Long Term Care Psychiatric Services

  • Psychiatric evaluation, diagnosis and treatment recommendations
  • Cognitive and executive function testing
  • Improved quality of life for residents with Alzheimer’s disease, dementia, depression, anxiety, adjustment disorder and other psychiatric illnesses
  • Documentation of treatment goals and response to treatment
  • Psychotropic medication management
  • Monitor and coordinate compliance with CMS guidelines for required dose reduction schedule for all psychotropics
  • Document appropriate diagnosis for psychotropic medication use.
  • Assess and reduce polypharmacy issues
  • Timely response to pharmacy recommendations
  • Bill the insurance carrier – no cost to facility for this service.
  • Provide behavioral recommendations
  • Perform Abnormal Involuntary Movement Scales (AIMS) for residents on antipsychotic medications
  • Obtain informed consent on all psychotropic medications prescribed
  • Review black box warnings
  • Psychotherapy from a Psychologist or LCSW for individual and family counseling

The Benefit…

  • Reduced unplanned hospitalizations
  • Reduced pharmacy costs
  • Minimized medication regimens
  • Individualized behavioral interventions documented for each patient on our caseload
  • Compliance with CMS regulations for antipsychotic use
  • Assistance in state regulatory survey process

What This Means for Your Facility…

  • Ability to accept residents with higher acuity levels and fill empty beds
  • Gain appropriate adjusted case mix PPS reimbursement.
  • Assistance meeting therapy and outcome goals through improved mood and cognitive status
  • Maximize functional status of residents
  • Optimize staffing by reduced time spent with behavioral issues
  • More staff are educated on non-pharmacological interventions for dementia
  • Meet CMS guidelines for reduction of polypharmacy, gradual dose reduction (GDR), and documentation requirements.
  • Assistance with regulatory surveys

This is how we do it...

  • Internal quality audits of provider visits
  • Orientation program utilizing best practice procedures with extended oversight period
  • Holistic model of care that includes residents and families in the plan of care.

How We Are Different….

  • Consistent scheduled provider visits
  • Collaboration with multi-disciplinary team: nursing and medical staff, social services, pharmacy, therapy services and families.
  • Assistance with outliers identified on CASPER report.
  • Attendance at behavior management meeting.
  • Psychiatrist review of documentation monthly to provide clinical oversight.
  • Flexibility to write orders or recommendations depending on facility structure.
  • Behavioral interventions with non-pharmacological options to meet CMS requirements.
  • Assistance to safely reduce off-label antipsychotic use.
  • Documentation of appropriate need for antipsychotic use.
  • Available for consultation from 8am-5pm, Monday – Friday.