Flexible Scheduling Telemedicine Opportunity
Family Medicine
Denver, CO

We are seeking Providers looking for a great part-time
telemedicine opportunity. Our client's name is Truepill and you'd be working within their Ahead program. You can set
your own hours to work within Monday - Friday (8am-7pm) to perform 15-minute consults with patients regarding ADHD/Anxiety and/or Depression. Please see below for some information on the
program. 

  

Ahead (helloahead.com) is a “Direct-to-Patient'' mental
health platform that treats patients throughout select U.S. states. Ahead offers two different
patient services: 

● Ahead with “Primary Care Providers” was created to serve patients who prefer quicker appointments, and patients with mild to moderate mental health concerns who may need medication management. Ahead with “Primary Care Providers” initially only focuses on patients with ADHD. 

● Ahead with “Psychiatric Specialists” treats patients who
prefer more time and want personalized care from mental health specialists,designed for complex treatments. 

Providing mental health care via synchronous audio/video
tele-health visits on the Ahead platform, patients can book visits with a therapist or a doctor or for their mental health and ADHD treatment. Patients would enroll in a monthly
subscription-based membership that offers an initial consultation with a therapist and monthly medication management with a prescriber, if diagnosed by their provider. Patients enrolling in the medication management program have regularly scheduled telehealth visits with clinicians that prescribe, monitor, and manage patients’ clinical progress. Patients without proof of prior diagnosis
would see a Therapist for their first consultation for evaluation, if diagnosed with ADHD, the patient is then referred to a prescribing provider for medication management. 

  

Clinical Overview:

ADHD is one of the most common neuropsychiatric disorders of childhood and often persists into adulthood. Studies of adult ADHD have shown the prevalence to be as high as 4.4% in the US. Symptoms include impulsivity, restlessness, inattention.Patients may also present with emotional dysregulation and impairment of executive
function. The pathogenesis of ADHD in adults is unknown. It has been shown that a hypoactivity of dopamine and norepinephrine in frontal-subcortical circuits underlies the brain and functional dysfunction in ADHD. Medications that block reuptake or trigger release can increase free levels of these neurotransmitters and thus decrease patients symptoms. 

  

  

Patient Profiles:

The medication management program via Ahead with “Primary Care Providers” is intended for adult patients (18+) with mild to moderate ADHD diagnosis (see exclusion criteria for further definition). Please be mindful that patients enrolling in teletherapy typically may have one of the following comorbid conditions: 

● Generalized Anxiety Disorder 

● Panic Disorder 

● Social Anxiety Disorder 

● Depression 

● Dysthymia 

● Stress 

● Adjustment Concerns 

● Relationship Issues 

  

**Note: We will NOT be prescribing benzodiazepines through Ahead with “Primary Care Providers”. Additionally, both the therapists and the providers have the ability to refer higher acuity patients to the Ahead Core program for specialist care if they deem it appropriate. Project Leadership: The Medical Director of the program is
Dr. Rafid Fadul, MD 

Patient Questionnaire Intake Exclusion Criteria:

· Any past suicide attempts 

· Any prior hospitalization for psychiatric
reasons 

· Self-injury after the age of 16, and <5yrs
ago 

· PTSD 

· OCD or other compulsive disorders 

· Anyone with neurocognitive disorder (e.g.
dementia) severe intellectual disability, or non-epileptic seizures 

· Pregnant or post-partum/breastfeeding 

· Currently taking lithium, carbamazepine,
Valproate/Divalproex, Ketamine or derivatives, Kratom
(**Needs review from Psych Med director) 

  

Medical Screeners verify patient info and medication
history:

· Review intake information 

· Check Prescription Monitoring Program (PMP) and
SureScripts for medication history 

Providers receive the below information when the first
appointment is scheduled: 

· Screening and intake information 

· ASRS, PHQ-9 and GAD-7 surveys 

· Clinical information from physician visits, if referred
by physician 

Patient Flow: 

· Patient enters Ahead workflow and does initial
screening 

· If eligible for Ahead Lite, patient can opt-in
to that pathway Patients are advised up front that Ahead Lite is for mild to moderate cases, and therapists or PCPs can recommend moving patient to Ahead Core if they feel specialist care is required .

  

Patient is moved into (1) New Diagnosis workflow or (2)
Existing Diagnosis workflow 

(provides previous records reflecting diagnosis) 

· If patient self identifies as Existing diagnosis
but does not have documentation to support diagnosis, care team reaches out to
patient for additional info, or offers patient to proceed through New diagnosis
pathway 

  

Work Flow: New Diagnosis

· Mandatory initial evaluation by therapist (50m)
and PCP (15m) scheduled no earlier than 3 days and no later than 10 days 

· Patient has asynchronous follow up at Week 1 and
3 post any dose or medication change to assess for intolerable side effects 

· At Week 3 patient also receives PHQ9, GAD7, ASRS 

· If patient continues to require dosing changes
or has not reached clinical steady state, next follow-up is 4 weeks. 

· Once patient is stable, will revert to 3mo
follow up cadence with asynchronous GAD7, PHQ9 and ASRS preceding visit 

  

Work Flow: Existing Diagnosis:

· Mandatory initial evaluation by PCP (30m) 

· Patient has asynchronous follow up at Week 1 and
3 post any dose or medication change to assess for intolerable side effects 

· At Week 3 patient also receives PHQ9, GAD7, ASRS 

· If patient continues to require dosing changes
or has not reached clinical steady state, next follow is 4 weeks. 

· Once patient is stable, will revert to 3mo follow
up cadence with asynchronous GAD7, PHQ9 and ASRS preceding visit.  

  

  

  

If you're interested in connecting, please apply!!  


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