How Virtual Clinic Integrates Across Healthcare Organizations’ Unique Patient Journeys

 

Access to behavioral health care continues to be a significant challenge across the country, with  50% of behavioral health patients being treated in primary care   While primary care providers want to know more about behavioral health and help their patients, they don’t always have the time or specialized knowledge to treat complex cases.

Without dedicated providers or the ability to risk stratify or prioritize care, healthcare organizations may struggle to ensure patients receive the appropriate level of care in a timely manner.

For those healthcare organizations, a comprehensive, endlessly adaptable care model like Virtual Clinic can help a patient receive the holistic behavioral health care they need while seamlessly integrating across their care continuum.  

Virtual Clinic embeds behavioral health specialists into your healthcare organization  

The Virtual Clinic adapts to meet your organization’s needs and acts as an extension of your care team, integrating seamlessly across your healthcare organization. The goal of this care model is to connect patients with the right provider at the right time, ensuring the most in need are first in line. 

Here’s how it works: Once a patient is referred, a licensed social worker conducts an intake to determine the appropriate level of care, whether the patient requires a psychiatrist, therapist, or both. This process, along with medication management and consults, is documented within the electronic health record (EHR) — providing real-time data access for your team.

Additionally, after the intake appointment, the LCSW will schedule the patient’s next appointment.

 

 

Virtual Clinic providers are also available for consultations, working alongside your healthcare organization to stabilize patients and facilitate appropriate transition back to their primary care provider.

 

 

 

We help support your team and develop the pathways most meaningful to your patient population – whether they’re a new mother, an oncology patient, or pediatric patient.

Virtual Clinic gives your patients what they need, so they don’t seek care elsewhere

Economic feasibility and program scalability are essential to a healthcare organization’s approach to behavioral health. With Virtual Clinic, healthcare organizations only pay for patient encounters, aligning costs with utilization. Because of our commitment to quality and belief in this program, we deliver this model at risk to help ensure a scalable and sustainable solution for your healthcare organization.

“The benefit of having a quality management solution in place at your healthcare organization is the ability to look at a patient’s health outcomes across all specialties and see where there may be intersections between how specialties are working together and where opportunities to collaborate may lie.”
Yara Nielsenshultz, RN, MS, CPHQ, Executive Director of Quality

Additionally, with nearly 56% of Americans seeking mental health care and 74% expressing concerns about accessibility, offering behavioral health services can be a key differentiator for your healthcare organization. Wherever your focus is across the continuum, Virtual Clinic ensures patients can get the specialized care they need at your healthcare organization—eliminating the need to seek care elsewhere.

This holistic approach enhances patient retention and satisfaction, generating word-of-mouth referrals and broader promotion of your services.

Virtual Clinic leverages AI to help healthcare organizations prioritize which patients need care first

The Virtual Clinic model has been trained to test for false positive and negatives, leveraging a healthcare organization’s existing and incoming data sets. This approach considers which patients are at most risk for escalating towards suicidal ideation or towards care in the ED.

“A solution like Virtual Clinic ensures behavioral health care is always available throughout every patient journey – whether that’s in primary care or women’s health, patients will get the support they need in a timely manner.” – Andy Flanagan, Chief Executive Officer

Want to learn more from Andy? Click here to read his take on the impact of Virtual Clinic.

By analyzing existing data sets, Virtual Clinic can direct your team to the patients who need immediate attention, reducing wait times and improving outcomes.

When changes in a patient’s condition occur, their provider can consult with a Virtual Clinic specialist to discuss care adjustments, such as medication changes, further enhancing quality of care.

Want to learn more about how we’re leveraging AI? Check out our Iris Insights blog here.

Where Iris Telehealth fits in

Iris Telehealth’s Virtual Clinic offers an adaptable, integrated solution that augments your healthcare organization’s operations and capacity. Our program is designed to be financially sustainable while creating lasting positive outcomes for your patients.

Ready to learn more? Contact us today to see how Virtual Clinic can enhance both patient and provider satisfaction while mitigating risk.

How Iris Insights Leverages Data to Make Meaningful and Actionable Change for Health Systems

High demand for psychiatric care can create challenges across a health system and hinder their ability to meet key goals and KPIs.

Additionally, behavioral health visits can occupy 42% more time than non-psychiatric visits and result in 24% more inpatient admissions.

Fortunately, leveraging data tracking and optimization to make meaningful change across your organization can help you meet key goals, improve patient care, and gain clarity on what actions your care team needs to take to reach their desired outcomes.

Iris Insights adds intelligence to patient outreach and improves engagement

Typically, in behavioral health outreach, there’s no real concept of acuity beyond what a provider specifies as urgent.

That’s what makes risk stratification an important component of an organization’s approach to behavioral health care. Iris Insights reviews a wide variety of data elements and identifies patients who have a likelihood of escalation. Then, we can provide outreach and engage those patients at highest risk of admission first, before they escalate.

Early identification helps avoid escalation, reduces costs, and improves the success of a hospital’s behavioral health program.

To help improve the effectiveness of this approach, Iris Insights visualizes the data in an easy-to-use platform. This platform enables organizations to view all their metrics, KPIs, and reports – everything they need to make sure their program is performing at the level they need for the best results.

Achieving clarity into your program’s performance is essential for success

Iris Insights is a HIPAA-compliant, secure platform that serves as a singular place for organizations to gain visibility into their behavioral health programs. For example, through the platform they can see referral status or where a patient is in their behavioral health journey.

Here are a few things a health system might need to look at when assessing their programs success:

  • What are the margins across health payers?
  • How do our metrics compare to national and regional benchmarks?
  • How optimized are our resources to maximize margins while maintaining SLAs?

Having this visibility into current performance and how an organization is stacking up compared to other health systems like theirs can help optimize the success of their behavioral health strategy.

Success also takes shape in change management. When combining the Iris management model and our high-quality providers, we can help drive continuous clinical improvement. In fact, healthcare organizations that have leveraged our partnership have seen a 38% depression symptom improvement and an 80% ED throughput improvement.

Having visibility into how your behavioral health services are performing can help you optimize where needed and make sure your patients are getting what they need from their care.

Data can be a valuable tool that enriches the patient experience

According to the National Committee for Quality Assurance, quality measures are urgently needed to help guide value-based payment models to support high-quality, equitable, and coordinated care.

Typically, when a patient has a behavioral health visit, they’re given take-home instructions to help assist in their treatment. However, there’s no real insight or engagement to see how the patient is doing until their next visit.

