page.

      Founder & CTO 1 day

    7. 7

      Use it

      In outbound emails and demo openings.

      Founder & CEO ongoing

    First result
    2 months
    Cost
    Staff time only
    Owner
    Founder & CEO

    Smallest test

    Pull time to finalization for one agency's first and latest month this week.

    Why it works

    Pick one agency that will go on record. Agree the baseline (late charts, sendbacks, supervisor follow-up, time to finalization), measure 60 days, and publish a one-page result with a quote from the chief or QA lead. Add it to the homepage, the book-demo page and outbound emails. If no agency will be named yet, publish an anonymized "mid-size private ambulance service" version.

    Chiefs buy what peers have already proven. One measured, named result does more for a two-person sales team than any feature list, and it answers the question every demo starts with.

    Risks and how to handle them

    • Agencies are cautious about being named

      Offer an anonymized version, or a quote from the QA lead only.

    • The result is small

      Publish the honest number and the method; buyers trust a modest measured gain.

    Evidence

    • Your websiteHomepage (checked November 10, 2026): headline "Faster EMS narratives. Your agency's standards."; crews answer clarifying questions, then copy the reviewed narrative into the ePCR they already use, and CareSwift does not write back to or submit charts; "100,000+" EMS narratives generated by providers; the call to action is "Book a 20-minute demo"; pricing depends on deployment scope and is given after the demo, and individual providers are not charged; no customers, logos or testimonials are shown; it argues that personal AI tools or saved text don't give agencies consistent standards or governance.Source
    • PressHUGE Magazine feature (February 5, 2026 edition): names no CareSwift customers, pilots or deployments, and says the writer wants to see pilot programs and crew adoption; describes ImageTrend and ESO as the dominant US EMS documentation platforms; NYC crews may run 8 to 12 calls in a 12-hour shift.Source
    • Your websiteHomepage FAQ: supervisors can read finalized narratives and team analytics, but there are currently no approvals, comments, sendbacks or correction queue; the product is browser-based and needs an internet connection; CareSwift cannot confirm whether the ePCR chart was completed; in a deployment, using agency data, it can compare late charts, corrections, sendbacks and supervisor follow-up against an agreed baseline; formatting and copy-paste are tested with synthetic data in each ePCR, browser and device combination.Source
  • 06

    CareSwift's only pricing statement is that price depends on deployment scope and is given after the demo. Agencies budget a year ahead and often need a number before they can take a meeting, while rivals are visible: ESO includes its narrative feature for its EHR customers, and Twofold shows $19 for the first month.

    Medium impactLow effort First result in 1 month Founder & CEO

    First action

    Write down the price of the last five agency proposals and find the common range.

    How to measure it

    Demo-to-proposal rate

    Now
    –
    Target
    +20%
    By
    1 quarter

    Steps

    1. 1

      Find the range

      Past proposals by agency size.

      Founder & CEO 1 day

    2. 2

      Name the drivers

      Providers, call types and support level.

      COO 1 day

    3. 3

      Write the section

      Range, inclusions and "crews are never charged".

      Founder & CEO 1 day

    4. 4

      Make the budget sheet

      One page for purchase requests.

      COO 2 days

    5. 5

      Publish

      Homepage FAQ and a /pricing page.

      Founder & CTO 1 day

    6. 6

      Track

      Ask each demo whether they saw it.

      Founder & CEO monthly

    First result
    1 month
    Cost
    $0
    Owner
    Founder & CEO

    Smallest test

    Add one FAQ line with a typical starting range.

    Why it works

    Add a short "How pricing works" section and page: what drives the price (number of providers, call types configured, deployment support), a typical starting range or per-provider figure, what is included (configuration, synthetic testing, training, BAA) and that crews are never charged. Add a one-page budget sheet chiefs can attach to a purchase request.

    A range lets buyers qualify themselves and lets the founder spend demo time on the agencies that can buy. It also answers the first question procurement asks.

    Risks and how to handle them

    • A public number anchors negotiations

      Publish a starting point and the drivers, not a fixed rate card.

    Evidence

    • Your websiteHomepage (checked November 10, 2026): headline "Faster EMS narratives. Your agency's standards."; crews answer clarifying questions, then copy the reviewed narrative into the ePCR they already use, and CareSwift does not write back to or submit charts; "100,000+" EMS narratives generated by providers; the call to action is "Book a 20-minute demo"; pricing depends on deployment scope and is given after the demo, and individual providers are not charged; no customers, logos or testimonials are shown; it argues that personal AI tools or saved text don't give agencies consistent standards or governance.Source
    • Competitor researchESO Auto-Generated Narrative (press release, June 25, 2025): launched in May 2025; more than 35,700 hours saved in the first month; more than 1,670 EMS agencies adopted it; included for existing ESO EHR customers; it builds the narrative from chart data, and a provider must review and approve it.Source
    • Competitor researchTwofold EMS chart and narrative generator: free for a week, then $19 for the first month; sold to individual medics as well as agencies; narratives are copied or exported into the ePCR; rated 4.8 from 3,079 reviews; a BAA at signup; says it works without full connectivity.Source
  • 08

    PHI use starts only after contracting, a BAA and a security review, and the security page is careful about scope. But it publishes no SOC 2 report, subprocessor list, hosting region or MFA detail, which are the first questions on most security questionnaires, so each review starts from a blank page.

    High impactMedium effort First result in 1 month COO

    First action

    Collect the last three questionnaires agencies sent and list the repeated questions.

    How to measure it

    Median demo-to-BAA days

    Now
    –
    Target
    -30%
    By
    2 quarters

    Steps

    1. 1

      Collect questions

      From past questionnaires.

      COO 2 days

    2. 2

      Answer once

      A master answer set.

      Founder & CTO 1 week

    3. 3

      Add documents

      Subprocessors, BAA template, incident summary.

      COO 1 week

    4. 4

      Publish on request

      In the Trust Center behind a request form.

      COO 2 days

    5. 5

      Link it

      Book-demo page and demo follow-up email.

