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TelePsychiatry Services

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TelePsychiatry Services

TeleSpecialists provides emergent and routine (Consult Liaison) adult, adolescent and pediatric TelePsychiatric consultations by board-certified psychiatrists. Working closely with your facility’s team, our TelePsychiatrists will provide detailed and comprehensive psychiatric evaluations, assessments, treatment plan and next level of care recommendations.

Each facility will proceed through a thorough implementation process, establishing customized protocols and identifying on-the-ground resources to aid in the evaluation, initial management and effective stabilization of patients.

Key features of TeleSpecialists TelePsychiatry program includes:

  • A detailed implementation process
  • Ongoing scheduling support through our Rapid Response Center (RRC)
  • Quality management collaboration to ensure the best quality outcomes

TelePsychiatry Program Benefits

The TeleSpecialists TelePsychiatry program benefits include:

  • 24/7/365 access to inpatient psychiatry professionals on an as-needed basis
  • Evidenced based, customized protocols to optimize care for behavioral health patients
  • Reduced ongoing personnel costs associated with hiring an in-person psychiatrist or managing a panel of locum tenens providers
  • Improved patient throughput leading to reduced costs attributable to shorter lengths of stay
  • Support Revenue Cycle Management (RCM) needs
  • Integration with existing technologies as our TelePsychiatrists document and write orders into your native EMR
  • Cart flexibility, utilizing existing equipment or guiding the selection of the most appropriate video platforms
  • Optimized regulatory compliance provided by our TelePsychiatry coverage aids in reducing patient and facility risk
  • Reduced stress and worry, by having confidence that behavioral health needs are covered by a reliable service
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Emergent TelePsychiatry Consults

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Our broad range of TelePsychiatry services will aid in the evaluation, stabilization, and disposition of a variety of mental health emergencies, including:

  • Suicide attempts or self-injurious behaviors
  • Suicidal ideations
  • Homicidal ideations
  • Acute agitation
  • Severe depressive episodes
  • Manic episodes
  • Acute psychotic episodes
  • Severe anxiety
  • Involuntary commitment evaluations/referrals
  • Severe adverse reactions related to psychotropic agents
  • Co-morbid substance use disorders

The TeleSpecialists team has a goal of responding to all calls within an hour. Our team is currently responding to calls in less than 2 minutes. This allows our physicians to deal with the patients in a timely manner and help hospital partners to minimize sitter time.

If your facility is interested in routine, non-emergent TelePsychiatric consultations, please contact us for a discussion of our additional service line options.

Operational Support

The TeleSpecialists team consists of more than just physicians. Our extensive resources and experience will contribute to a seamless transition for your TelePsychiatry program. This includes:

  • A customized implementation timeline
  • Weekly collaborative meetings throughout the implementation process
  • An opportunity to participate in our Delegated Credentialing services
  • Utilization of our state-of-the-art Rapid Response Center (RRC), which incorporates cutting edge technologies to quickly assign physicians to each case
  • Lean transformation event to optimize operational efficiencies and enhance the patient experience
  • Ongoing program re-assessment to aid in identifying process improvement opportunities with our quality management team

Quality Review

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TeleSpecialists is committed to the delivery of high quality patient care. Our organization is renowned for quality management, and our quality management department is spearheaded by a nursing team with over 50 years of hospital-based quality oversight. Our practice is accredited by The Joint Commission as well as ISO 9001:2015. Each facility is assigned a dedicated RN licensed Quality Program Specialist (QPS). These RNs will oversee all quality elements associated with the program including:

  • Routine meetings with their hospital-based counterpart
  • Establish target metrics to incorporate into a facility specific TelePsychiatry dashboard
  • Review of quality performance data in real time, and collaboration with the hospital team to routinely evaluate that data
  • Engage in targeted process improvement planning

The TeleSpecialists quality team reviews every case and finds opportunities for improvement in our continuous improvement model. Our quality outcomes are much improved and result in:

  • Involuntary hold reductions up to 35% resulting in reduction of ED overcrowding and free up critical resources for patients
  • Improved ED patient throughput
  • Reduction in non-clinical resource utilization for management of behavioral health patients
  • Physician response time less than 30 minutes
  • Comprehensive consult notes

Learn more about our Quality Management Services and how it can help to improve your hospital’s throughput.

Standard Scope of Practice

Our TelePsychiatrists are able to work alongside your hospital team to set up a workflow that can incorporate all types of cases and situations.

  • Full psychiatric evaluations including:
    • Involuntary hold evaluations
    • Complete patient history
    • Behavioral health diagnoses
    • Level of care recommendations
    • Substance withdrawal recommendation
  • Able to see patients not yet medically cleared but in process of workup
  • Adolescent and pediatric evaluations available
    • Ages 12+ available 24/7/365
    • Ages under 12, available on weekdays

Remote Medical Director Oversight

TeleSpecialists also offers Remote Medical Director (RMD) oversight to assist with meeting accreditation requirements and/or ensuring proper clinical oversight of our TelePsychiatry consults.

If your facility is interested in remote medical director oversight, please contact us for a discussion.

Ready to Implement our TelePsychiatry Program?

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Interested in learning more about how TeleSpecialists physicians can deliver medical expertise and quality support through our TelePsychiatry services? Let’s talk about how your facility can better address the emergent behavioral health needs of your patients utilizing telemedicine. We can help! We look forward to speaking with you.