This lack of insight can hinder the team’s ability to adjust or be more proactive or reactive in the patient’s treatment.

Dr. Michael Lambert, a psychology professor at Brigham Young University shared to the American Psychological Association (APA) that 85% of therapists believed their patients improved, but research showed that only 40-60% improved. Dr. Lambert also shared therapists believed 3% of their patients deteriorated when in actuality, 5-10% of adults worsened while in therapy.

That’s where measurement-based care can help organizations visualize their clinical and operational data to help identify gaps like these. When healthcare organizations leverage effective behavioral health assessments, utilize technologies, and provide efficient and regular outreach, patients stay more engaged in their treatment. At Iris, we work closely with our clinical leadership to ensure we’re implementing workflows that deliver a more holistic approach to care.

Data tells a story, and providers can view trends over time — well before a patient comes in for their 90-day evaluation.

Putting patient data at the provider’s fingertips helps complete the picture of where a patient is in their behavioral health journey and improves the quality of care.

Iris Insights provides supports for a traditionally underserved part of the continuum of care

Building out a quality program can be costly and consume a lot of resources. However, leveraging a quality partnership can bolster your program with clinical expertise, covering infrastructure costs, and providing scalable behavioral health services.

With a platform like Iris Insights, your data is actionable and can help your organization make the most of your behavioral health program.

Additionally, as a behavioral health focused company, we take a conservative approach to technologies like AI and leverage them to decrease the risk of escalation and ensure patients aren’t falling through care gaps.

If you’d like to learn more about Iris Insights and how it can help your organization stay on track to meet your key goals and metrics, please don’t hesitate to reach out today! You can contact us here for more information.

How a Tailored Virtual Clinic Model Expands Access to Behavioral Health Services for Healthcare Organizations 

Integrating behavioral health into existing patient journeys, whether a patient just received a cancer diagnosis, is an expecting mother, or is experiencing escalating anxiety at a primary care appointment, is the right thing to do – for the patient and for the organization.   

At Iris Telehealth, we work with healthcare organizations to tailor programs that seamlessly integrate into their existing service lines to address population-specific needs and acuity levels.  

This approach to augmenting and building a tailored behavioral health program is what we call creating a “Virtual Clinic,” as it represents a seamless, comprehensive care solution that can be deployed wherever it’s needed – and we believe it’s the future of integrated behavioral health care. 

No two healthcare organizations have the same capabilities or needs 

The needs across organizations vary greatly depending on location, patient population, and access to behavioral health providers.  

That’s why, at Iris, our strategy is to meet organizations where they are and augment whatever components they have in place. Whether that’s a provider team, technology, or processes, we tweak and enhance what’s needed, but never throw out what’s working.  

In our experience, here are just a few examples of patient journeys an organization might look to address when customizing their behavioral health programs: 

  • Oncology care 
  • Women’s health  
  • Employee access programs  
  • Primary care integration  

Integrating behavioral health across all patient journeys can transform your organization and how it delivers care to its community.  

While in some instances we start from square one, other times we build on what an organization already has in place. Everyone’s path to meeting their patient’s behavioral health needs will look different.  

Questions to consider around care models, data analytics, and technology  

When customizing your behavioral health program for your patient’s needs, there are three components every organization should consider – the care model, data analytics, and technology to drive optimal patient engagement.  

Within each of these categories, you can tweak the ingredients to help ensure they fit what your organization needs.  

Here are a few questions and considerations you might start thinking through:  

The  right care model to use:  

  • What are the unique needs of this patient population?  Do they need 24/7 coverage?  What are the common acuity levels and diagnoses?   
  • What are the integration points with this behavioral health program and the broader organization?  How do we drive optimal transitions of care and collaboration?   
  • What provider licensures, types and specializations would best suit our needs?  

The right data to measure:  

  • What KPIs are critical to measure that will drive program operational, clinical and financial success?  
  • How do we capture and measure the critical variables and bring them together to ensure the data is visible and actionable?  
  • Would risk stratification of the patient population bring value to the program?    

The right technology to leverage:  

  • How do we leverage and optimize the existing EMR and technology to drive program success?  
  • Are there ways we should optimize and configure our EMR?  
  • Are there additional tools or solutions we should integrate into our ecosystem that would drive value? 
  • How are we engaging our patients and driving measurement-based care?  

Tailoring your behavioral health program starts by defining what success will look like for your organization. That’s why it’s important to consider what problems you’re solving for and looking at what solutions you already have in place.  

A Virtual Clinic model solves for all these considerations while delivering seamless behavioral health support  

The demand for behavioral health care is continuing to grow at a rate that outpaces the resources available to help. In fact, 40% of U.S. adults and adolescents with mental health conditions never get the care they need.  

A solution like Virtual Clinic ensures behavioral health care is always available throughout every patient journey – whether that’s in primary care or women’s health, patients will get the support they need in a timely manner.  

The Virtual Clinic also ensures that the healthcare organization caring for these patients also gets the support they need, too. By optimizing access and billing, ensuring top-of-license care, and driving behavioral health and physical care integration, organizations can reduce the total cost of care.  

Weaving behavioral care into physical health journeys creates seamless access and better outcomes.  

Tailored behavioral health program design in action with Geisinger Health  

Geisinger Health sought the help of Iris Telehealth to help increase access at scale to help their behavioral health patients across the care continuum.  

During the COVID-19 pandemic, Geisinger saw their behavioral health referrals increase at a fast rate, sometimes exceeding 300 referrals per day.  

Emphasizing the need for providers practicing at the top of their licenses and seeing an opportunity for several new provider roles, Iris developed a best-in-class behavioral health program.   

To support their needs, we created a care navigation assessment led by LCSWs to triage patients in Geisinger’s referral queue and deployed a dedicated team of psychiatrists, psychiatric mental health nurse practitioners and licensed therapists ensure patients got to the right level of care in a timely manner.  

To read the full case study and see the results of work together, click this link.  

Define your needs and get your behavioral health program started with Iris  

Over the last ten years, we’ve been creating the behavioral health building blocks to snap into an organization’s existing program or help create what’s needed from scratch. With our best-in-class capabilities we help fill in the unique gaps of your organization and get your patients the care they need.  

If you’d like to learn more about how we can help your organization tailor your behavioral health program, you can contact us here! 