      Founder & CEO 1 day

    6. 6

      Refresh

      Each quarter, with a date.

      COO quarterly

    First result
    1 month
    Cost
    Staff time; audit costs only if pursued
    Owner
    COO

    Smallest test

    Send the master answers with the next demo follow-up.

    Why it works

    Assemble one packet, shared on request through the Trust Center: completed standard questionnaire answers, the subprocessor list, hosting region, encryption and authentication summary, access-control model (already on the security page), incident process, retention presets, the BAA template and the audit status with a date. Offer it on the book-demo page and in the follow-up email after every demo.

    Security review is a common place where small-vendor deals stall. Answering before you are asked shortens the time from demo to signed BAA and makes a small team look ready.

    Risks and how to handle them

    • Claiming audits not yet done

      State status and date honestly.

    Builds on

    Evidence

    • Your websiteSecurity, Data, and AI Practices page: HIPAA compliant for approved agency deployments; a BAA is signed before any PHI; a separate environment per agency; retention presets of 30, 90 or 365 days, with unfinished drafts deleted after seven days of inactivity; CareSwift support has no PHI access by default; a Vanta-hosted Trust Center. Two lines still carry internal "pending" notes with project milestone codes (on the default retention preset and on the Trust Center scope). No SOC 2 report, subprocessor list, hosting region or MFA detail is published.Source
    • Your websiteBook-demo page: a 20-minute call where you "meet directly with a CareSwift founder", a date picker and a "Request another time" link. The page has no proof points, customer names or security summary.Source
  • 09

    ESO's Auto-Generated Narrative is included for ESO EHR customers and was adopted by more than 1,670 agencies within weeks; it writes the narrative from chart data. CareSwift asks clarifying questions built from the agency's own standards before drafting, and works next to any ePCR. Every ESO agency in a demo will ask "why not use what we already have?", and the site has no answer page.

    High impactLow effort First result in 1 month Founder & CEO

    First action

    Write down the three questions ESO agencies ask most in demos.

    How to measure it

    Demos from comparison pages

    Now
    –
    Target
    5 a month
    By
    1 quarter

    Steps

    1. 1

      List objections

      From recent demos.

      Founder & CEO 1 day

    2. 2

      Check facts

      ESO's own published feature description.

      COO 1 day

    3. 3

      Write

      A fair table and a "when to use both" section.

      Founder & CEO 3 days

    4. 4

      Review

      Trademark use and accuracy.

      COO 2 days

    5. 5

      Publish

      Linked from the FAQ.

      Founder & CTO 1 day

    6. 6

      Repeat

      ImageTrend users and personal AI tools.

      Founder & CEO 1 month

    First result
    1 month
    Cost
    $0
    Owner
    Founder & CEO

    Smallest test

    Add one FAQ answer: "We already have ESO's narrative feature."

    Why it works

    Write one fair page: how each tool builds a narrative (from chart data versus from call details plus agency-approved questions), who controls the writing rules, what happens when the chart is missing details, and where CareSwift fits for agencies not on ESO or with strict agency standards. Repeat the format for ImageTrend users and for personal AI tools, which the homepage already argues against.

    Comparison searches come from buyers close to a decision, and a calm, factual page lets the founder skip the objection on calls.

    Risks and how to handle them

    • Out-of-date claims about a rival

      Date the page and quote only their published material.

    Evidence

    • Competitor researchESO Auto-Generated Narrative (press release, June 25, 2025): launched in May 2025; more than 35,700 hours saved in the first month; more than 1,670 EMS agencies adopted it; included for existing ESO EHR customers; it builds the narrative from chart data, and a provider must review and approve it.Source
    • Your websiteHomepage (checked November 10, 2026): headline "Faster EMS narratives. Your agency's standards."; crews answer clarifying questions, then copy the reviewed narrative into the ePCR they already use, and CareSwift does not write back to or submit charts; "100,000+" EMS narratives generated by providers; the call to action is "Book a 20-minute demo"; pricing depends on deployment scope and is given after the demo, and individual providers are not charged; no customers, logos or testimonials are shown; it argues that personal AI tools or saved text don't give agencies consistent standards or governance.Source
    • PressHUGE Magazine feature (February 5, 2026 edition): names no CareSwift customers, pilots or deployments, and says the writer wants to see pilot programs and crew adoption; describes ImageTrend and ESO as the dominant US EMS documentation platforms; NYC crews may run 8 to 12 calls in a 12-hour shift.Source
  • 10

    CareSwift tests formatting and copy-paste with synthetic data in each ePCR, browser and device combination in a deployment, yet the site has no page per ePCR. Agencies search by the system they already use, and "will it work with ours?" is the first practical question.

    Medium impactMedium effort First result in 2 months Founder & CTO

    First action

    List the ePCRs already tested in deployments.

    How to measure it

    Demos from per-ePCR pages

    Now
    –
    Target
    4 a month
    By
    1 quarter

    Steps

    1. 1

      List systems

      Each ePCR tested so far.

      Founder & CTO 1 day

    2. 2

      Record flows

      Synthetic data only.

      Founder & CTO 1 week

    3. 3

      Write pages

      Workflow, tested setups and notes.

      Founder & CEO 1 week

    4. 4

      Review wording

      No implied partnership.

      COO 2 days

    5. 5

      Publish

      Add to the sitemap.

      Founder & CTO 1 day

    6. 6

      Use in outreach

      Send the matching page to each prospect.

      Founder & CEO ongoing

    First result
    2 months
    Cost
    Staff time only
    Owner
    Founder & CTO

    Smallest test

    Publish one page for the most common ePCR among prospects.

    Why it works

    For each ePCR CareSwift has tested, publish a short page: a screen recording with synthetic data of a narrative going from CareSwift into that system's narrative field, the browsers and devices tested, formatting notes and a demo button. Describe the systems factually and avoid implying a partnership.

    Pages that match how buyers search bring qualified visitors, and showing the exact workflow removes the biggest practical doubt.

