Handoff is a small company. This is the thing we built first, because it was the most obvious problem we had ever seen go unsolved.
When my mother went into home hospice care, she had a small team of independent nurses who were, by any measure, exceptional. They cared. They communicated. They showed up.
They also coordinated everything through a shared Google spreadsheet sent over a group text thread.
When I watched them hand off at shift change — one nurse summarizing to the next in a kitchen doorway — I understood what could go wrong. Not because anyone was careless. Because there was no system. The record was whatever someone remembered to write down before they left.
That team deserved a real tool. My mother deserved a real record. Handoff is that tool.
It doesn't do everything. It doesn't try to. It does one thing properly: it makes sure the record exists, it makes sure the family can see it, and it makes sure the next nurse knows exactly what happened on the last shift.
Handoff is not designed to do everything. It is not an EMR. It is not billing software. It is not built for hospital systems or large agencies.
It is built for the care team in a home — the lead nurse who is the de facto care manager, the two or three other caregivers rotating through, and the family who deserves to know what is happening without having to call and ask.
It is built so that the handoff between nurses is documented rather than verbal. So that the medication given at 3 AM is in the record, attributed to the nurse who gave it. So that the family can open the record from their phone and see how their parent is actually doing.
The record should exist. Whatever happens, the record should exist.
That is what Handoff does.
— [Founder name], Founder, Handoff
We believe that independent nurses are among the most skilled and underserved professionals in healthcare. They carry institutional-grade clinical knowledge into home settings that have no institutional infrastructure. They do this because it is right for patients, because the patient doesn't want to go back to a hospital, because the family wants their person at home.
We believe that these nurses deserve tools that match their professionalism. Not consumer apps. Not workarounds. Not a shared Google Sheet.
We believe that patients and families deserve a real record of the care that happens in their home — not because they are owed surveillance, but because the record is protective. It protects the nurse. It protects the family. It gives the patient a document that says "someone was here, and this is what they did."
We are a small team. Handoff is our first product. We built it because we had seen the problem and could not understand why nothing existed to solve it.
The current product — the device, the care log, the family view — is Phase 1. It covers the most critical use case: a small independent care team, one patient, a family that needs visibility.
We are working on what comes next: automatic nightly plain-language summaries for the family, multi-patient tools for independent nurses managing more than one household, a team dashboard for small agencies that want the same local-first approach, and a rental option for short-duration cases.
We will build these in order of what solves the most important remaining problems — not in order of what generates the most revenue. If you have a use case or a problem you want us to know about, write to us.