WORKING PROTOTYPE Educational planning only — not clinical guidance
Misfit Ranch Productions
HOMEWARD BOUND LAB Homeward Room
Hands holding a family photo album in a warm home setting
YOUR PRIVATE PLACE TO PREPARE

Your next step,
made visible.

Plan ahead, activate hospice, or stabilize care at home—one practical result at a time.

CURRENT PATH Hospice activation First 72-hour plan in progress
Something urgent is happening?Stop the Lab and use the established clinical or emergency pathway.
TODAY IN YOUR ROOM

Good evening, George.

Your room keeps the immediate work separate from the questions that can wait.

38%ready
PASS 1IN PROGRESS

The next two hours

Confirm, cover, receive.

Next: cover the first night
PASS 2STARTED

Today

Fit, learn, organize.

Next: verify equipment order
PASS 3NOT STARTED

First 72 hours

Review, stabilize, improve.

Opens when the first night is covered
START HERE

Your next five actions

2/5

Do not solve the whole month tonight. Make the next hours workable.

24-HOUR CLINICAL CONTACT

Hospice contact card

VERIFY
Clinical authorityThe hospice plan of care and qualified professionals remain the authority.
TWO TEAMS, ONE INTERFACE

Your care system at a glance

Keep the clinical team and home team distinct. Connect them through the Family Coordinator.

H
HOSPICE MEDICAL TEAM

Clinical plan & response

Nurse, physician, social worker, aide, equipment and medication coordination.

2
Family Coordinator
C
HOME CARE TEAM

Presence & daily support

Family, agency, private, overnight, respite and household help.

3
PRACTICE BEFORE IT IS URGENT

Run a guided first-72-hour case.

New information arrives in stages. Decide what is confirmed, what is a family preference, what needs professional verification, and what remains unresolved.

3 synthetic cases
00A · PARTICIPANT ENTRY

Start where you are.

You do not need to know exactly what you need. Name what is happening now, and the room will build a responsible starting path.

1 Who2 Now3 Need4 Path
1

Who are you thinking about?

Choose the closest answer. This does not lock you into a course.

2

What is happening now?

Pick the statement closest to your situation today.

3

What do you need most today?

Choose up to three. The platform should not make you complete everything.

00B · HOSPICE ACTIVATION NAVIGATOR

Turn the first 72 hours into a workable home-care operation.

Three plans begin together: clinical activation, home operations and the patient-and-family experience.

CONFIRMED PREFERENCE VERIFY UNRESOLVED
01
DO THESE FIRST

Make tonight workable.

Do not wait to finish every form. Confirm the immediate people, contacts and deliveries first.

START STATUS

Confirm the hospice start

CONFIRMED
COORDINATION

Name the coordinator and backup

PREFERENCE
Coordinator roleContacts, schedules, open actions, supplies, family updates and escalation—not clinical decisions.
FIRST NIGHT

Cover the next 12 hours

Count only people who have actually agreed and understand their role.

2 GAPS
TimePrimary personSecond person if requiredBackupStatus
Now–8 p.m.
8 p.m.–midnight
Midnight–4 a.m.
4–8 a.m.
Do not hide the gap.When coverage is not confirmed, mark it unresolved, assign an owner and contact the appropriate support.
02
FIT, LEARN, ORGANIZE

Make every delivery usable in the home.

Confirm the exact item, accessories, fit, training, service contact and unresolved question.

EQUIPMENT TRACKER

Verify the exact order

BED
Hospital bedExact dimensions and controls
MAT
Mattress / support surfacePressure-risk assessment and exact order
LIFT
Patient lift + compatible slingModel, size, training, storage
O₂
Oxygen equipmentPower, backup, tubing and service
WC
Bedside commodeLocation and professional transfer plan
+
Other itemAdd vendor, ETA and training need
SUPPLIES

Who provides what?

VERIFY
INTAKE

Prepare one page for the nurse & social worker

FAMILY BRIEF
03
REVIEW, STABILIZE, IMPROVE

Test whether the home plan can hold.

Review actual fit, staffing, training, cost, fatigue, patient experience and the backup setting.

72-HOUR REVIEW

What is working?