    Risks and how to handle them

    • An ePCR update breaks the flow shown

      Date each page and retest quarterly.

    Builds on

    Evidence

    • Your websiteHomepage FAQ: supervisors can read finalized narratives and team analytics, but there are currently no approvals, comments, sendbacks or correction queue; the product is browser-based and needs an internet connection; CareSwift cannot confirm whether the ePCR chart was completed; in a deployment, using agency data, it can compare late charts, corrections, sendbacks and supervisor follow-up against an agreed baseline; formatting and copy-paste are tested with synthetic data in each ePCR, browser and device combination.Source
    • Your websiteSitemap: 3 URLs (homepage, privacy policy, terms). /book-demo and /security are linked from every page but not listed. There is no blog, case study, pricing, FAQ or per-ePCR page.Source
  • 11

    Providers have generated 100,000+ narratives and individuals are never charged, so CareSwift has a base of medics who know the product, but the only path to a sale is a chief booking a demo. Twofold sells directly to individual medics, and the homepage itself says personal tools cannot give agencies governance, which is exactly the argument a medic can make to a chief.

    Medium impactLow effort First result in 1 month Founder & CEO

    First action

    Ask five active providers whether their chief has heard of CareSwift.

    How to measure it

    Referred demos

    Now
    –
    Target
    3 a month
    By
    1 quarter

    Steps

    1. 1

      Interview crews

      Five active providers.

      Founder & CEO 1 week

    2. 2

      Write the kit

      One page for chiefs, in crew language.

      Founder & CEO 3 days

    3. 3

      Build the link

      Tagged booking link per medic.

      Founder & CTO 1 day

    4. 4

      Set the thank-you

      Something employers allow.

      COO 2 days

    5. 5

      Announce

      In the product and the app.

      Founder & CTO 1 day

    6. 6

      Track

      Referred demos and pilots.

      COO monthly

    First result
    1 month
    Cost
    Small thank-you budget
    Owner
    Founder & CEO

    Smallest test

    Email ten active users the chief one-pager.

    Why it works

    Give crews a short page and a one-page PDF to forward to their chief or QA lead: what changes for the agency, the governance and BAA story, and a link that books a demo tagged with the referring medic. Thank medics whose referral becomes a pilot (for example, agency-branded gear or a continuing-education donation), within the rules of their employer.

    Chiefs listen to their own crews, and a medic who already uses the product is the most credible voice CareSwift has.

    Risks and how to handle them

    • Gifts conflict with employer rules

      Keep thanks small and offer a donation option.

    Evidence

    • Your websiteHomepage (checked November 10, 2026): headline "Faster EMS narratives. Your agency's standards."; crews answer clarifying questions, then copy the reviewed narrative into the ePCR they already use, and CareSwift does not write back to or submit charts; "100,000+" EMS narratives generated by providers; the call to action is "Book a 20-minute demo"; pricing depends on deployment scope and is given after the demo, and individual providers are not charged; no customers, logos or testimonials are shown; it argues that personal AI tools or saved text don't give agencies consistent standards or governance.Source
    • Competitor researchTwofold EMS chart and narrative generator: free for a week, then $19 for the first month; sold to individual medics as well as agencies; narratives are copied or exported into the ePCR; rated 4.8 from 3,079 reviews; a BAA at signup; says it works without full connectivity.Source
    • App StoreiOS app "CareSwift" (CARESWIFT INC): free, listed under Utilities, described as "an AI platform that helps EMTs write better documentation"; 5.0 from 3 ratings and no written reviews; version 1.0 on September 23, 2025, now at 1.1.10.Source
  • 12

    CareSwift's CEO is a working EMT with four years in New York City's 911 system, the site has no blog, and the outbound plan reaches chiefs and operations directors on LinkedIn. Nothing on the site shows that first-hand knowledge.

    Medium impactMedium effort First result in 1 month Founder & CEO

    First action

    Write the first post on a common call type, such as a refusal.

    How to measure it

    Demos citing the posts

    Now
    –
    Target
    4 a month
    By
    1 quarter

    Steps

    1. 1

      Pick 12 topics

      Common call types and QA findings.

      Founder & CEO 1 day

    2. 2

      Write synthetic calls

      No real patient details.

      Founder & CEO weekly

    3. 3

      Post

      LinkedIn first, then the site.

      Founder & CEO weekly

    4. 4

      Build the page

      A /notes section in the sitemap.

      Founder & CTO 1 day

    5. 5

      Reuse

      Send to prospects and in follow-ups.

      Founder & CEO weekly

    6. 6

      Review

      Which topics drive replies.

      COO monthly

    First result
    1 month
    Cost
    Founder time
    Owner
    Founder & CEO

    Smallest test

    Publish one post and count replies from chiefs.

    Why it works

    Each week, post one short piece built on a synthetic call: a weak narrative, the missing details a QA reviewer would flag, the clarifying questions that fix it, and the better result. Publish on LinkedIn and on a careswift.com/notes page, and send the best ones to prospects.

    Practical examples from a peer earn attention from crews and QA leads, give outbound a reason to reach out, and give search and AI assistants something to cite.

    Risks and how to handle them

    • A post reads as clinical advice

      Frame it as documentation practice and defer to local protocol.

    Evidence

    • Y CombinatorYC company profile: Summer 2025 batch, team of 2, New York City; the CEO is a current EMT who worked four years in the NYC 911 ambulance system. The profile's demo link and the YC launch post both send visitors to careswift.com/demo. The launch post still describes an AI copilot that plugs into existing ePCR systems, with dictation and auto-filled fields, for agencies from small volunteer squads to large ones.Source
    • Past job postFounding EMS Sales Development Representative (posted May 26, 2026, closed June 24, 2026; still shown on the YC jobs page): prospect EMS agencies, ambulance services and fire departments; run cold call, email and LinkedIn outreach to agency chiefs and operations directors; book demos for the founder, who closes; build a repeatable outbound process.Source
    • Your websiteSitemap: 3 URLs (homepage, privacy policy, terms). /book-demo and /security are linked from every page but not listed. There is no blog, case study, pricing, FAQ or per-ePCR page.Source
  • 13

    CareSwift's core idea is that agencies approve call types, essential details, clarifying questions and writing rules. Today a chief only sees that in a call. A public library of starter question sets (for example, for refusals, interfacility transfers and falls) would show the product's method on the site.

