Coming soon · A founding-stage project for home health

From need to done in minutes.

The Clinician Microgrant Fund will give nurses and therapists fast, simple funding for the small things that change a patient's day: a shower chair, a pair of shoes, a reacher. No long forms. No weeks of waiting.

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A home health clinician checks an older woman's blood pressure on her living room couch

Why we're starting this

I'm Tracy, a home health nurse in Washington State. Home health puts you in people's bathrooms and kitchens. You see the tub someone can't safely get into and the shoes that don't fit swollen feet. Often the fix costs less than $100, and nobody can pay for it quickly.

For two years I relied on an agency foundation's patient-assistance fund, about $200 per patient per year, and I was one of its heaviest users. Need was a checkbox, so I could act the same day I saw the problem. I used it for shower chairs and grab bars so people could bathe safely again, supportive shoes and compression garments for swollen feet and legs, and grabbers so someone could reach things on their own. I also bought talking scales and large-print reminder clocks, pill organizers to keep medications straight, and fall-alert devices for people who live alone.

Each one cost very little, and each one changed someone's day at home.

Then the rules changed. The fund began requiring proof of need: a long form, plus bank statements or pay stubs to prove income. I stopped using it. I won't ask a patient to hand over their bank statements for a pair of shoes.

Even when it worked, it was slow. Approvals took 24 to 48 hours. Clinicians covered costs on their personal cards and waited about a month for a paper reimbursement check.

So I'm starting the Clinician Microgrant Fund. I broke my shoulder and I'm off work while it heals, so I'm using that recovery time to get it off the ground, including building our two apps, GrantDirect and the MedShed Kit.

Clinicians already know what their patients need. The Clinician Microgrant Fund trusts that judgment and gets out of the way.

How it works

  1. Request in 60 seconds

    The clinician sends a quick request from a product link in our app, GrantDirect.

  2. Get the green light

    GrantDirect's AI approves items within our guidelines instantly. Anything else gets a human review within 24 hours.

  3. Deliver and teach

    The clinician gets the item to the patient and shows them how to use it safely.

  4. Get reimbursed fast

    Reimbursement goes straight to the clinician's bank account. No paper checks.

  5. Follow up

    We check in with the patient or family to make sure they understand and send a short teaching video for their item, made by clinicians. About six weeks later, we ask if it made a difference and invite them to share their story.

What a microgrant can do

Everyday items that insurance is too slow for or won't cover, chosen by the clinician who sees the need in the home:

Safe bathing

A shower chair, tub bench or handheld shower, so someone can bathe at home again without fear of falling.

Getting around

Supportive shoes that fit swollen feet, or a walker narrow enough for the bathroom door.

Staying independent

A reacher, sock aid or raised toilet seat that lets someone do things for themselves again.

Managing at home

A pill organizer, talking scale, talking blood pressure cuff or large-print clock that makes daily care easier to follow.

Reuse first: we check community supply closets before buying anything new. That's why we're building the MedShed Kit.

Privacy and trust: we don't collect diagnoses, and follow-up texts to patients never mention health information. A share of requests are randomly reviewed to keep the fund honest.

AI-powered from day one

Built to run on AI, with people in charge

Most of the delay in patient assistance is paperwork. We're designing the Clinician Microgrant Fund so AI handles the paperwork for everyone involved, and people make the judgment calls.

For clinicians

GrantDirect's AI checks each request against our guidelines and approves it in seconds. Anything unusual goes to a person.

For donors

AI-assisted bookkeeping tracks every dollar, so donors can see clear, up-to-date reports on where their money went. With their permission, patients can share their stories here and on our YouTube channel, in writing or on video.

For compliance

It starts with a simple text to the patient: Did you get it? Did your clinician show you how to use it? Any questions? Exchanges and returns are handled in the app, every step is logged, and random audits keep everyone honest.

For the organization

We use AI tools to set up and run the nonprofit itself, keeping overhead low enough to pay for without donor dollars.

Our goal: 100% of donor dollars go to patients

We plan to cover overhead like website hosting and AI fees from other sources: clinician membership dues (with continuing education for members), our YouTube channel, and affiliate programs. That way, every donated dollar can go to patient needs.

Building first

The MedShed Kit

Shower chairs, walkers and commodes sit unused in garages while a neighbor down the road goes without. A MedShed is a community closet that gets that equipment back into use.

We're building a low-cost app and starter kit so any church, senior center or neighborhood group can run one, with AI photo intake and QR labels so clinicians can see what's on the shelf nearby.

Learn about the MedShed Kit
  • AI photo intake
  • QR-code labels and inventory
  • Cleaning and measuring guides
  • Donor receipts and a setup guide

Where we are now

Both apps, GrantDirect and the MedShed Kit, are being built now, during the Automate to Accelerate program. Here's what comes next:

  • Form a founding board
  • Find a fiscal sponsor so we can run a small pilot
  • Run a hand-run pilot, then launch both apps with a couple of pilot organizations

Please note: what you see here is a proposal. Our founding board will decide exactly how things run, with proper legal advice and HIPAA privacy safeguards, so details may change.

