Board-certified psychiatrists and NPs available remotely for your ED and inpatient units — without the cost of a 24-hour call retainer. We navigate California's 5150 hold and writ process so your team doesn't have to.
Every ED director knows the scene: a 5150 hold patient in Bay 4, a psych consult that won't arrive until morning, and a department grinding to a halt. Psychiatric access gaps aren't just a patient care problem — they're a throughput and financial crisis.
"We built XpsyZ because we've both sat in the CMO chair watching behavioral health patients wait 12 hours in ED bays. We know exactly where the system breaks down — because we lived it."
A streamlined onboarding process built for hospitals that need rapid, compliant psychiatric access without renegotiating your entire staffing model.
We assess your volume profile, EHR environment, and existing coverage gaps. Our providers initiate credentialing and privileging simultaneously — no waiting six months.
We configure a fractional coverage schedule matched to your actual demand patterns — daytime, evenings, overnight, or surge-only. You pay for what you use.
HIPAA-compliant video consult platform integrates with your nursing workflow. ED nurses initiate consults; our psychiatrists are in view within minutes.
All documentation meets California DMH and CMS standards. 5150 and LPS writ documentation is handled by credentialed providers — full audit trail maintained.
Board-certified psychiatrists and licensed NPs available remotely for ED and inpatient behavioral health consults across the full acuity spectrum.
Real-time psychiatric assessment for patients presenting with acute behavioral health crisis, suicidality, psychosis, or altered mental status. Rapid consults initiated by nursing staff via secure video.
EmergencyExpert application, documentation, and release process for California WIC 5150 involuntary holds. We navigate the LPS conservatorship and writ process with full compliance — removing this burden from your clinical staff.
California SpecialtyScheduled and urgent consult services for medical-surgical and ICU patients with comorbid psychiatric conditions — delirium management, medication adjustment, capacity evaluation, and disposition planning.
InpatientInitial psychiatric medication orders, bridge prescribing for patients in medical holds, and psychotropic medication optimization for complex-comorbidity cases during inpatient stay.
PharmacologyPsychiatric level-of-care determination, IMD placement coordination, step-down to outpatient, and aftercare planning — accelerating bed throughput by resolving the key bottleneck in behavioral health stays.
ThroughputCustom behavioral health protocols, nursing education on psychiatric presentations, and 5150 documentation training. Building your team's capabilities alongside ours.
Operational| Coverage Factor | Traditional Model | XpsyZ Fractional |
|---|---|---|
| Monthly Cost | 24 hour retainer | Pay for what you use |
| Recruitment Timeline | 6–18 months | 30–60 days |
| DMH Certification | Not required | Certified |
| 5150 Documentation | Your staff's problem | Handled by us |
| Facility Fee Billing | At risk | ✓ Yes |
| Coverage Flexibility | Fixed schedule | Volume-matched |
| Geographic Availability | Limited / rural gap | Statewide remote |
A 150-bed community hospital and a 400-bed regional medical center have different psychiatric demands. We configure coverage blocks to match — not a fixed 24-hour retainer that overpays for slow periods.
Psychiatric consult visits generate facility fee billing opportunity. Unlike independent contractor models, XpsyZ is structured to preserve your facility's ability to capture this revenue stream.
All providers maintain active DMH designation. 5150 hold documentation is completed to California Department of Mental Health standards — protecting your facility from audit exposure and grievance vulnerability.
Faster psychiatric disposition directly reduces ED boarding time. Our CMO founders designed the service specifically to address this metric — because they measured it as hospital executives.
Every XpsyZ provider meets the credentialing requirements for California acute care facilities — without putting that burden on your medical staff office.
XpsyZ wasn't built by venture capitalists or tech entrepreneurs. It was built by two Chief Medical Officers who inherited the problem — and refused to accept it as inevitable.
Extensive experience leading clinical operations at acute care facilities. Brings the clinical credibility and practical systems knowledge that differentiates XpsyZ from pure tech-enabled telehealth plays.
Hospital executive with deep experience in ED throughput, behavioral health service line operations, and physician workforce strategy. Built the operational model for XpsyZ with one objective: solve the exact problem that plagued every ED under executive leadership. Knows where retainer models fail and where fractional coverage wins.
"The 5150 boarding problem isn't a clinical failure — it's a system design failure. Hospitals know they need psychiatric coverage; they just can't afford or access it in the traditional model. We built the model that didn't exist when we needed it."
We work with ED Medical Directors, CMOs, CNOs, and hospital operations leaders. A discovery conversation takes 30 minutes and will give you a clear picture of what fractional psychiatric coverage would look like for your facility.
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