    Medium impactMedium effort First result in 2 months Founder & CEO

    First action

    Write the starter set for the most common call type in current deployments.

    How to measure it

    Configuration mock-up requests

    Now
    –
    Target
    6 a month
    By
    1 quarter

    Steps

    1. 1

      Pick call types

      The 8 to 10 most common.

      Founder & CEO 1 day

    2. 2

      Write sets

      Generic details and questions, not any agency's own rules.

      Founder & CEO 2 weeks

    3. 3

      Add samples

      Synthetic narratives only.

      Founder & CEO 1 week

    4. 4

      Build pages

      Library and download.

      Founder & CTO 1 week

    5. 5

      Offer mock-ups

      A form to send agency rules.

      COO 2 days

    6. 6

      Follow up

      Turn each mock-up into a demo.

      Founder & CEO ongoing

    First result
    2 months
    Cost
    Founder time
    Owner
    Founder & CEO

    Smallest test

    Publish one set and post it on LinkedIn.

    Why it works

    Publish 8 to 10 starter sets as simple pages and a downloadable sheet: the essential details for the call type, the clarifying questions CareSwift asks when one is missing, and a sample narrative built from a synthetic call. Invite agencies to send their own rules for a free mock-up of their configuration, which becomes the demo.

    It turns the hidden part of the product into something a QA lead can share internally, and a request for a mock-up is a warmer lead than a cold demo booking.

    Risks and how to handle them

    • Sets read as clinical standards

      Label them as documentation starting points that each agency approves.

    • Agency rules shared by mistake

      Use only generic content; never publish a customer's configuration.

    Evidence

    • Your websiteHomepage FAQ: supervisors can read finalized narratives and team analytics, but there are currently no approvals, comments, sendbacks or correction queue; the product is browser-based and needs an internet connection; CareSwift cannot confirm whether the ePCR chart was completed; in a deployment, using agency data, it can compare late charts, corrections, sendbacks and supervisor follow-up against an agreed baseline; formatting and copy-paste are tested with synthetic data in each ePCR, browser and device combination.Source
    • Your websiteHomepage (checked November 10, 2026): headline "Faster EMS narratives. Your agency's standards."; crews answer clarifying questions, then copy the reviewed narrative into the ePCR they already use, and CareSwift does not write back to or submit charts; "100,000+" EMS narratives generated by providers; the call to action is "Book a 20-minute demo"; pricing depends on deployment scope and is given after the demo, and individual providers are not charged; no customers, logos or testimonials are shown; it argues that personal AI tools or saved text don't give agencies consistent standards or governance.Source
  • 14

    CareSwift can already compare late charts, corrections, sendbacks and supervisor follow-up against an agreed baseline using agency data, and implementation follows set steps (owner, configuration, roster, synthetic testing, training, first provider group). That is a pilot in all but name, but it is not sold as one.

    High impactMedium effort First result in 1 quarter COO

    First action

    Write the pilot outline on one page.

    How to measure it

    Paid pilots started

    Now
    –
    Target
    3 a quarter
    By
    2 quarters

    Steps

    1. 1

      Define scope

      Providers, call types and length.

      COO 2 days

    2. 2

      Set the price

      Fixed fee credited to year one.

      Founder & CEO 1 day

    3. 3

      Fix the baseline

      Metrics and data the agency supplies.

      Founder & CTO 2 days

    4. 4

      Write the contract

      Pilot terms alongside the BAA.

      COO 1 week

    5. 5

      Publish

      A pilot section on the site.

      Founder & CTO 1 day

    6. 6

      Offer

      At the end of each demo.

      Founder & CEO ongoing

    7. 7

      Review

      Go/no-go meeting at day 60.

      Founder & CEO per pilot

    First result
    1 quarter
    Cost
    Staff time
    Owner
    COO

    Smallest test

    Offer the pilot outline to the next three demos.

    Why it works

    Package it: one shift or station, up to a set number of providers, three call types, 60 days, a fixed fee credited against the first year, and a written go/no-go based on the agreed baseline. Publish the outline on the site and offer it at the end of every demo.

    Agencies find it easier to approve a small, time-boxed, measured pilot than an open-ended deployment, and every finished pilot produces the proof in idea 5.

    Risks and how to handle them

    • Pilots that never convert

      Agree the go/no-go criteria and the year-one price before starting.

    Evidence

    • Your websiteHomepage FAQ: supervisors can read finalized narratives and team analytics, but there are currently no approvals, comments, sendbacks or correction queue; the product is browser-based and needs an internet connection; CareSwift cannot confirm whether the ePCR chart was completed; in a deployment, using agency data, it can compare late charts, corrections, sendbacks and supervisor follow-up against an agreed baseline; formatting and copy-paste are tested with synthetic data in each ePCR, browser and device combination.Source
    • PressHUGE Magazine feature (February 5, 2026 edition): names no CareSwift customers, pilots or deployments, and says the writer wants to see pilot programs and crew adoption; describes ImageTrend and ESO as the dominant US EMS documentation platforms; NYC crews may run 8 to 12 calls in a 12-hour shift.Source
  • 17

    CareSwift's old pitch was about denials and revenue; the new site rightly avoids billing promises. But the people who feel incomplete narratives most are the billing companies many agencies outsource to: they chase crews for missing details. The outbound plan targets chiefs only.

    Medium impactMedium effort First result in 1 quarter Founder & CEO

    First action

    Ask current agencies which billing company they use.