How Investing in Behavioral Health Quality Initiatives Can Improve Health System Outcomes

A robust quality management program considers a patient’s care across the patient journey, encompassing multiple facets. By viewing elements of a patient’s care and measuring standards of care across this continuum, effective quality management enables organizations to improve patient outcomes.

When deployed correctly, a quality management program can improve outcomes related to:  

  • Patient volumes 
  • Provider efficiency 
  • Patient access 
  • Provider processes 
  • Patient experiences 
  • Financial success  

A quality management program can also enable organizations to assess transitions of care throughout the health system and into the community – for example, ensuring patients receive behavioral health follow-up after a related ER visit.

While making data actionable is a key goal for most health systems, it can be an intensive undertaking. Fortunately, leveraging tools like telehealth and partnering with organizations that specialize in quality management can be a big help.

In this blog, I’ll share my insights as Executive Director of Quality at Iris Telehealth and offer advice on how leveraging a strategic partnership can support a health system’s commitment to quality.

Looking at data through the lens of behavioral health helps identify correlations between condition 

Integrating behavioral health can often come with concerns around sustainability, but data shows that it can improve the patient’s overall health outcomes.

For example, the American Psychological Association (APA) highlights that behavioral conditions like depression and anxiety can worsen medical outcomes. They go on to say that integrating behavioral health care can help treat conditions like diabetes and improve medical adherence and delay the disease’s onset.

From a data standpoint, an organization can track a patient’s A1C data and see if it’s improving – they can even observe how it’s connected to something like their cardiovascular health or any number of other health conditions.

Pulling all that information together gives an organization the ability to identify where there might be correlations between conditions. Delving into this level of detail requires resources, and unfortunately, many health systems don’t have enough.

However, partnering with a quality-focused organization with behavioral health expertise can help your health system make the most of your data and set up effective reporting workflows to give a bigger picture of your behavioral health service line.

Figuring out the right reports for your goals will help your team effectively visualize your data   

Approaching your data through a quality management lens can help health systems understand how changes improve metrics or identify if a new solution is needed.  

At Iris, we help illustrate this data through customized reports. Here’s the approach we take when working with health systems: 

  1. Determine priorities: We review the health system’s determined priorities, see how they intersect with our focus, and assess what we can work on together.  
  1. Data compilation: Once we know what priorities and goals the health system wants to achieve, we provide them with visualizations of the data.  
  1. Assessment and collaboration: After providing the health system with data visualization, we analyze it together to identify opportunities for improvement and then work together to address those opportunities and make meaningful changes.  
  1. Tracking begins: We track how the data evolves to determine what actions have been effective or not and continue working to improve until the objective is met. 
  1. Sustaining change: We continue to monitor data even after we’ve met a target so we can make sure that success is sustained over time.  

One example of how we might leverage data to support a health system is through volume assessment. Let’s say an organization is evaluating whether to decrease therapy appointment times from 60 minutes to 45. Using a tandem measurement, such as performing depression screening consistently, can help assess whether and how the decrease in time affects the care processes as well as whether there is any effect on patient outcomes. Additionally, measuring patient satisfaction before and after the change in appointment timing can help organizations determine how it affects a patient’s perception of their care and the organization.  

Looking at these three factors together would enable us to see a full picture of the effect one change has on the entire patient care experience. Importantly, it also provides data that can help inform the organization’s analysis of return on investment.  

There are many factors that contribute to an affected metric – whether that be communication or even a complicated technology platform. Whatever the challenge may be, dedicated support can help assess the issue and come to a solution.  

Tracking quality data helps put patients first and helps determine if your solutions are financially sustainable 

Quality management is here to help people. However, an important thing to note is that we can’t really know if we’re taking care of them well unless we track the data. There must be some kind of measure — just like runners who look at their times or distance. How do they know that they can do a marathon if they’re not actually keeping track of their miles? 

On the financial side, when you look at a metric like no-shows, addressing challenges in this area can help improve sustainability. 

As another example, tracking depression screening scores using a validated tool, such as the PHQ-9, can provide objective data regarding a patient’s progress and can help inform their treatment plan. For example, if their depression screening results indicate improvement, it provides an opportunity to assess (with the patient) whether they can transition to less frequent visits or possibly even move on from therapy.  This tracking not only demonstrates to the provider and patient the progress a patient has made, it can also improve access for new patients by opening up slots in the provider’s schedule. 

Where Iris Telehealth fits in 

The benefit of having a quality management solution in place at your health system is the ability to look at a patient’s health outcomes across all specialties and see where there may be intersections between how specialties are working together and where opportunities to collaborate may lie. 

If you’d like to learn more about how quality management could benefit your health system, please don’t hesitate to contact us today. You can reach out to someone here!

Best Practices for Hospitals Addressing Behavioral Health Platform Integration

When health systems work to implement a new platform, not only do they need to ensure new platforms integrate into their current technologies, but they also must get team buy-in and ensure it makes their workflows and systems easier — not more complicated.

For their behavioral health services in particular, many health systems rely on telehealth to help them reach patients. However, not all platforms are created equal and there’s much to consider when choosing which partner or platform to integrate across your organization.

In this blog, we will walk through how hospitals are addressing behavioral health platform integration, important considerations, and the difference a technology-neutral partner can make to daily operations.

For many health systems, customized interfaces are expensive and labor-intensive

In 2017, the American Hospital Association released data on the importance of interoperability in healthcare and how connected, shared health information can help achieve the best possible outcomes.

When looking at barriers to exchange and interoperability in healthcare, they found:

  • 63% of receiving providers lack compatible technology
  • 57% report exchange challenges across different vendor platforms
  • 37% found it difficult to match or identify the correct patient between systems
  • 35% reported exchange with outside systems to be costly
  • 28% said that customized interfaces are expensive and labor intensive

Excellent platform integration means prioritizing patient and provider usability

Hospitals want the patient and provider experience to be seamless, and part of that is ensuring all platforms work together, don’t create extra steps, and maintain security protocols. That’s why it’s important to think through what interoperability looks like and the components related to patient and provider experience.

Let’s take a closer look at a few of these points:

  • Patient experience: Integrating platforms that seamlessly work with an organization’s existing systems creates a better experience for patients. Instead of having to log in to multiple platforms for things like therapy and appointment setting, having everything in one place can help create a more seamless, accessible experience.
  • Provider experience: On the provider side, onboarding behavioral health technology that requires staff training can create a barrier to entry and utilize more of the hospital’s already strained resources and time. For example, if a provider is using Epic for one part of their job and a separate system for note-taking, they will need to learn a new operating system and create new logins.

