Spreadsheets can get the job done temporarily, but they are very inefficient. Once the spreadsheet is deployed, you are still relying on a person to coordinate, negotiate, manage, publish and communicate the active changes on the scheduling spreadsheet. I have partnered with different solutions providers to help healthcare organizations digitize and automate their time & attendance, payroll and scheduling functions. Feel free to PM if you're interested in hearing about what we did, our lessons learned and outcomes.