    How to measure it

    Demos from billing partners

    Now
    –
    Target
    4 a quarter
    By
    2 quarters

    Steps

    1. 1

      Map billers

      Who current and pipeline agencies use.

      COO 1 week

    2. 2

      Pick three

      Regional firms with many agency clients.

      Founder & CEO 1 day

    3. 3

      Pitch

      Fewer follow-ups, no billing claims.

      Founder & CEO 1 month

    4. 4

      Agree terms

      Referral fee or co-marketing.

      COO 2 weeks

    5. 5

      Joint pilot

      Measure follow-up requests at one agency.

      Founder & CTO 60 days

    6. 6

      Expand

      Introductions to more clients.

      Founder & CEO ongoing

    First result
    1 quarter
    Cost
    Referral fees on closed deals
    Owner
    Founder & CEO

    Smallest test

    One conversation with the billing company of the friendliest agency.

    Why it works

    Approach a few regional EMS billing companies with a referral partnership: they introduce CareSwift to client agencies whose narratives often need follow-up, and CareSwift gives them an agency-approved view of which details are now asked for by call type. Make no billing-outcome claims; measure follow-up requests jointly with one agency.

    Billing partners have trusted relationships with many agencies at once and a direct reason to want cleaner narratives, so one partner can bring several warm introductions.

    Risks and how to handle them

    • Billing or referral rules

      Have counsel review any fee arrangement before signing.

    Evidence

    • Your websiteThe previous site is still live at careswift.pages.dev (copyright 2025), with /how-careswift-works and /financial-benefits. It claims narratives in "under 2 minutes", documentation-related denials cut "by up to 75%", over 200 hours reclaimed per provider a year, "hundreds" of EMTs using it and up to $219,000 more revenue per ambulance a year, with "Expected ROI within 60-90 days based on current customer results" and no sources.Source
    • Past job postFounding EMS Sales Development Representative (posted May 26, 2026, closed June 24, 2026; still shown on the YC jobs page): prospect EMS agencies, ambulance services and fire departments; run cold call, email and LinkedIn outreach to agency chiefs and operations directors; book demos for the founder, who closes; build a repeatable outbound process.Source
    • Your websiteHomepage FAQ: supervisors can read finalized narratives and team analytics, but there are currently no approvals, comments, sendbacks or correction queue; the product is browser-based and needs an internet connection; CareSwift cannot confirm whether the ePCR chart was completed; in a deployment, using agency data, it can compare late charts, corrections, sendbacks and supervisor follow-up against an agreed baseline; formatting and copy-paste are tested with synthetic data in each ePCR, browser and device combination.Source
  • 18

    CareSwift's outbound plan was built around one founding SDR cold-calling and emailing agency chiefs one by one, with the founder closing every deal. With a team of two or three, that caps how many agencies hear about CareSwift each month.

    Medium impactMedium effort First result in 1 quarter COO

    First action

    List the councils and associations covering current customers.

    How to measure it

    Qualified demos from association sessions

    Now
    –
    Target
    6 a quarter
    By
    2 quarters

    Steps

    1. 1

      Map groups

      Councils and associations near current users.

      COO 1 week

    2. 2

      Build the session

      Narrative quality, not a pitch.

      Founder & CEO 2 weeks

    3. 3

      Pitch the groups

      Free session and member rate.

      COO 1 month

    4. 4

      Run sessions

      Two in the quarter.

      Founder & CEO 1 day each

    5. 5

      Follow up

      Small-group demos for attendees.

      Founder & CEO 2 weeks

    6. 6

      Measure

      Demos and pilots per session.

      COO monthly

    First result
    1 quarter
    Cost
    Travel and staff time
    Owner
    COO

    Smallest test

    Pitch one regional council this month.

    Why it works

    Pick two states or regions where CareSwift already has users. Offer each regional EMS council or state association a free, non-sales education session on narrative quality (built from idea 12's material), a member-only pilot rate, and a short write-up for their newsletter. Follow up with attendees in small groups rather than single calls.

    Associations already convene the chiefs and QA leads CareSwift wants, and a peer-endorsed session reaches dozens of agencies for the cost of one presentation.

    Risks and how to handle them

    • Groups do not allow vendor sessions

      Offer sponsorship of an existing education day instead.

    Builds on

    Evidence

    • Past job postFounding EMS Sales Development Representative (posted May 26, 2026, closed June 24, 2026; still shown on the YC jobs page): prospect EMS agencies, ambulance services and fire departments; run cold call, email and LinkedIn outreach to agency chiefs and operations directors; book demos for the founder, who closes; build a repeatable outbound process.Source
    • Y CombinatorYC company profile: Summer 2025 batch, team of 2, New York City; the CEO is a current EMT who worked four years in the NYC 911 ambulance system. The profile's demo link and the YC launch post both send visitors to careswift.com/demo. The launch post still describes an AI copilot that plugs into existing ePCR systems, with dictation and auto-filled fields, for agencies from small volunteer squads to large ones.Source
  • 22

    CareSwift is browser-based and needs an internet connection; if it is unavailable, providers fall back to the normal ePCR process. Twofold says it works without full connectivity. Crews write narratives in rural areas, basements and hospital bays where signal drops, and losing a half-finished draft is the fastest way to lose a crew's trust.

    Medium impactMedium effort First result in 6 weeks Founder & CTO

    First action

    Count drafts abandoned after a connection error in the last month.

    How to measure it

    Abandoned drafts after a drop

    Now
    –
    Target
    -80%
    By
    1 quarter

    Steps

    1. 1

      Measure

      Drafts lost after connection errors.

      Founder & CTO 2 days

    2. 2

      Design

      Pause, reconnect and resume.

      Founder & CTO 1 week

    3. 3

      Security check

      On-device storage and clearing rules.

      COO 1 week

    4. 4

      Build

      Encrypted local draft state.

      Founder & CTO 3 weeks

    5. 5

      Test

      Simulated drops on each device.

      Founder & CTO 1 week

    6. 6

      Update FAQ

      Explain the offline behavior.

