Everything it does

The whole list. Nothing on it is coming soon.

Lucido runs a Spravato® clinic end to end: the diary, the reminders, the treatment day, the federal form, the controlled substance, and the months in between. Everything below is shipped and included — where something is switched on per clinic, the section says so.

01Before the visit

Getting a patient to their first dose

The paperwork, before anybody is in a room.

  • Your roster, imported

    Bring a CSV out of any EHR or practice-management system. Column names are flexible — “name”, “patient”, “pt_name” all land in the same place — combined name fields split themselves, and every row is previewed as new, already here, or an error with the reason, before anything saves. Up to 500 rows a pass.

  • REMS enrollment on one sheet

    Enrollment happens on Janssen’s website. Lucido collates every answer that site asks for — clinic, prescriber, patient, history — with a copy button on each field, and tells you what is still missing before you open it.

  • Filing the form is the gate, not a status

    A patient carries two separate facts: REMS enrolled, and enrollment form filed. Only the second one stops anything. A first dose is refused on the server until the Patient Enrollment Form is marked filed, so a crafted request cannot walk around it. The phone shows the status; the refusal is not the phone’s to make.

  • Nothing is inferred from a checkbox

    The pre-session checklist — identity, REMS enrollment, transport home — is three toggles a human ticks, plus the medication-change review. Marking a patient enrolled does not tick them. Software that quietly completed a safety checklist on somebody’s behalf would be worse than no checklist.

02The diary

Booking that knows the rules

Lucido offers times that actually work, so the front desk is not holding the rules in its head. The forward calendar is switched on per clinic.

  • Only the times that work

    A slot is offered when a room is free, the provider is genuinely free — their own weekly hours, their booked appointments, their time off — the clinic is open, and the appointment’s own length fits inside the day. The patient’s existing appointments are checked too, so nobody is offered two places at once.

  • Dosing, follow-up, therapy and intake on one grid

    Every appointment type ships configured — a two-hour dosing session, a sixty-minute intake, a twenty-minute check-in, thirty minutes of psychiatry, fifty minutes of therapy — each with its own length, color and room rule, and all of them on one calendar, because a clinic has one.

  • Morning or afternoon, spread across the day

    The filter is the question a front desk actually asks, not a length in minutes. Up to six times a day are offered across up to eight days, sampled evenly from opening to close, so an afternoon caller is not read a list of six mornings.

  • Who can deliver what

    An appointment type can be limited to particular roles, and a person can have their own list of what they deliver. Both have to agree: a type restricted to prescribers stays restricted even if somebody is listed against it by mistake.

  • The days you actually keep

    Per-weekday hours, not one pair of times stretched over the week, plus dated closures that can shut a day or shorten it. A Friday that closes at one has no afternoon, and the search knows that on that Friday alone.

  • Somebody has to be on the floor

    An appointment type can require a minimum number of staff rostered for its whole length — the staffing question, answered without a staffing product. A dosing session that would leave the floor uncovered is not offered.

  • Book the whole course

    Spravato is twice a week, then weekly. Plan the eight-week induction once and each of the twelve sessions is searched for in turn, starting from the one before it, so the course cannot double-book itself. Where a session has to drift off its target date, the plan says by how many days before you commit.

  • Overriding a rule is a decision somebody made

    A double-booked room or patient is refused outright. The softer clashes — a provider booked twice, a time outside normal hours — ask you to confirm, and the confirmation is written to the audit trail with which rule was overridden.

  • When nothing fits, it says why

    Not an empty list. “Nobody is set up to deliver that session type.” “This clinic has no active rooms.” “That is limited to prescribers — widen it in Settings, or pick another type.”

03What the patient hears

Reminders that go out on their own

Email, in plain words, from the clinic’s own name. On by default wherever the calendar is on, and the patient can stop them in one click.