On-premise systems and cloud-based platforms come with inherent differences and considerations

Another important consideration when looking at implementing new behavioral health technology is the whether the systems require on-premises set-up or operate as a cloud-based platform.

Here are a few key differences and considerations:

  • On-premises system: For on-premises, a company will need to bring in and set up their own servers and the hospital will need to determine if the servers will need to be set-up on their local network. Additionally, there will need to be upkeep and management of on-site equipment.
  • Cloud-based platform: For cloud-based platforms, there are other considerations when it comes to security. For example, will the new system be able to access patient records and their billing system? Additionally, what is the usability like?

With all these considerations in mind, it’s clear there’s a lot hospitals must account for when assessing what platform will best support their telehealth for behavioral health needs.

Technology-neutral partnership means no additional set-up or maintenance

Working with a technology-neutral partner means health systems don’t need to worry about on-site installation or integrating a brand new cloud based solution. Instead, the partner seamlessly integrates into a hospital’s existing technology. Technology-neutral partners can connect health systems with providers, integrate into existing workflows and systems, without additional set-up and maintenance.

Being technology-neutral also means that the telehealth partner is well-versed in a variety of equipment and Electronic Medical Records (EMRs) and can more easily troubleshoot challenges.

“We are committed to being technology neutral because we believe that’s how we are able to deliver the best care to our partners’ patients. We have worked with all different types of technology – from the most complex, intuitive, lifelike, robotic cameras to clunky, old monitors. And we can tell you with certainty: no matter what tech you decide to use, it will work.”
Ted Bryant, Regional Director of Clinical Operations, Iris Telehealth

A technology-neutral telehealth partner removes the requirement to integrate a new EMR system, provide additional technical support, and manage more equipment.

These benefits equate to an easier transition to a long-term telehealth program, cost savings, and increased patient and provider satisfaction.

A supportive partnership that’s technology-neutral removes the pain points of implementation

Implementing a platform requires ongoing technical support and maintenance – which can become a pain point for health systems.

That makes partnership with a supportive telehealth organization an essential piece of the puzzle.
At Iris Telehealth, the support we provide is on-going, helping our own behavioral health providers navigate partner systems, and being there 24/7 for IT support. That way, our providers aren’t utilizing a hospital’s IT team, and the clinicians can have someone to turn to regardless of the time of day.

“When we provide support, we all try to have that same positive attitude, knowing that what we’re doing is bigger than ourselves – it’s the whole realm of psychiatry and patient care. That’s why we always try to provide the best service and never try to complain about anything. Anytime someone comes and gives us any specific problems or tickets, we’re happy to help.”
Adam Monsen, Director of IT Services at Iris Telehealth

We also provide support through our Clinical Operations Managers (COMs), who are dedicated and work directly with providers. The COMs serve as the first line of support – whether they’re answering charting or EMR questions – our internal team is a lifeline for our clinicians.

“Our COMs ensure providers have a lifeline and someone who can answer their questions, so they’re not overtaxing the hospital’s IT or support teams with questions. Every question our COMs receive is one that the hospital doesn’t have to address via their IT or support teams. Any staff you add creates more work for the hospital, with Iris, we provide capacity without increasing demand.”
Sean Tominey, Vice President of Enterprise Sales

 

Next steps with a technology-neutral partner

If you’d like to learn more about Iris and how your organization can get started with a technology-neutral partner, contact us today to learn more.

Telehealth in Action: Meet our Practice Managers!  

At Iris Telehealth, our Practice Managers play a crucial role in our support strategy, fostering long-term success through effective communication and collaboration between partners and providers.  

This approach positions patients to get the highest level of care while also helping support the provider’s well-being. 

For providers, Practice Managers address any and all needs clinicians may have while working at their clinic. Whenever providers need extra support, the Practice Managers advocate on their behalf and help ensure they have everything they need to succeed in their roles.  

Practice Managers streamline credentialing, scheduling, and IT support  

The Iris Practice Managers hold a unique position unlike any other within the organization. The Practice Managers act as the primary point of contact for providers and organizations, whether they need a little extra support or are simply having a difficult day. This team communicates and collaborates across various departments to help solve any challenges that come up for our providers.  

Additionally, Practice Managers hold recurring meetings that serve as checkpoints for provider satisfaction. This allocated time creates a space for providers to share anything on their mind with their Practice Manager. 

The Practice Managers are dedicated to creating a supportive environment where providers can thrive without worrying about logistics or administrative tasks.  

Between credentialing, scheduling coordination, and technical support, the Practice Management team undertakes many tactical tasks that help contribute to a positive provider experience. 

Practice Managers handle provider logistics, letting partners focus on daily operations 

Practice Managers wear many hats. They are problem-solvers tackling challenges and advocating for providers whenever necessary. The down-stream effects of this high level of support allows partners to focus on their daily operations rather than assisting with IT support or virtual provider management.  

Here are a few benefits Practice Managers bring to Iris providers:  

  • Personal support: Our Practice Managers fosters strong relationships with our providers, they are dedicated to offering their support and creating a comfortable environment where providers can openly address any concerns they have, whether it be personal or professional.  
  • Logistical help: Practice Managers work to ensure providers are happy with their schedule, from PTO to patient follow-ups. For instance, if a provider expresses a concern about their schedule, their Practice Manager can help them figure out best course of action. For example, they would promptly meet with the provider’s clinic to address the scheduling challenge and focus on optimizing logistics and implementing best practices. As a result, the provider’s schedule can better align with their preferences. 
  • Technical support: The Practice Managers assist providers who many need extra help with technology. Whether that’s getting their equipment set up or helping them get comfortable with the partner’s EMR system. Even if a provider finds technology challenging, Practice Managers walk them through each step to make sure they have everything they need.  

Practice Managers help increase provider retention and continuity of care for patients                                         

Our Practice Managers provide ample benefits to our partner relationships, too. They act as a designated mediator for any challenging decisions and provide a helpful buffer between a provider and their clinic.  

Additionally, they ensure providers have what they need for long-term success and job satisfaction, which in-turn translates to increased provider retention and continuity of care for patients.   

The support Practice Managers provide can’t be overstated as they serve as a dedicated resource for all questions organizations might have during and after the onboarding process.  