      Founder & CEO 1 day

    First result
    6 weeks
    Cost
    Engineering time
    Owner
    Founder & CTO

    Smallest test

    Show a clear reconnecting message and keep answers for the session only.

    Why it works

    Keep the provider's in-progress answers on the device (encrypted, cleared on submit or after the seven-day draft limit) so a dropped connection pauses the draft instead of losing it, with a clear "reconnecting" state. Add a short FAQ answer on what happens offline. Check the change against the security model and BAA before release.

    It removes a practical objection in demos and protects adoption, which is what agencies will measure.

    Risks and how to handle them

    • PHI stored on shared devices

      Encrypt, clear on submit and follow the agency's device rules.

    Evidence

    • Your websiteHomepage FAQ: supervisors can read finalized narratives and team analytics, but there are currently no approvals, comments, sendbacks or correction queue; the product is browser-based and needs an internet connection; CareSwift cannot confirm whether the ePCR chart was completed; in a deployment, using agency data, it can compare late charts, corrections, sendbacks and supervisor follow-up against an agreed baseline; formatting and copy-paste are tested with synthetic data in each ePCR, browser and device combination.Source
    • Competitor researchTwofold EMS chart and narrative generator: free for a week, then $19 for the first month; sold to individual medics as well as agencies; narratives are copied or exported into the ePCR; rated 4.8 from 3,079 reviews; a BAA at signup; says it works without full connectivity.Source
    • Your websiteSecurity, Data, and AI Practices page: HIPAA compliant for approved agency deployments; a BAA is signed before any PHI; a separate environment per agency; retention presets of 30, 90 or 365 days, with unfinished drafts deleted after seven days of inactivity; CareSwift support has no PHI access by default; a Vanta-hosted Trust Center. Two lines still carry internal "pending" notes with project milestone codes (on the default retention preset and on the Trust Center scope). No SOC 2 report, subprocessor list, hosting region or MFA detail is published.Source
  • 23

    CareSwift's outbound plan names fire departments as a target alongside EMS agencies and ambulance services, but the site speaks only to "agencies" and ambulance crews. Fire-based EMS has its own buyers (fire chiefs, EMS chiefs within the department) and its own concern: firefighter-medics who chart between fire and medical calls.

    Medium impactLow effort First result in 1 month Founder & CEO

    First action

    Ask the next two fire-based prospects what they need to see.

    How to measure it

    Fire department demos

    Now
    –
    Target
    4 a quarter
    By
    2 quarters

    Steps

    1. 1

      Interview

      Two fire-based EMS leaders.

      Founder & CEO 1 week

    2. 2

      Write the page

      Their call types and roles.

      Founder & CEO 3 days

    3. 3

      Add a starter set

      From idea 13, for fire-based calls.

      Founder & CEO 3 days

    4. 4

      Publish

      Add to the sitemap.

      Founder & CTO 1 day

    5. 5

      Use in outreach

      Fire chief sequences.

      Founder & CEO ongoing

    6. 6

      Measure

      Demos tagged fire.

      COO monthly

    First result
    1 month
    Cost
    $0
    Owner
    Founder & CEO

    Smallest test

    Send a one-page version to five fire chiefs.

    Why it works

    Publish a /fire-departments page: how CareSwift fits a fire department's EMS documentation, the agency-approved questions for the call types fire-based crews run most, governance and BAA in plain words, and a demo button. Use it in outbound to fire chiefs and in association sessions.

    A page that names the buyer's world converts better than a general one, and fire departments are a large segment of US EMS that the current site does not address.

    Risks and how to handle them

    • Thin page with no proof

      Add a fire department result as soon as one exists.

    Builds on

    Evidence

    • Past job postFounding EMS Sales Development Representative (posted May 26, 2026, closed June 24, 2026; still shown on the YC jobs page): prospect EMS agencies, ambulance services and fire departments; run cold call, email and LinkedIn outreach to agency chiefs and operations directors; book demos for the founder, who closes; build a repeatable outbound process.Source
    • Your websiteSitemap: 3 URLs (homepage, privacy policy, terms). /book-demo and /security are linked from every page but not listed. There is no blog, case study, pricing, FAQ or per-ePCR page.Source

Big bets 3

Larger plays that can change the trajectory.

  • 15

    Supervisors can read finalized narratives and analytics, but the FAQ says there are currently no approvals, comments, sendbacks or correction queue; corrections go back through the ePCR. QA/QI work is where sendbacks and corrections are counted, and it is a second buyer inside every agency.

    High impactHigh effort First result in 2 quarters Founder & CTO

    First action

    Interview three QA leads about how they send narratives back today.

    How to measure it

    Agencies using the review queue

    Now
    –
    Target
    50% of agencies
    By
    3 quarters

    Steps

    1. 1

      Interview QA leads

      Current sendback process.

      Founder & CEO 2 weeks

    2. 2

      Design

      Flag, reason, provider note and report.

      Founder & CTO 3 weeks

    3. 3

      Check access rules

      Fit with the existing role model and BAA.

      COO 1 week

    4. 4

      Build

      First version for one agency.

      Founder & CTO 6 weeks

    5. 5

      Pilot

      One agency's QA team.

      COO 1 month

    6. 6

      Price

      Include or charge as a supervisor add-on.

      Founder & CEO 2 weeks

    7. 7

      Update the site

      FAQ and agency section.

      Founder & CEO 1 day

    First result
    2 quarters
    Cost
    Engineering time for a quarter
    Owner
    Founder & CTO

    Smallest test

    Let one QA lead tag narratives in a spreadsheet for a month and see whether the report changes the questions.

    Why it works

    Add a light review layer inside CareSwift: supervisors flag a finalized narrative with a reason from the agency's own rules, the provider sees the note on their next similar call, and the agency gets a report of the most common gaps by call type, feeding back into the clarifying questions. Keep corrections to the chart itself in the ePCR.

    It gives QA leads a reason to champion CareSwift, raises the value of each seat and creates a loop where the questions improve from real gaps.

