How it works
One standing weekly clinic, inside your building
Seven steps. Your side of the work is a coordinator, a room, and the chart. Ours is the evaluation, the signed recommendation, and the follow-through.
- 1
Your facility names a coordinator
Social services, the MDS nurse, or a unit lead. One person who owns the weekly list, the room, and the follow-through. Without that person the clinic doesn’t run, and we say so on the first call.
- 2
After the agreement and BAA, the chart opens
The coordinator sends the current census for the clinic, facesheets, eMAR and orders, the relevant progress notes, and collateral — the behavior log, what the family said, what the pharmacist flagged. PointClickCare is the pathway most facilities already use and the one we prefer; another EHR works if we can read it.
- 3
A room, a device, a person
A private room, a video device that works, and a staff member who brings the resident in and stays when it helps clinically. That staff member is often the most useful collateral in the visit.
- 4
The live-video encounter
A licensed clinician sees the resident. Initial evaluation or follow-up, the medication and adverse-effect review, the behavioral and safety assessment, the delirium question when the chart supports it.
- 5
Signed recommendations go back to nursing and the attending
The note is signed by the clinician who saw the resident and routed through your process to the attending, nursing, and pharmacy. Indication, reasoning, and next step are written so the chart defends itself.
- 6
Open items stay open until they close
Labs ordered, a medication change to be implemented, a behavior plan, a follow-up — each stays on the list and gets checked at the next clinic. Medically necessary follow-ups are scheduled, not assumed.
- 7
After-hours and emergencies stay on your process
911, the attending, transfer. We don’t replace that and won’t pretend to. Urgent questions about a resident already on the panel go to the coordinator and are triaged into the next available clinic slot.
Before the first clinic
Four things that have to happen before we hold a slot
Step 1
Agreement and BAA
Service agreement, BAA, and the access pathway. Nothing about any resident moves before this is signed.
Step 2
Credentialing and payer check
Clinician enrollment is confirmed against the plans your residents carry, and the payer mix is reviewed.
Step 3
Access
EHR read access, current eMAR and orders, and the census, through your existing pathway.
Step 4
Dry run, then the first clinic
The coordinator builds a first list — residents awaiting evaluation and those with open psychotropic, GDR, or PRN questions. We test the room and the device. Then the standing weekly slot begins. No start date is promised before the three steps above are done.
A facility that can give us the coordinator, the room, and the chart is most of the way to a running clinic. One that can't will stall at the dry run, and we'd rather find that out in a phone call than after a contract. That phone call starts with the facility inquiry.
Talk to us about coverage
Approximate licensed beds, average census, and how psychiatry is covered today are enough to start. Leave resident names, diagnoses, and chart details out until the agreement and BAA are signed. We'll tell you on the first call whether the model fits your building.
Scheduled coverage — not a 24/7 emergency or onsite hospitalist service. Your emergency process stays your emergency process.