Consultation

Solutions for long-term care communities

Psychopharmacology oversight

Regular psychopharmacology review is a requirement by law of all nursing homes and increasingly, assisted living facilities. Behavioral health issues and prescribing misadventures are also a driving force in hospital admissions and readmissions, thus an important target in the emerging accountable care landscape.

Services provided include direct supervision (in person or virtual) of psychopharmacology review committee; efficient, actionable guidance to meet regulatory requirements; oversight of safe psychotropic medication reduction; gradual dose reduction tracking; formalized partnerships with consultant pharmacists.

Solutions for primary care practices

Behavioral Health Integration (BHI)

Primary care of vulnerable older adults is often provided by practices dedicated to geriatrics, but most practices do not have formal relationships with behavioral health partners. Collaborative care models embedded in primary care are proven to improve not only behavioral health, but also overall health outcomes and reduce unscheduled health utilization. Medicare billing codes now support this integrated approach, which can be accomplished with native staff and registry-based solutions when overseen by a trained psychiatrist.

Services provided include BHI readiness review and action plan; psychiatry oversight of PCP’s allowing billing of behavioral health codes.

Solutions for families

Navigating the healthcare system as an advocate for an older loved one is challenging at best, but when that loved one has dementia or other serious brain illnesses the risks can be deadly, and support is often in short supply. There are regularly too many specialists, unclear diagnoses and no coordination of care or medications. This can result in dangerous side effects, unnecessary and unwanted hospitalizations, and confusion for all involved. Knowing the right questions to ask, the medications to avoid and being educated about what to expect in the course of dementia can make all the difference. 

Services provided include phone or email consultations to review your individual situation and answer questions about supporting someone living with dementia or other brain illnesses. This can include review of records, discussion of diagnoses and medications, family conferences and speaking with physicians or other care providers to bridge communication.

It is important to know that the patient cannot be evaluated directly, and insurance does not cover these fees. This service does not substitute for in-person medical care.