Auto-scheduling 24/7 telepsychiatry for emergency and inpatient care

• 90%

  Reduction in manual labor

  Schedule management: 40 hrs/week to under 4

• 1-2 hrs

  Patient access

  ED and inpatient initials seen within 1-2 hours

Results at a glance

• Schedule build and changes: 40 hours/week to under 4
• ED and inpatient initials seen within 1-2 hours
• Auto-scheduled a quarter out, refreshed monthly
• ~300 hospitals, 75 health systems, multiple EMRs

About Iris Telehealth

Iris Telehealth staffs psychiatrists and behavioral health Care Teams for 75 health systems across roughly 300 hospitals, delivering 24/7 telepsychiatry into emergency and inpatient departments.

The pain

Manual madness from spreadsheets. Covering 24/7 telepsychiatry across hundreds of hospitals on spreadsheets meant roughly 40 hours a week just building the schedule and chasing every change.

In the ED, waiting isn't an option. When a hospital's own staff can't cover a psychiatric patient, the case comes to Iris, which needs a credentialed psychiatrist on within an hour or two. A schedule maintained by hand can't reliably move that fast.

The schedule never holds still. Time off, licenses, and enrollments shift every week, so the grid is never finished — and every patch is a chance for an error that reaches a patient.

A full quarter of 24/7 coverage across ~300 hospitals, multi-state and multi-license, rebuilt and re-patched in spreadsheets — about 40 hours every week.

The challenge

Iris's promise is fast, compliant access for emergency and inpatient psychiatry. Running that by hand capped how many patients each scarce psychiatrist could see and turned every change into a scramble.

The solution

Untether builds the full schedule a quarter out and refreshes it monthly, accounting for time off, state licensure, hospital enrollment, contracts, and each clinician's availability. Open coverage and last-minute changes get resolved in one place instead of across spreadsheets.

The impact

Schedule management dropped from about 40 hours a week to under four, and credentialed psychiatrists reach ED and inpatient patients within one to two hours — more patients seen per clinician, faster, with the same scarce workforce.