  • A confirmation when it is booked

    Sent the moment the appointment is made rather than waiting for the overnight sweep — a confirmation that arrives an hour later often reaches a patient still standing at the desk. It is best-effort by design: a booking that was made never fails because an email did not go.

  • A reminder the day before

    At an hour the clinic picks, nine in the morning until it says otherwise. Notice is set per appointment type, and a day holding two appointments goes at the longer of their leads, because a late warning is worse than an early one. One email per patient per day, whatever is on it.

  • Never a reminder nobody can act on

    Nothing goes out for an appointment less than two hours away — that is not a reminder, it is a message that arrives after the patient has left the house. A cancellation has no such floor: “do not come” is worth sending at any notice.

  • If the day changes, the patient hears

    The sweep fingerprints what a patient’s day looks like rather than reacting to events, so a reschedule, a moved time or a switch to video reaches them without a single hook in the booking code. Rebooking the same slot under a new id is not a change, and does not email anybody.

  • It cannot name the treatment

    The message renders from a projection built field by field, which has no clinical column on it at all — no appointment type, no dose, no diagnosis, no drug. There is nothing in the object for a logger or a template to leak. The few preparation lines a patient may see (“please arrange for someone to drive you home afterwards”) are Lucido’s own words, not free text a clinic can type into.

  • One click to stop

    Every message carries a real one-click unsubscribe in its headers, the kind a mail client honors without opening anything, and a link to change the address or turn reminders off. Declining is recorded as a decision, not as a missing preference, so nothing can default it back on.

  • The address is what consents

    The first message any address gets names no patient, no clinic and no appointment — if a mistyped address reached a stranger, it would tell them nothing except that somebody typed it. Correcting an address later revokes the consent attached to the old one, and the ledger stores which wording of the “email is not secure” warning was shown at the time.

  • Your clinic’s name on it

    The name, reply address and phone number that patients see are the clinic’s to set, and nothing sends until all three are. A patient-facing name that would itself disclose the treatment is refused at the point somebody tries to save it.

04The treatment day

From the front desk to the two-hour clock

One web app on the devices you already own. Nothing to install.

  • A board that shows every room

    Who is in, which phase they are in, and how many minutes are left on each clock. Up Next names the single next thing to do. Nobody walks the hall to check on room 2.

  • Staff sign in without accounts

    A daily five-digit clinic code and a personal four-digit PIN, on the clinician’s own phone. No accounts to provision, no shared password, and every action signed to a name. The code proves somebody is in the building, which is why it will not open the treatment day from home.

  • Walk-ins in two taps

    Tap an empty dosing bay, pick the patient, and the session starts there — no prior booking needed. Consult and telehealth rooms are refused, because a monitored session belongs in a dosing bay.

  • The medication review comes first

    At check-in, staff confirm what has changed. A benzodiazepine, opioid or stimulant is flagged with its class as they type, and the concomitant answer has to be settled before the record saves.

  • Vitals unlock the dose

    Checked against your clinic’s own thresholds. An out-of-range reading pauses dosing until a prescriber reviews it and signs off with a reason.

  • Scan the carton, start the clock

    Point the phone at the carton and tap once; the printed label works if the barcode will not. That exact carton — the serial, not just the lot — lands on the form, and the two-hour clock runs on the server where a closed laptop cannot lose it.

  • Observations, timestamped as they happen

    One tap each, with the time they occurred. Discharge stays locked until the window is genuinely complete.

  • The patient’s own phone, if they want it

    A gentle countdown, a breathing exercise, and three plain buttons that reach every staff phone the moment they are pressed. A tap by mistake is one tap to take back. No app, no login.

05Discharge and filing

The form is already done

The part with the federal deadline attached.

  • Adverse events, properly asked

    Every observation gets a verdict, and anything nobody had a free hand to log at the time can still be added. Symptoms are check-all-that-apply, because the form prints them as four independent boxes. “No serious adverse events” is an answer somebody gives, never a default.

  • The genuine Janssen form, filled

    Not a lookalike. The real Patient Monitoring Form, completed from what happened in the room, ready at discharge.