Once the Iris provider has joined the team, the Practice Manager partners with the organization every step of the way to ensure seamless operations, effective communication, and a positive working relationship that benefits everyone.  

Practice Managers collaborate with other departments to ensure providers have all the necessary resources  

Through effective cross-departmental collaboration, Practice Managers do their best to ensure providers have the necessary resources and support to thrive in their roles.  

This cross-departmental collaboration ensures licensing requirements are met, technology is properly implemented, and providers have all the information they need around benefits and compensation. 
 
Here are a few examples of this collaboration: 

  • Clinical Hiring: To determine the best organizational fit for a provider, the Practice Management team works closely with clinical hiring to find the perfect placement. They also work together to find a start date that works best for the provider and partner.  
  • Medical Staff Services (MSS): Practice Managers collaborate with the MSS department to navigate telehealth regulations, clinician licensing across multiple states, and compliance with state-based levels of practice authority for nurse practitioners. By leaving the logistics of credentialing and licensing to the MSS team and Practice Managers, clinicians can focus on providing care. 
  • Payroll: Practice Managers ensure payroll accuracy by verifying hours. This process overall guarantees that our providers are being compensated fairly and timely. 

Practice Managers are always ready to support    

Here’s a look at just some of the ways our teams have been able to effectively support our Iris Telehealth providers:  

“There was real care taken to make a good match between my clinic and me, and my Practice Manager helped ensure that our connection was smooth and strong. I couldn’t ask for better support!”  
 
– Dale McQueeney, MS, RN, PMHNP-BC 

 “Ted Bryant, the Senior Manager of Clinical Operations, is amazing. He’s always positive and is always saying, ‘You’re a great doctor!’ It makes a difference to feel like you’re not just a cog in the machine, but you’re a person. I don’t know what it would be like to work for another telehealth company, but I can’t imagine anything better than working for Iris.” 

– Dr. Mark Miceli, MD 

“One of the things I love about working with Iris is the support. For example, Drew Sadler, my Practice Manager, has provided amazing support and the IT team is always ready to help.” 
 
– Nicole Bradbury, LCSW 

“The staff I have worked with at Iris, for example, like David Mariano and Lauren Katz, have been really supportive in advocating for whatever I need. They check in with me once in a while to make sure that I’m continuing to be supported and that I’m happy with Iris. There are a lot of organizations that don’t always prioritize clinicians. Iris does that, which I really enjoy.” 

– Veronica Im, LCSW 

Where Iris Telehealth fits in 

Iris believes the well-being of our providers holds significance, as it directly impacts their ability to deliver high-quality care to our patients. Our Practice Managers ensure that providers receive the necessary support to assist our partners and patients effectively.  

If you’d like to learn more about our behavioral health services and the support we offer, contact us today!  

PMHNPs: Champions of Behavioral Health Integration for Holistic Patient Care

Psychiatric Mental Health Nurse Practitioners (PMHNPs) view behavioral health integration (BHI) as a model of optimism and hope. As a PMHNP, and Director of Nurse Practitioner Services at Iris Telehealth, I see these clinicians playing a vital role in shaping the future of BHI and improving the lives of countless individuals.

PMHNPs are at the forefront of a transformative movement in healthcare

The BHI model emphasizes the interconnectedness of behavioral and physical health, recognizing that treating one without addressing the other can lead to suboptimal outcomes. PMHNPs, with their unique blend of psychiatric and nursing expertise, are uniquely positioned to lead this charge.

 

 

From a PMHNP perspective, BHI is not just a trend; it’s a necessity. PMHNPs see firsthand the impact of behavioral health conditions on physical health, and vice versa.

 

 


For example, a patient with chronic pain might also struggle with depression or anxiety, which can exacerbate their physical symptoms and hinder recovery.

“Treating a behavioral health condition doesn’t always have a clear or obvious path for medication and treatment. However, by leveraging a virtual behavioral health solution, PCPs can ensure their patients are getting the help they need, and healthcare organizations can ensure financially sustainable delivery of behavioral health services.”
Dr. Thomas Milam, Chief Medical Officer, Iris Telehealth

Hear more from our Chief Medical Officer, Dr. Thomas Milam, on the keys to an integrated behavioral health model here.

By integrating behavioral health and primary care settings, PMHNPs can address both aspects of the patient’s well-being — leading to improved outcomes and overall quality of life.

PMHNPs facilitate collaboration, advocacy, and education

PMHNPs can address a wide range of needs across both health systems and community organizations, making them a key player in an integrated behavioral health model.

Here are a few of the functions PMHNPs can help address at an organization: 

  • Assessment and Diagnosis: PMHNPs conduct comprehensive assessments to identify and diagnose mental health conditions, often co-occurring with physical ailments.
  • Treatment Planning and Implementation: They develop personalized treatment plans that address both mental and physical health needs, utilizing various therapeutic modalities such as medication management, psychotherapy, and lifestyle interventions.
  • Collaboration: PMHNPs work collaboratively with primary care providers, specialists, and other members of the healthcare team to ensure coordinated and comprehensive care.
  • Advocacy: They advocate for patients’ mental health needs within the healthcare system, working to reduce stigma and improve access to care.
  • Education: PMHNPs educate patients, families, and communities about mental health and the importance of BHI in achieving optimal health outcomes.

Iris PMHNPs partner with healthcare systems to provide behavioral health integration for holistic healthcare. Because of their help, more people get the holistic care they need.

Collaboration between PMHNPs and on-site providers creates a powerful care strategy  

PMHNP collaboration with other on-site providers leads to significant improvements behavioral health outcomes. With their diverse educational backgrounds and wide variety of trainings, they’re experts in delivering effective behavioral health care.

In a care team setting, PMHNPs become a trusted person other providers can lean on for expertise and guidance.

Here are a few ways PMHNPs partner with various provider types:  

  • Physicians: PMHNPs work closely with physicians to ensure a holistic approach to patient care. We share information about mental health conditions that may be impacting physical health and vice versa. This allows for coordinated treatment plans that address both aspects effectively.
  • Therapists: Therapists provide psychotherapy, while PMHNPs can offer medication management. This combined approach tackles BHI from multiple angles. PMHNPs can consult with therapists to understand a patient’s progress and adjust medication as needed. Therapists, in turn, can tailor their interventions based on the medications a patient is taking.
  • Case Managers: Case managers address the social determinants of mental health, such as housing, employment, and social support. PMHNPs collaborate with them to identify social stressors that may be worsening a patient’s condition. Case managers can then connect patients with resources to address these issues, promoting better BHI.