    Risks and how to handle them

    • Overlap with ePCR QA modules

      Focus on narrative gaps and feeding the questions, not chart correction.

    Builds on

    Evidence

    • Your websiteHomepage FAQ: supervisors can read finalized narratives and team analytics, but there are currently no approvals, comments, sendbacks or correction queue; the product is browser-based and needs an internet connection; CareSwift cannot confirm whether the ePCR chart was completed; in a deployment, using agency data, it can compare late charts, corrections, sendbacks and supervisor follow-up against an agreed baseline; formatting and copy-paste are tested with synthetic data in each ePCR, browser and device combination.Source
    • Your websiteSecurity, Data, and AI Practices page: HIPAA compliant for approved agency deployments; a BAA is signed before any PHI; a separate environment per agency; retention presets of 30, 90 or 365 days, with unfinished drafts deleted after seven days of inactivity; CareSwift support has no PHI access by default; a Vanta-hosted Trust Center. Two lines still carry internal "pending" notes with project milestone codes (on the default retention preset and on the Trust Center scope). No SOC 2 report, subprocessor list, hosting region or MFA detail is published.Source
  • 16

    Today providers copy the narrative into the ePCR by hand, and CareSwift cannot confirm whether the chart was completed. The YC launch post originally described a plugin for existing ePCR systems. ESO builds its narrative inside its own EHR, so an ePCR without its own narrative tool has a reason to partner.

    High impactHigh effort First result in 3 quarters Founder & CEO

    First action

    Rank ePCRs by how often they appear in current deals.

    How to measure it

    Agencies on the integrated flow

    Now
    –
    Target
    3
    By
    3 quarters

    Steps

    1. 1

      Rank vendors

      By overlap with deals.

      Founder & CEO 1 week

    2. 2

      Check their API

      Published partner programs.

      Founder & CTO 2 weeks

    3. 3

      Pitch

      A narrow, safe hand-off.

      Founder & CEO 1 month

    4. 4

      Agree data terms

      BAA and responsibilities.

      COO 1 month

    5. 5

      Build

      Hand-off and completion signal.

      Founder & CTO 2 months

    6. 6

      Pilot

      One shared customer.

      COO 2 months

    7. 7

      Announce

      Joint page and webinar.

      Founder & CEO 1 week

    First result
    3 quarters
    Cost
    Engineering and partner time
    Owner
    Founder & CEO

    Smallest test

    Ask three agencies which ePCR they would most want connected.

    Why it works

    Pick one ePCR vendor whose customers overlap with CareSwift's pipeline and which lacks a built-in narrative feature. Propose a narrow integration: CareSwift hands the finished narrative into the narrative field and gets back a "chart locked" signal so agencies can measure completion. Start with a joint pilot at a shared customer.

    Removing the copy step answers the most common workflow objection, and completion data makes CareSwift's results measurable end to end.

    Risks and how to handle them

    • Vendor builds its own narrative feature instead

      Keep agency standards and clarifying questions as the part they cannot copy quickly.

    Builds on

    Evidence

    • Your websiteHomepage FAQ: supervisors can read finalized narratives and team analytics, but there are currently no approvals, comments, sendbacks or correction queue; the product is browser-based and needs an internet connection; CareSwift cannot confirm whether the ePCR chart was completed; in a deployment, using agency data, it can compare late charts, corrections, sendbacks and supervisor follow-up against an agreed baseline; formatting and copy-paste are tested with synthetic data in each ePCR, browser and device combination.Source
    • Y CombinatorYC company profile: Summer 2025 batch, team of 2, New York City; the CEO is a current EMT who worked four years in the NYC 911 ambulance system. The profile's demo link and the YC launch post both send visitors to careswift.com/demo. The launch post still describes an AI copilot that plugs into existing ePCR systems, with dictation and auto-filled fields, for agencies from small volunteer squads to large ones.Source
    • Competitor researchESO Auto-Generated Narrative (press release, June 25, 2025): launched in May 2025; more than 35,700 hours saved in the first month; more than 1,670 EMS agencies adopted it; included for existing ESO EHR customers; it builds the narrative from chart data, and a provider must review and approve it.Source
  • 19

    CareSwift has 100,000+ narratives and sees which details crews most often leave out and which clarifying questions fix them, by call type. No one in the space publishes that view; ESO publishes time saved, not what narratives miss.

    High impactHigh effort First result in 2 quarters Founder & CEO

    First action

    Check the agreement and BAA terms for aggregate, de-identified reporting.

    How to measure it

    Demos attributed to the report

    Now
    –
    Target
    15 in the launch quarter
    By
    3 quarters

    Steps

    1. 1

      Check terms

      Aggregate, de-identified use and agency consent.

      COO 1 month

    2. 2

      Define measures

      Missed details, time to finalization, sendbacks.

      Founder & CTO 2 weeks

    3. 3

      Pull data

      Counts only, no narrative text.

      Founder & CTO 1 month

    4. 4

      Write

      Findings and agency practices.

      Founder & CEO 1 month

    5. 5

      Review

      Each participating agency approves.

      COO 2 weeks

    6. 6

      Launch

      Webinar, trade press and LinkedIn.

      Founder & CEO 1 week

    First result
    2 quarters
    Cost
    Staff time and design
    Owner
    Founder & CEO

    Smallest test

    Publish one chart of the top five missed details on LinkedIn.

    Why it works

    With agency permission and only aggregated, de-identified counts (no narrative text), publish a yearly report: the most-missed details by call type, how time to finalization changes over the first months of use, and what agencies with the fewest sendbacks do differently. Launch it with a webinar for QA leads and send it to trade press.

    Original data earns press, links and conference slots, and positions CareSwift as the authority on narrative quality rather than one more AI tool.

    Risks and how to handle them

    • Privacy concerns

      Aggregate counts only, agency consent, reviewed against the BAA.