Now interviewing

Join the founding board

We're interviewing founding board members now. We're gathering a small board to launch a hand-run pilot, choose a fiscal sponsor, and shape how the fund works.

We'd love to hear from clinicians, home health and hospice leaders, social workers, and people with nonprofit, finance, legal, or technology experience.

Because CMF will run on AI tools, we're looking for board members who are curious about AI and open to using it. You don't need to be an expert.

Not ready for a board seat? You can still help: introduce us to a fiscal sponsor, share advice on HIPAA or starting a nonprofit (bylaws, board structure, IRS filing, finances), or tell us about a MedShed near you.

This is an early, volunteer role. Share a little about yourself and we'll set up a short conversation.

Please don't include any patient information.

Thank you! Please check your email to confirm, and we'll be in touch soon.

Get updates

Follow along as we form the board and launch the pilot. Occasional emails only.

You're on the list. Check your email to confirm.

Frequently asked questions

Can patients or families apply?

Not directly. Requests come from the nurse, therapist or other clinician caring for the patient, because they see the need in the home and can make sure the item is the right fit. If you think an item would help you or a loved one, ask your home health clinician.

Who can request a microgrant?

Licensed clinicians who give direct patient care, like nurses and physical and occupational therapists. We verify licenses every year. Requests made on a professional license carry real accountability, which is part of being good stewards of every donated dollar.

Does a patient have to qualify?

There's no income test. The clinician recommends what would help, and the patient or family decides whether they can buy it themselves or would like help. In our experience, people who can afford it usually say, "Save that money for someone who really needs it."

Why don't you ask patients for proof of income?

Because a long application, bank statements or pay stubs for a pair of shoes or a shower chair is exactly the barrier we want to remove. The clinician who sees the need in the home is the proof of need.

Does the money go to clinicians?

No. The patient is the one who benefits. The clinician buys the approved item, delivers it, and is paid back the exact cost. Nobody earns money from a grant.

Why do clinicians buy and deliver items themselves? Why doesn't the fund just ship things to patients?

Three reasons:

  • Privacy. Clinicians order items to themselves and hand-deliver them, so a patient's home address never goes into our app.
  • Skin in the game. The clinician who asks for the grant is the one who shows up with the item, so requests come from real needs they've seen in the home.
  • Better care, better use of every dollar. The clinician checks that the item fits, teaches the patient and family how to use it safely, and follows up. An item shipped to a doorstep with no one to set it up or teach it can go unused, or even cause a fall.
Do clinicians have to pay up front?

The current plan is that clinicians buy the item and get paid back quickly by direct deposit. For higher-cost items, or clinicians who can't front the cost, we're looking at options like single-use payment cards. Our founding board will decide the details.

What kinds of items can a microgrant cover?

Small, everyday items that help someone stay safe and independent at home, like shower chairs, grab bars, supportive shoes, reachers, pill organizers and talking blood pressure cuffs. See What a microgrant can do for more examples.

Is there a spending limit?

We're proposing a yearly amount per patient that can be approved quickly, likely starting around $200. Larger requests are still possible, with extra review. Our founding board will set the final amounts.

How fast is it?

Requests take about a minute. Items within our guidelines can be approved right away, and anything else gets a human review within 24 hours. Clinicians are paid back by direct deposit, not paper checks.

Does AI make the decisions?

AI handles routine, within-guideline requests and the paperwork. People make the judgment calls, review anything unusual, and oversee the AI.

What if a request is denied?

It can be appealed, and a person will review it.

What if an item doesn't fit?

The clinician returns it and orders the right one. Our founding board will set the exact return process.

What patient information do you collect?

Only what's needed for a follow-up text. We never collect diagnoses or home addresses, and our follow-up texts never mention health information.

How do you prevent misuse?

Several ways: we follow up with the patient or family to confirm they got the item and were shown how to use it, a share of requests are randomly reviewed, and there are spending limits.

What's a MedShed, and how does it fit in?

A MedShed is a community closet of donated medical equipment, often run by a church, senior center or volunteer group. Before buying anything new, we check nearby MedSheds for a donated item. Our MedShed Kit is a low-cost app and starter kit to help MedSheds run smoothly.

Where will you start?

In Washington State, most likely beginning in Snohomish County, then growing from there.

Is this only for home health?

We're starting with home health, because that's where we've seen the need firsthand. The model works anywhere a clinician gives direct patient care and follows up, so other care teams could use it in the future.

Can home health agencies take part?

We hope so. One idea is for agencies to sign up their clinicians and cover their membership. We'd love to talk with agencies interested in being early partners: email hello@clinicianmicrogrants.org.

Can I donate?

Not yet. We're in our founding stage and are not accepting donations until we have a fiscal sponsor or our own nonprofit status. Sign up for updates and we'll let you know when we're ready.

Where will the money for running costs come from?

Our goal is for 100% of donor dollars to go to patients. We plan to cover running costs, like hosting and AI tools, through clinician memberships with continuing education, our YouTube channel and partnerships.

Contact

Questions, ideas, or want to partner with us? Email hello@clinicianmicrogrants.org.