Total Life

Psychiatrist

• Establish written supervisory protocols with Total Life nurse practitioners, covering scope of practice, consultation, referral and prescribing parameters
• Meet regularly with each NP by video or phone to review care and quality
• Review an agreed sample of each NP's charts
• Be available by phone or video for clinical consultation during NP practice hours, and arrange alternate physician coverage when unavailable
• Support NPs providing longevity and psychiatric care via telehealth

Supervising Psychiatrist, Contract

Physician

Supervising Physician

• Enter into Prescriptive Authority Agreements with Total Life nurse practitioners and register them with the Texas Medical Board
• Hold a documented quality assurance meeting with each NP at least monthly by video or phone
• Review an agreed sample of each NP's charts
• Be available by phone or video for clinical consultation during NP practice hours and arrange alternate physician coverage when unavailable
• Agree the practice plan with each NP, including consultation, referral and emergency protocols
• Support NPs caring for patients via telehealth and at partner senior living communities

Delegating Physician

Nurse Practitioner

• Conduct comprehensive initial longevity assessments covering functional status, cognition, nutrition, mobility, and fall risk
• Provide medical follow-up visits for chronic disease management and ongoing care
• Perform cognitive screening and staging; escalate for further assessment where indicated
• Prescribe and manage GLP-1 therapy for appropriate patients
• Conduct advance care planning conversations
• Document in the EHR to support accurate Medicare billing

Geriatric Nurse Practitioner – Telehealth, Longevity Program

• Conduct comprehensive initial longevity assessments covering functional status, cognition, nutrition, mobility, and fall risk
• Provide medical follow-up visits for chronic disease management and ongoing care
• Perform cognitive screening and staging; escalate for further assessment where indicated
• Prescribe and manage GLP-1 therapy for appropriate patients
• Conduct advance care planning conversations
• Document in the EHR to support accurate Medicare billing
• Work alongside the CMO, a board-certified geriatrician, with clinical training and support

• Conduct comprehensive initial longevity assessments covering functional status, cognition, nutrition, mobility, and fall risk
• Provide medical follow-up visits for chronic disease management and ongoing care
• Perform cognitive screening and staging; escalate for further assessment where indicated
• Prescribe and manage GLP-1 therapy for appropriate patients
• Conduct advance care planning conversations
• Document in the EHR to support accurate Medicare billing
• Work alongside the CMO, a board-certified geriatrician, with full training and clinical support

Geriatric Nurse Practitioner – Telehealth

• Conduct comprehensive initial longevity assessments (60 min) covering functional status, cognition, nutrition, mobility, and fall risk
• Provide medical follow-up visits for chronic disease management and ongoing care
• Perform cognitive screening and staging; escalate for further assessment where indicated
• Prescribe and manage GLP-1 therapy for appropriate patients
• Conduct advance care planning conversations
• Document in the EHR to support accurate Medicare billing
• Deliver telehealth care to adults aged 65+
• Work alongside the CMO, a board-certified geriatrician

• Conduct comprehensive initial longevity assessments covering functional status, cognition, nutrition, mobility, and fall risk
• Provide medical follow-up visits for chronic disease management and ongoing care
• Perform cognitive screening and staging; escalate for further assessment where indicated
• Prescribe and manage GLP-1 therapy for appropriate patients
• Conduct advance care planning conversations
• Document in the EHR to support accurate Medicare billing
• Deliver telehealth assessments and follow-ups to adults aged 65+
• Work alongside the CMO, a board-certified geriatrician, with clinical training and support