PMHNP collaboration with other on-site providers is a powerful strategy for achieving better BHI. By working together, we can provide more comprehensive, coordinated, and patient-centered care, leading to improved overall mental health outcomes.

Where Iris Telehealth fits in

If you’d like to learn more about the role PMHNPs can help move your organization towards an integrated behavioral health model, please contact us today.

You can also read this blog to hear more about how PMHNPs can serve as a strategic benefit for your organization.

Dr. Tracy Mullare Discusses the Impact of Social Media on Children’s Mental Health

In June 2024, Surgeon General Dr. Vivek H. Murthy called for warning labels on social media platforms, highlighting their potential mental health effects on children and adolescents.

In his essay written for The New York Times, Dr. Murthy wrote, “Children who spend more than three hours a day on social media face double the risk of anxiety and depression symptoms.” He also noted that, in the summer of 2023, the average daily use was 4.8 hours.

Dr. Murthy shared research from Boston Children’s Digital Wellness Lab revealing nearly half of all adolescents find social media makes them feel worse about their bodies.

As Medical Director of Outpatient Services at Iris Telehealth and a child psychiatrist, I’m passionate about helping children and families get the behavioral health support they need and find a healthy balance when it comes to their social media use.

In this piece, I’ll share the pros and cons of social media for teens, my treatment insights, and how telehealth can help support this population.

50% of adolescents check their phones at least every 15 minutes

The 2022 Pulse Survey by Boston Children’s Digital Wellness Lab highlights that 79.4% of adolescents report social media makes them feel socially connected and emotionally supported (69%) by their peers.

While social media provides a space for connection and creativity, it also poses risks for the mental health of children and adolescents.

This same survey found that:   

  • Nearly 50% of adolescents surveyed check their phones at least every 15 minutes
  • 57.1% of adolescents feel fatigued and 47% report headaches following their daily social media use
  • 52% of young adults said screen time interfered with family time a little or a lot

Adolescents may encounter content they’re not ready for online, experience bullying, or struggle with transitioning from the continuous stimuli of social media to tasks like homework. Additionally, social media can keep them from activities they could be exploring – whether that be sports or an outside interest.

If you’re working with an adolescent who is finding difficulty striking the right balance or relationship with social media, there are strategies you can leverage to help support a healthly and sustainable relationship with these platforms.

Online interactions should be treated with the same value as in-person conversations

It’s important to educate both parents and children on social media. Often, parents have many questions because it is a new territory for everyone.

If you’re a provider or organization working with families, here are a few strategies and considerations we recommend sharing with families:

  • Discuss social media etiquette: Ask parents to discuss social media etiquette and explain that online interactions should be treated with the same value as in-person conversations.
  • Set proactive boundaries: Recommend they learn what platforms their child is using and how often they’re using them. Setting time limits and monitoring usage can help set boundaries. For example, it might be beneficial to unplug over night or during dinner time.
  • Keep the conversation going: Encourage them to keep an open dialogue with their child about social media activities. They might ask them what role social media is playing in their lives. They can also ask what their kids are doing offline to ensure a healthy balance.

For parents, there’s a lot to be aware of and education is essential. There are a lot of things online that kids need to be protected from and it’s important to encourage parents to stay-in-the-know about their children’s social media use.

Screening for social media exposures can provide helpful insights into the patient’s wellbeing

When screening children and adolescents, I always include questions about social media exposure. For example, do they have their phone in their room at night? Social media can disrupt sleep and some children may get notifications while trying to rest.

 

 

 

According to The Pulse Survey, 63.3% said that screen media use interfered with sleep either a little or a lot.

 

 

 

When I screen for trauma, I also include questions about exposures while on social media. These exposures may include being bullied or using bullying behavior, or exposures to violent or mature content that a child is not developmentally equipped to process.

Additionally, I screen for amount of time on social media and the role it plays in social development. I have worked with children and teens who have had great behavioral difficulty with parental attempts to limit excessive social media use.

I have encountered cases where the threat of losing social media access and accompanying social outlets has led to suicidal ideation and inpatient admissions.

Social media is impactful to a child or young adult, and they may feel losing it as a great loss. I frequently revisit the topic of social media with parents as what’s available online to our children evolves daily. I encourage parents to be proactive and set limits on social media behaviors early.

Telehealth offers support and helps establish rapport in a safe environment

At Iris Telehealth, our providers focus on building rapport with patients and meeting in a virtual environment is familiar and can be beneficial to young patients.

Maria Lopez-Rosario-post-headshot“I usually try to see the patient alone, but if the parent is around, they might say, ‘Okay, I’m going to write this in the chat because I don’t want anybody to hear it.’ And they’ll write something like, ‘I have a girlfriend.’
It’s more private and chat doesn’t make it personal. I’m still getting all the information in whatever way they like to give it to me. Being virtual gives you a lot more options than being in person.”
Dr. Maria Lopez-Rosario, Iris Telehealth Provider

 

Telehealth can model a positive example of online interactions and highlight the importance of being consistent with how we behave on and off social media.

It can also create a safe space for patients.

As lives grow busier, telehealth can more easily fit into a young person’s schedule and make getting care more convenient.

Where Iris Telehealth fits in

Social media’s impact on mental health is an important topic for families and organizations all over the country. Whether families are seeking resources for pediatric behavioral health or information on social media and teens, finding the right resources for comprehensive support can make all the difference.

If you’d like to learn more about the work we do with this population, please contact us today!    

To stay in the loop with all things happening in the behavioral health industry, be sure to sign-up for our newsletter Iris Messenger here.

Four Ways Health Systems are Thinking About Behavioral Health Care in 2024

For health systems, meeting patient’s behavioral health needs in a scalable and financially sustainable way requires quality behavioral health programming, specialized providers, and strategic partners who will support their programs and ensure they’re achieving their clinical and organizational goals.

In this blog, we will share four ways health systems are leveraging virtual behavioral health to optimize their programs and set themselves up for long-term success.

1. Health systems are leveraging virtual behavioral health care to improve care in their inpatient psych units

The American Hospital Association (AHA) notes health systems leveraging behavioral health integration can see more patients using their outpatient care services and less patients in their ED for behavioral disorders.

 

 

 

AHA also reported that leveraging an integrated behavioral health model for delivering inpatient psychiatric services can support a 70% return on investment.