    Builds on

    Evidence

    • Your websiteHomepage (checked November 10, 2026): headline "Faster EMS narratives. Your agency's standards."; crews answer clarifying questions, then copy the reviewed narrative into the ePCR they already use, and CareSwift does not write back to or submit charts; "100,000+" EMS narratives generated by providers; the call to action is "Book a 20-minute demo"; pricing depends on deployment scope and is given after the demo, and individual providers are not charged; no customers, logos or testimonials are shown; it argues that personal AI tools or saved text don't give agencies consistent standards or governance.Source
    • Competitor researchESO Auto-Generated Narrative (press release, June 25, 2025): launched in May 2025; more than 35,700 hours saved in the first month; more than 1,670 EMS agencies adopted it; included for existing ESO EHR customers; it builds the narrative from chart data, and a provider must review and approve it.Source
    • Your websiteSecurity, Data, and AI Practices page: HIPAA compliant for approved agency deployments; a BAA is signed before any PHI; a separate environment per agency; retention presets of 30, 90 or 365 days, with unfinished drafts deleted after seven days of inactivity; CareSwift support has no PHI access by default; a Vanta-hosted Trust Center. Two lines still carry internal "pending" notes with project milestone codes (on the default retention preset and on the Trust Center scope). No SOC 2 report, subprocessor list, hosting region or MFA detail is published.Source

Wildcards 1

Unexpected experiments, each with a cheap way to test it.

  • 20

    The YC launch post says CareSwift serves agencies from small volunteer squads to large ones, but every sale today goes through a custom deployment priced by scope after a founder demo. For a small squad, that process costs more than the deal is worth, and Twofold sells to individuals for $19 for the first month.

    Medium impactMedium effort First result in 1 quarter Founder & CEO

    First action

    Count how many inbound requests last quarter came from agencies under 25 providers.

    How to measure it

    Standard-plan agencies

    Now
    –
    Target
    10
    By
    2 quarters

    Steps

    1. 1

      Size demand

      Small-agency requests so far.

      COO 1 week

    2. 2

      Define the standard

      Questions, roles and retention.

      Founder & CTO 2 weeks

    3. 3

      Set the price

      Flat annual fee.

      Founder & CEO 1 week

    4. 4

      Standard paperwork

      Order form and BAA.

      COO 2 weeks

    5. 5

      Guided onboarding

      One call plus a checklist.

      COO 2 weeks

    6. 6

      Test one region

      Through an association from idea 18.

      Founder & CEO 1 quarter

    First result
    1 quarter
    Cost
    Staff time
    Owner
    Founder & CEO

    Smallest test

    Offer the standard plan to the next three small agencies that ask.

    Why it works

    Offer a standard configuration (the starter question sets from idea 13, standard roles, the default retention preset) for agencies under a set number of providers, at a published flat annual price, signed with the standard BAA and set up through a guided onboarding call rather than a full deployment. Test it in one region first.

    It opens many small agencies without consuming founder time, and some of them grow or join larger systems that later buy the full deployment.

    Risks and how to handle them

    • Support load from many small accounts

      Cap the number of standard-plan agencies in the test.

    Builds on

    Evidence

    • Y CombinatorYC company profile: Summer 2025 batch, team of 2, New York City; the CEO is a current EMT who worked four years in the NYC 911 ambulance system. The profile's demo link and the YC launch post both send visitors to careswift.com/demo. The launch post still describes an AI copilot that plugs into existing ePCR systems, with dictation and auto-filled fields, for agencies from small volunteer squads to large ones.Source
    • Competitor researchTwofold EMS chart and narrative generator: free for a week, then $19 for the first month; sold to individual medics as well as agencies; narratives are copied or exported into the ePCR; rated 4.8 from 3,079 reviews; a BAA at signup; says it works without full connectivity.Source
    • Your websiteHomepage (checked November 10, 2026): headline "Faster EMS narratives. Your agency's standards."; crews answer clarifying questions, then copy the reviewed narrative into the ePCR they already use, and CareSwift does not write back to or submit charts; "100,000+" EMS narratives generated by providers; the call to action is "Book a 20-minute demo"; pricing depends on deployment scope and is given after the demo, and individual providers are not charged; no customers, logos or testimonials are shown; it argues that personal AI tools or saved text don't give agencies consistent standards or governance.Source
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See every playbook and website review

Independent research. Programmable wrote this playbook from public sources, as they stood on November 10, 2026, and cites them throughout. CareSwift did not commission, review or endorse it, and Programmable is not affiliated with CareSwift. Company and product names are trademarks of their owners, used only to identify them. The ideas are suggestions and opinion, not professional, legal or financial advice, and not statements about how CareSwift runs its business.

Something wrong, or do you represent CareSwift? Email [email protected] and we will correct it or take it down.

30/60/90 roadmap

What to focus on in each month, and the ideas that carry it.

  1. Days 1 to 307 ideas

    Fix the leaks: redirect /demo and the old paths, clean the pending notes, retire the old site, restore analytics, complete the sitemap and settle the ePCR banner; start the security packet.

  2. Days 31 to 6012 ideas

    Proof and channels: the first pilot write-up, pricing guidance, the ESO comparison, per-ePCR and fire department pages, the packaged pilot, crew referrals, founder content, the question-set library, billing partners, associations and the offline answer.

  3. Days 61 to 904 ideas

    Commit to the big bets: a supervisor review queue, one ePCR partnership and an annual narrative quality report; test a small-agency plan.

The research behind the plan

2 research areas, each summarised in a few lines. Open any of them for the full detail.

Customers

What customers say

Customers value finishing narratives sooner after each call. The most cited problem: long narratives after back-to-back calls.

  • Staying in control of the final narrative
  • Missing details that lead to corrections and sendbacks
  • In their words: “narrative”

Market

Competitive landscape

4 competitors compared: ESO, ImageTrend, Twofold and Personal AI tools and saved text.

  • Gap to exploit: Narrative help for agencies on any ePCR, not only one vendor's
  • ESO: Only for agencies on ESO
  • ImageTrend: Narrative help tied to its own platform

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