SUSTAINABILITY

Staff-hours and cost

VERIFY RATES
Estimated weekly private labor$4,032Planning estimate only; confirm rates, overtime, minimum shifts and employment costs.
WHAT'S NEXT?

Choose the next responsible action.

MY CARE SYSTEM

Two teams. One clear interface.

The Hospice Medical Team manages the clinical plan. The Home Care Team provides family and paid support. The Family Coordinator keeps the interface working.

H
HOSPICE MEDICAL TEAM

Clinical plan & response

THE INTERFACE

Family Coordinator

  • Contacts and schedules
  • Open actions and handoffs
  • Supplies and family updates
  • Escalation to the right professional
C
HOME CARE TEAM

Presence & daily support

FAMILY & LOCALITY INVENTORY

Who is actually close, willing and available?

A large family does not automatically create usable coverage.

Person / roleLocalityCan doLimitsConfirmed?
MY HOME & EQUIPMENT

Medical equipment enters the home. It should not erase the home.

Use photos, measurements, must-keep objects and family needs to prepare questions and layout options for professional review.

Room-photo privacyRemove people, house numbers, family photographs, labels and visible documents. This prototype does not upload images to a server.
VISUAL PLANNING AID

Drag items to explore the room.

Move the tiles to make questions visible. This is not a safety approval.

PRO REVIEW
BATHROOM / EXIT ROUTE
PATIENT BED
PARTNER BED
PATIENT LIFT
O₂
COMMODE
SUPPLIES
FAMILIAR CHAIR
ENTRY
Caregiver access & equipment movement
Planning ruleUse this layout to prepare questions about dimensions, access, power, equipment route, partner presence, storage and training. Review the actual room with qualified professionals.
HANDOFFS & REPORTS

Write only what the next person needs.

Home caregivers observe, document, communicate and support within assigned roles. They do not independently change the clinical plan.

SHIFT HANDOFF

Create a simple handoff

PRIVATE DRAFT
Privacy ruleRecord the minimum needed for continuity. Do not place unnecessary medical detail in family messages or shared tools.
GUIDED TABLETOP · SYNTHETIC CASES

Practice the first 72 hours before the pressure is real.

Use only the facts released in the case. Ask for missing information. Do not fill clinical, equipment, legal, benefits, or emergency gaps from memory.

CONFIRMED PREFERENCE VERIFY UNRESOLVED
CASE A

Distributed family and intensive paid coverage

0 / 5 updates

Build a humane, workable first-72-hour plan without hiding unknowns or trading safety for convenience.

Simulation boundary This case tests the navigator and the family coordination process. It is not medical guidance and should never be applied to a real person.
QUICK HOTWASH

Did the tool protect the person and produce a usable next step?

YOUR LEARNING TRAIL

Use the full journey—or only the part you need.

Every activity creates a practical result and a learning decision that changes the next action.

PurposePlanPrepareDoReviewReflectImproveWhat's Next
00A
COMPLETE

Start Where You Are

Readiness snapshot and starting pathway.

00B
IN PROGRESS

Hospice Activation

First-hours and 72-hour operating plan.

TTX
PRACTICE

Guided Tabletop

Test the first 72 hours through three synthetic cases.

01
NEXT

Understanding Home Hospice

Questions, misconceptions and provider conversation.

02
PLANNED

Build the Two-Team Care System

People, roles, authority and gaps.

03
PLANNED

Prepare the Home

Staged home readiness and equipment questions.

04
PLANNED

Form the Home Care Team

Family capacity, hiring and onboarding.

05
PLANNED

Schedules, Backups & Respite

Coverage, staff-hours, fatigue and sustainability.

06
PLANNED

Handoffs, Reports & Communication

Daily records and family update rhythm.

07
PLANNED

Verified Support Map & What's Next

Local resources and next-action decision.

! URGENT EXIT

Do not wait to finish this activity.

For an immediate clinical concern, use the hospice 24-hour number or the treating clinician’s instructions. Use emergency services when appropriate under the person’s established plan.

This prototype cannot assess symptoms, decide whether to call 911, interpret medications or replace the hospice team.

ROOM & DATA CONTROLS

Your private prototype room

No account, backend, secure clinical record or real AI is connected in this version. Do not enter identifiable medical records, insurance numbers or medication labels.

ADD TO THE CARE SYSTEM

Add person