 

 



Leveraging virtual behavioral health providers also creates continuity of care for the patient, enabling relationship building and not requiring patients to re-tell their stories. Having a virtual provider on the team also gives on-site providers a specialist they can lean on for guidance.  

“To have an established Iris Telehealth provider was incredibly important because it created reliability on the unit. We knew exactly what we were working with when we had the physician. She was very reliable, and it created continuity of care.”
Laura Taylor, Program Director of Psychiatry at Carillion Clinic, Iris Telehealth Partner

 

The integration of virtual care in the inpatient psychiatric unit alleviates behavioral health provider staffing shortages that impact patient experiences and outcomes in this care setting and enables clinicians to practice at the top of their licenses to improve total cost of care and provider satisfaction.

Reflecting on the important role virtual care has played in their inpatient unit, Chief of the Department of Psychiatry at Basset Health Network, Dr. James Anderson said, “Telehealth is an important arrow in our quiver to be able to expand virtual health to include providing services on the inpatient end. “

Read more about Carillion Clinic and Basset Health Network’s approach to utilizing virtual care in their inpatient psych units here.

 

2. Health systems are facilitating whole person care by leveraging virtual behavioral health services

Research from the National Library of Medicine shows that 74.9% of psychiatric patients in the inpatient unit had at least one medical comorbidity, including 57.5% of people between the ages of 18 and 24, making whole-person care a crucial component of a scalable and financially sustainable behavioral health program.

 

 

 

Additionally, according to the American Psychological Association (APA), treatment of behavioral health conditions in the primary care setting offsets costs by 20-40%.

 

 

 

They also report fewer hospitalizations that result in reduced costs for patients with comorbidities and improvement in treatment adherence.

For health systems, behavioral health programming, like Bridge Care Services, helps ensure patients who need care first get care first, while being efficiently directed to an appropriate care plan. Bridge Care Services helps solve ambulatory care at scale and delivers long-term clinical and financial outcomes.

This approach ensures patients who need escalation from primary care receive timely access to quality treatment – whether that’s through therapy, medication management, or both.  

 
“The care navigation and therapeutic support from [Bridge Care Services] alleviates the burden on the health system’s resources using a cost-effective process that closes referrals to specialists sooner and returns patients to community providers when available.”
Dr. Thomas Milam, Chief Medical Officer, Iris Telehealth

 

By providing more timely access to care, health systems are better positioned to achieve measurement-based outcomes and optimize reimbursement. Additionally, by providing whole-person care, their patients feel supported and experience better outcomes.

 

3. Health systems are improving quality measures by leveraging behavioral health partners

In the U.S., 15 million people report an unmet need for behavioral health treatment. At the same time, most health systems across the country are not equipped to meet the significant behavioral health demands of their communities.

For example, Elliot Health System, was experiencing high demand for behavioral health care. For Elliot, one out of every five calls to their triage nurses were for behavioral health, with an average of call being 27 to 30 minutes.

That level of demand was unsustainable, and they needed efficient patient care and to protect their staff from burnout. By leveraging virtual behavioral health services, they were able to improve their outcomes and meet their quality goals.

 
“We were able to convert triage calls into actual full intakes from a licensed social worker that provided the patient with a full evaluation and were billable. We were able to cover the cost of investing in provider hiring by converting those triage calls to a full intake.
There’s a brief triage (assessing presence of a crisis), then the patients have an intake and transfer within one to two business days. That visit is billable. It’s a benefit for everyone and helped make this new program sustainable.”
Dr. Holly Mintz, Chief Medical Officer, Elliot Health System, Iris Telehealth Partner

Today, 80% of virtual care at Elliot Health System is for their behavioral health services. Additionally, they were able to decrease their intake wait time from 60 to 1-3 business days.

Download this free resource to learn more about how Elliot is leveraging virtual care.

 

4. Health systems are building scalable and financially sustainable behavioral health programs through virtual care

According to a report from Evernorth Behavioral Health, treating behavioral health conditions in outpatient settings is directly tied to a reduction in medical and pharmacy costs.

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Health systems report savings up to $2,565 per person over the 15 months following a diagnosis and up to $3,321 per person over the 27 months following a diagnosis.

 

 

 

At Texas Health Resources (THR), Chief Operating Officer, Kathi Cox, sees success in behavioral health being well-integrated into patient care.

 
“Traditionally, you have a lot of primary care physicians or specialists dealing with their patient’s medical health over here and mental health issues over there – it’s very disjointed.
Now that we’ve created a much more integrated approach, there’s an opportunity for those things to work together. If we are collaborating across the organization for these patients, I think that’s a big success area.”
Kathi Cox, Chief Operating Officer, Ambulatory and Virtual Channel Texas Health Resources, Iris Telehealth Partner

Iris Telehealth’s Chief Marketing & Strategy Officer, Dan Ferris, sees integrated behavioral health as a tool to drive competitive differentiation for health systems, saying, “Providing quality behavioral health is a strategic advantage and can be financially sustainable. If an organization can offer integrated behavioral health at scale, they can attract more patients, reduce leakage, and improve the total cost of care.”

 

About Iris Telehealth

At Iris, we’re proud to partner with organizations like the ones mentioned in this piece every day. Through their hard work, dedication, and partnership, we can extend access to care to people all over the country – regardless of age, diagnoses, or acuity.

If you’d like to learn more about how you can help your health system scale and optimize your behavioral health program, don’t hesitate to contact us today!

Want to stay up to date on behavioral health trends and insights into the future of behavioral health? Sign-up for our newsletter, Iris Messenger here! 

How Teletherapy Fits into an Effective Behavioral Health Program 

Social workers are an invaluable part of any organization, delivering high-quality, value-based care to patients and providing indispensable support to the care team. When it comes to a holistic, long-term approach to care, having access to quality therapy or counseling services is essential.  

Therapy services are also required for any healthcare organization seeking to become a CCBHC.   

If your healthcare organization is considering incorporating counseling services into your behavioral health program — or expanding your existing programs — licensed clinical social workers (LCSWs) can be a good place to start. 

This piece will break down the benefits an LCSW can bring to your organization, the different treatments and modalities they can provide, and why teletherapy might be the best way forward for your team. 

LCSWs specialize in micro and macro social work

LCSWs are highly trained providers who can provide a wide variety of services, depending on their specialization. The two biggest categories for these specializations are micro and macro social work.  