Nattasha Acevedo, MD

Dr. Acevedo received her medical degree from the Ponce School of Medicine in Puerto Rico and did her neurology residency at Montefiore Medical Center in New York. She went on to do a clinical neurophysiology fellowship at Emory School of Medicine in Atla nta, Georgia and then joined private practice in Fort Myers, Florida. She currently resides in San Juan, Puerto Rico. She likes running, paddle boarding and spending time with family.
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Bernadette Borte, MD

Dr. Borte received her medical degree from St. Matthew’s University School of Medicine in Grand Cayman. She completed her neurology residency at the University of Iowa Hospitals and Clinics in Iowa City, Iowa. Her areas of interest include inpatient neurology and acute stroke. When not working, she enjoys spending time outdoors with her family. Dr. Borte joined the TeleSpecialist family in March of 2019.
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Mazen Almidani, MD

Dr. Almidani is board certified in pediatrics by the American Board of Pediatrics and board certified in epilepsy, as well as neurology with special  qualification in child neurology by the American Board of Psychiatry and Neurology.  Dr. Almidani is happily married with 4 children. His oldest son has autism and his daughter has complicated seizures; both were a drive for him to become a neurologist. Dr. Almidani enjoys soccer, running and spending time with his family. He is very involved with his sons’ therapy and helping with daily challenges. He is double board certified in Pediatric and Adult Neurology and Epilepsy. He sees children and adults. He also participates in charities for children in Syria who may be underprivileged and/or affected by the war. Dr. Almidani joined TeleSpecialists in August 2020.
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Amanda Cheshire, MD

Dr. Cheshire received her medical degree from the University of Louisville School of Medicine in Louisville, Kentucky. She completed her neurology residency at the University of Cincinnati Medical Center in Cincinnati, Ohio. She did a fellowship in neurophysiology at the University of Michigan Medical School in Ann Arbor, Michigan. Dr. Cheshire is double board certified in neurology and clinical neurophysiology. She enjoys traveling, reading and music. She currently resides in Viera, Florida.  Dr. Cheshire joined TeleSpecialists in June 2019.
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Jessica Floyd, MD

Dr. Floyd completed her neurology residency at Mayo Clinic in Jacksonville, Florida followed by fellowship training in clinical neurophysiology with focus in EEG and epilepsy at the Medical University of South Carolina in Charleston, South Carolina. She has particular interest in hospital neurology and patient education as well as the blossoming specialty of lifestyle medicine. She strives to take advantage of every encounter with patients and medical staff to empower them to do their own research into how daily thoughts, choices, and habits can add up to create greater and longer-lasting brain and neurologic health for ourselves and our loved ones. She lives in Florence, South Carolina with her awesome husband of 13 plus years and three beautiful children. She is an avid yogi, astrologer, and lover of food and all things neurology! Dr. Floyd joined the TeleSpecialist family in July 2017.
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Nancy Futrell, MD

Dr. Futrell received her medical degree from the University of Utah in Salt Lake City, Utah. She also did her neurology residency at the University of Utah as well as a research fellowship in cerebral vascular disease at Jackson Memorial Hospital in Miami, Florida. She currently resides in Salt Lake City, Utah. She has authored 2 books and 50 peer reviewed papers. 
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Rebecca Jimenez-Sanders, MD

Dr. Jimenez Sanders received her undergraduate degree from Emory University, and her medical degree from the San Juan Bautista School of Medicine in Puerto Rico. She completed her neurology residency at the University of South Florida in Tampa, Florida, where she also did a specialized headache medicine and facial pain fellowship. She currently resides in Tampa, Florida with her husband and her two daughters. She is also fluent in Spanish and Italian languages, and enjoys photography, baking, boating, and biking.
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Cory Lamar, MD

Dr. Lamar received his medical degree from Meharry Medical College in Nashville, Tennessee. He completed his internship and residency at Wake Forest Baptist Health in Winston Salem, North Carolina. Following residency, he completed a clinical fellowship in neurophysiology, with a concentration in epilepsy. He currently resides in Florida and enjoys outdoor activities.
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Clifford Meyers, MD

Dr. Meyers received his medical degree from Brown University in Providence, Rhode Island and his MBA from the Simon School of Business at the University of Rochester in Rochester, New York. He completed his neurology residency at the University of Rochester, where he also did a neurophysiology fellowship. Dr. Meyers resides in Webster, New York with his wife and daughter. When not doing teleneurology, he enjoys playing sports with his wife and daughter.
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Tao Tong, MD

Dr. Tong received her medical degree from the University of Miami School of Medicine in Miami, Florida. She completed her neurology residency at Jackson Memorial Hospital in Miami, Florida, where she also did a neuromuscular/EMG fellowship.  She currently resides in College Station, Texas. Dr. Tong is married with two boys. She enjoys spending time with her family, traveling and reading.
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Shubhangi Chumble, MD

Dr. Chumble attended BJ Medical School. She is a board certified neurologist with a subspeciality interest in sleep medicine. Dr. Chumble did her residency at Howard University in Washington DC and has practiced neurology since 2001 in private and corporate settings. She lives in Melbourne, Florida and loves the sunshine state. Her hobbies include yoga, meditation, cooking , traveling and meeting new people. She also loves to do stained glass, pottery and painting. She joined TeleSpecialists in June 2019.
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