How We Work
Soleil Psychiatry is an independently owned and physician-led group practice which specializes in caring for patients with behavioral health needs in Emergency Rooms and Medical – Surgical Wards. We provide high-quality care by streamlining workflows, prioritizing evidence-based interventions, supporting clinician wellbeing, and offering expert content to strengthen our hospital partners’ multidisciplinary teams.
Our Team and Service Workflows for the Emergency Room and Hospital Wards
It is truly a team with a dedicated virtual chat group to share knowledge and support one another. We also maintain constant communication with on-site teams to build trust, improve integration, and establish strong working relationships that lead to better patient care. In parallel, patients enjoy timely access to their physicians and the continuity of care that comes with seeing the same team of telemedicine specialists throughout their hospital stay.
Compare and Contrast with Most On-Demand Telehealth Models with Soleil
Our Model
Telehealth On-Demand
Consistent provider at site with continuity to patient care
Rotating providers at a site with low continuity, high risk for polypharmacy.
High level of integration and connectivity with the care team on the ground (via video/ phone/ text/ EMR chat)
We offer Telehealth tablets equipped with 2-way video communication capabilities
Limited relationship with ground team.
Asynchronous daily rounding leaving the ability to delivery value-based care rather than fee-for-service care:
- Work around the needs of ER/medical–surgical patients and the medical team.
- Attend interdisciplinary care meetings (court, ethics, risk, etc), provide support to staff, and coordinate care with case management
No ability to provide value adds. Typically, the models available are high productivity tandem models, making it a challenge to be available in a timely and / or impactful manner for this patient population or teams.
Set fee for the year for a highly specialized psychiatry team that supports a hospital or group of hospitals.
Fee per consult/click which generates inconsistent costs per month and discourages a follow up system, which can be pricey for a clinical partner. Psychiatrists and Nurse practitioners without formal training in Consultation Liaison to manage complex cases.
Partner retains revenue cycle management.
Company may retain revenue cycle management in addition to the facility fee per click/consult.
More accurately capturing the care being delivered through coding: Coding is primarily based on 99 codes with our providers well trained to capture care tendered with high integrity. This pathway fits well for the cases seen on medical-surgical wards, allowing for coding based on time or complexity. In addition, this allows us to use prolonged service codes when needed. Ie: additional curb side needed later in the day after the initial assessment, etc.
Typically use G-codes which are more apt primarily for one and done Emergency Psychiatry Settings. This code is extremely limited in fully capturing complexity. Most providers are also not specifically trained in coding for the population being served, leading to loss of revenue and/or increasing the risk of being audited.
After the initial comprehensive consult, follow up is determined by the psychiatry specialist (proactive care). The CL Psychiatrists or CL Psychiatric NP follows the patient on the medical floor or ER through discharge. We work hand in hand with the care team. The same provider can increase or decrease touchpoints based on needs for the patient and team.
After the initial consult, follow up determination is placed on the non-psychiatric specialist like the ER physician or hospitalist. The care team typically initiates consults (reactive care) creating disjointed, fragmented care leading to increased costs and length of stay.
Treatment planning, patient panel management, and care coordination are the primary focuses for our team to move patients safely and efficiently through the hospital setting. We are a pro-active psychiatry service from the initial consult through discharge.
Investor-driven organizations are focused on the need to scale rapidly rather than the needs of the patients and hospital partners. Their goal is to hire non-subspecialty clinicians at lowest cost. Thus no organized philosophy of care leading to an assembly line style productivity model. With the focus on profit margins, there is high turnover of quality clinicians.
Evidence-based, customized protocols to optimize care, including standardized order sets, scales, and smartphrases that meet current/latest guidelines.
No standardization is typically seen, lack of continuity from one clinician to another.
OUR RESULTS
- Can manage very complex cases
- Build very close relationships with our care teams
- Providers feel that the work is more meaningful with less stress than a pure productivity model
- Generally get an increase in follow ups that are medically appropriate and identify patients that were not getting behavioral health care which generates more revenue for facilities. In most settings psychiatry is under-utilized.
- Can provide emotional support to care teams, provide teaching/in services, and attend interdisciplinary team meetings to enhance care team capacity and reduce burnout.
- Help move ER boarding cases out appropriately with safe discharge plans if relevant.
- Improved medico-legal protection. Ie: Capacity assessments, high risk discharges.
Our unique care delivery model enables our team to tackle challenging cases. Ones that require coordinated care from many stakeholders, including social workers, physicians, and allied health professionals.
Consistency, collaboration, accountability, and trust become the formula by which the Soleil Psychiatry team helps to bridge care deficits in under-resourced and underserved areas. Our team is a dedicated group of specialty clinicians who work as fully integrated members of on-site care teams. The team includes highly trained psychiatrists and nurse practitioners, with special consultation-liaison sub-specialty training.