In general, macro social is looking at the larger population and making a difference there, whereas micro social work is working with individuals or family units. In most cases, your organization will likely be looking at LCSWs who specialize work with individuals or families. 

Because LCSWs deliver counseling and therapy services rather than psychiatric or medical services, they cannot prescribe medications. However, they can diagnose patients and should be familiar with the DSM-5. 

Common treatment modalities that LCSWs specialize in include: 

  1. Cognitive behavioral therapy (CBT): Commonly referred to as “talk therapy,” CBT hones in on how thoughts and feelings influence behaviors — and how those behaviors can lead to psychological problems. LCSWs can utilize CBT methods to help patients identify and work through these thoughts and behaviors. 
  1. Crisis intervention model: The crisis intervention model is commonly used for individuals experiencing crisis and trauma and consists of seven stages: Conducting a psychosocial assessment, rapidly establishing a rapport, identifying the crisis cause, enabling the patient to express their emotions, establishing safe alternatives for coping, creating an action plan, and following up with the patient. 
  1. Solution-focused therapy: This treatment modality involves an LCSW working closely with a patient to identify a problem and create a solution plan based on that patient’s individual strengths. This short-term practice model helps individuals cope effectively with the challenges they’re facing. 
  1. Dialectical behavioral therapy (DBT): DBT is a modified approach to CBT. The primary goals of DBT are to enable people to develop healthy ways to cope with stress, regulate their emotions, and improve their social relationships. While DBT was initially created to treat patients with Borderline Personality Disorder (BPD), it has proved effective for those experiencing eating disorders or substance use disorders. 

Additional treatment modalities that LCSWs can utilize to benefit your healthcare organization’s behavioral health program include motivational interviewing, mind body bridging, brainspotting, eye movement desensitization and reprocessing (EMDR), and acceptance and commitment therapy. 

LCSWs are a cost-effective solution for less acute diagnoses 

An LCSWs ability to effectively diagnose patients makes them an excellent first line of treatment or screening for health systems, outpatient clinics, and community health centers.  

Having LCSWs available for initial patient interactions is often more efficient for most healthcare organizations. Additionally, it’s more cost-effective to have an LCSW on hand to manage less acute diagnoses that don’t need medication management. Then, for more acute diagnoses, an LCSW would be able to refer the patient to a psychiatrist or PMHNP on your care team. 

In most outpatient settings, LCSWs can function as part of a larger integrated care system where they need to provide access to counseling services and psychotherapy along with medication management and psychiatric care.  

Having LCSWs be the first line of defense in your treatment plan can be beneficial to pointing patients in the right direction and identifying the best path forward for their care plan. 

From a behavioral health standpoint, it’s hard to overstate the value an LCSW or counseling provider will bring to your organization. But it’s important to find the right provider for your organization, your patient populations, and your goals. Opening yourself up to teletherapy providers can help you through that process. 

In the emergency department (ED) setting, LCSWs are critical to patient satisfaction and a hospital or health system’s reputation in the community. Whether they’re helping someone access food vouchers, connecting a patient to ancillary services, or talking with a patient’s family members, LCSWs are thinking about the patient’s holistic needs.  

LCSWs often serve as a communication link between nurses, physicians, and other support staff. They often help prepare patients for transitions, imaging, labs, and admission.  

LCSWs can also help with patient and family communication through their hands-on approach to care – including helping families understand a patient’s illness and engaging with the family to help them feel supported after they leave the ED.

Elaina Najera post headshot
“Telehealth has expanded my ability to provide care to people I usually wouldn’t have been able to reach as an in-person provider. I’m a huge advocate for telehealth because I feel like the relationships can be just as deep and meaningful. In a therapeutic setting, the relationship is huge. It’s a huge part of the change cycle and folks’ ability to grow and build health in their life.”
Elaina Najera, LCSW, Iris Telehealth Provider

 

In the ED, LCSWs take ownership of the psychosocial dimensions of a person, and in psychiatry, that’s critical.  

These psychosocial dimensions include relationships, living situations, access to housing, finances, and food. These components are essential to the wellness and decision-making that goes into treatment formulation for the patient in the ED. 

LCSWs can help expand pre-existing counseling services  

As part of an effective integrated care model, a combination of medication management and psychotherapy is necessary. That means your organization will likely need to build up a program that includes therapists or counselors on staff — or potentially expand the counseling services you already have. 

There are studies showing that utilizing CBT or other therapy modalities can effectively treat less acute diagnoses without medication. And, if you have a good LCSW, you can utilize their services in addition to medication to assist the overall success of your treatment plans for a given patient. 

Why teletherapy services may be the best fit for your healthcare organization 

There’s no denying that, for an LCSW, the rapport they can create with a patient is key to a patient’s success. But it’s a common misconception that it’s more difficult to build that connection over video.  

A well-trained LCSW can build just as strong a therapeutic relationship virtually as in person. Almost every in-person modality an LCSW can specialize in can be translated effectively in a virtual setting – including brainspotting and EMDR. 

That means if your organization is cutting yourself off from engaging in teletherapy, you’re limiting the quality of your program — and your ability to expand it. 

Nicole Bradbury post headshot
 
“I try to find different ways to connect with my patients. For many kids, it’s just being there, listening. But, for the younger ones or those who don’t want to be in therapy, I try to find games for us to play, or I ask them what they like to do and what they like about it.”
Nicole Bradbury, LCSW, Iris Telehealth Provider 

Additionally, embracing teletherapy in your organization means patients can take the session wherever they’re most comfortable. With that freedom, some patients can be more willing to open up.  

The flexibility to choose their locations can also decrease no-show rates or open up access for people experiencing conditions that may make it difficult for them to feel motivated to leave their homes.

However, you may still have patients who prefer seeing their provider in person. So, when possible, we would recommend offering both in-person therapy or counseling services and teletherapy services. 

How your organization can set your LCSWs (and your treatment team as a whole) up for success

When bringing LCSWs in or expanding your teletherapy services, it’s important to ensure those providers feel valued. There can be a tendency to undervalue LCSW when compared to psychiatrists. It’s important to make sure they feel like they’re part of the team. 

Then, for your own organization, you should work to identify the particular specializations or modalities you need when staffing LCSWs. And remember, if you are open to teletherapy services, partnering with a vendor like Iris Telehealth can help you identify carefully vetted, high-quality providers for your organization.  

If you’re interested in learning more about Iris Telehealth’s LCSWs, contact us today, and we’ll get the conversation started!