Marcomed
    On-Call Engine

    Marco always knows who is on tonight.

    Live schedule, right clinician, tracked acknowledgement — every time the phone rings after hours.

    The Live Roster

    One schedule, read in real time.

    Swap a shift at 9pm. The next call routes correctly at 9:01.

    Reads the live roster
    Swaps and vacation cover apply the moment they are entered.
    Routes by role, not by name
    “Alert the on-call surgeon” resolves to tonight's human.
    Escalates on silence
    No acknowledgement in your window, Marco moves down the ladder.
    MonTueWedTonightFriSatSun
    21:40
    August · On call
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    KA
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    Tonight’s ladder
    Aug 14
    AW
    Dr. A. Whitfield
    Alert
    Family med17:00 – 23:00
    LT
    Dr. L. Tran
    Overnight23:00 – 07:00
    SM
    Dr. S. Marchetti
    Surgical backupSat 08:00
    On-call schedule
    Who is actually covering the shift, read live on every call.
    21:40
    Code activation
    Team
    Stroke
    NeurologyStandby
    CT / ImagingStandby
    LabStandby
    PharmacyStandby
    ED charge RNStandby
    One alert
    One tap reaches the entire code team in the same second.
    Primary · 90s Secondary · 90s Director
    Clinician holding a phone showing a Stroke Team Alert notification in a hospital corridor
    Code Stroke
    One tap. Whole team.
    Acknowledged in 41 seconds
    Secure Communication

    PHI never rides on plain text.

    Encrypted end to end
    PHI never travels over plain SMS.
    Read and acknowledge receipts
    Silence is visible, not assumed.
    Full call context attached
    Caller, protocol branch, triage answers, recording — one thread.
    Auditable forever
    Exportable for QI, accreditation, or legal review.
    Read the compliance posture →
    21:40
    Care team · Encrypted
    End-to-end encrypted · HIPAA
    Marco · 02:41
    Chest pain, 61M. Protocol branch 2 — urgent.
    Dr. Tran · 02:42
    Copy. Calling the patient now.
    Marco · 02:42
    Callback 604-555-0148. Recording attached.
    Secure message…
    Encrypted clinical chat
    PHI stays inside an encrypted, logged thread — never plain SMS.

    Send your roster and protocol.
    We open the line tonight.

    hello@marcomed.com