Skip to content

Services

Five things a facility clinic does, and what you get back from each

One page. Every service ends in a signed note that names the indication, the reasoning, and the next step, routed to the people who act on it.

Initial psychiatric evaluation

What it is

A full evaluation of a resident who is new, was never evaluated, or whose picture no longer matches the diagnosis on the facesheet. Chart read first, then the live-video encounter with staff collateral.

What your facility receives

A signed evaluation with diagnosis, indication for each psychotropic in place, and a plan. Routed to the attending and nursing; the coordinator gets the open items.

Medically necessary follow-up

What it is

Continuity on the standing clinic. Response to a change, tolerability, whether the plan is working, and whether the resident still needs what they’re on.

What your facility receives

A signed follow-up note with the change or the reason for no change. Frequency follows medical necessity, not a calendar.

Medication management and adverse-effect review

What it is

Dose, timing, interactions, sedation, falls, movement effects, QT questions, and the list your consultant pharmacist raised. Labs requested when the medication warrants them.

What your facility receives

Signed recommendations to the attending with the reasoning, and a request list the coordinator can act on.

Psychotropic indication, GDR, and PRN review

What it is

The documented clinical reasoning behind every psychotropic — the indication, whether a gradual dose reduction is clinically appropriate or contraindicated and why, and what to do with PRN orders that keep getting renewed.

What your facility receives

Documentation that holds up either way. We don’t auto-reduce medications, and we don’t auto-continue them.

Behavioral, mood, cognition, and safety assessment

What it is

New hallucinations, agitation, aggression, withdrawal, mood change, cognitive decline, suicidal or homicidal ideation — and the delirium-versus-primary-psychiatric question when the chart and the encounter can support it.

What your facility receives

A signed assessment with the safety plan or the medical workup we think is missing, routed to the attending and nursing once it’s signed.

Clinicians decide. Every recommendation comes from a licensed clinician who saw the resident, and every note is signed by that clinician. Nothing here is automatic — not a reduction, not a continuation, not a GDR.

Good fit

  • A long-stay SNF with a real, recurring psychiatric need.
  • A panel of about 6–12 medically necessary visits a week when the census supports it. Some weeks are lighter.
  • Leadership that will run the workflow — a coordinator, a room, and follow-through on recommendations.

Not a fit

  • A locked unit or subacute program that needs 24/7 onsite or emergency psychiatry.
  • An exclusive incumbent psychiatric contract that can’t be supplemented. We won’t ask you to breach it.
  • Almost entirely short-stay rehab with no recurring need.
  • A request for guaranteed survey results, automatic GDR approval, or rubber-stamp prescribing.

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.