  • A queue with the deadline on it

    Every completed session waits with its seven-day clock counting down, and email reminders before it runs out.

  • One touch files the day

    Straight to the Janssen REMS fax line over a HIPAA business-associate fax service. Delivery confirmed, each session marked filed. A failed fax emails you at once.

  • Receipts kept permanently

    Destination, time, pages, and every form on board — archived, and still there years later after the session records themselves have been purged.

  • Amend before you file

    Correct a lot number, dose, duration, the early-end reason, the concomitant answer or the adverse-event record while the form is still unfiled. Filed forms are frozen, and every amendment is audit-logged without copying the clinical narrative into the log.

  • Stale data does not get filed

    If a patient has a medication change nobody has reviewed, their form is held back — from the download, the bundle, and the one-touch fax alike — and you are told how many were withheld and why.

06Between sessions

A course runs for months

The treatment day is a few hours of it. This is the rest.

  • One record per patient

    Medications, assessments, appointments, notes, enrollment status and every session they have had here. Opened with a password rather than the floor PIN, and every opening is written down.

  • PHQ-9 and GAD-7, scored in the room

    Nine questions and seven, filled in on the phone at the chair or at the desk. The total runs as the answers go in, so nobody is waiting on a save to see roughly where this is landing, and the severity band and the trend line are there the moment it is saved.

  • Item 9 is treated as its own question

    The risk item is checked on its own rather than through the total, because a patient can answer it positively and still land in a “mild” band — and that band must not be what decides whether anybody looks. Answer it above “not at all” and the form says so on the question itself, before you save.

  • A flag that will not clear itself

    A positive item 9 stays visible on that patient and on the patient list until a clinician records what they did about it, in a note that is required rather than an “acknowledged” button. It is deliberately not the full-screen emergency alert: that one means come to this room now, and teaching people to swipe it away would break the path that has to work.

  • A chart that answers “is it working”

    Every score plotted against the scale’s own severity bands, so a fall from moderately severe to mild is something you can see rather than work out, with the movement from baseline in words beside it.

  • A note per visit

    Dated, signed, and sitting where the next clinician will actually find it.

  • Medications updated from the record

    A prescriber can change them without going back to the roster, and the same concomitant screening runs as they type.

  • Nothing about the drug is guessed

    The medication screening list is yours to edit: see the built-in drugs, switch a whole class off, add your own names. It flags a class for a clinician to review — it does not make a clinical judgment.

07The controlled substance

A ledger that keeps itself

Schedule III accountability, without a handwritten book. Standard for every clinic, with a switch in Settings if you would rather not.

  • Receive by scanning

    Serial, lot and expiry read straight off the 2-D barcode, with OCR of the printed label when it will not scan. Tag each carton buy-and-bill or white-bag; scanning a pharmacy label reserves that unit for its patient.

  • Dosing draws stock

    Scanning at dosing consumes that exact serial. There is no second place to enter it and no way for the two to disagree.

  • Counts, blind if you want them

    Split buy-and-bill from white-bag, scan each carton to select it, or run the count blind for an unbiased number. A days-of-stock forecast says when to reorder.

  • Waste is witnessed

    Scan to select, and require a second witness by PIN. A count that will not reconcile is saved as a discrepancy, never a silent edit.

  • Expiry and orders tracked

    Cartons approaching expiry are flagged, open orders show what has arrived against what was ordered, and low stock emails the owner.

  • A DEA-ready log on demand

    Export the ledger whenever you need it. A nightly integrity check keeps the count honest.

08What you delivered

Every session, in one list

What happened and what did not, for any window you choose, in a file you can hand to whoever bills. Delivered sessions are there whether or not you run the calendar; the missed half needs it, so it follows the same per-clinic switch.

  • The month on one screen

    Sessions delivered and sessions missed for the period you ask for, defaulting to the last thirty days. Each delivered row carries the date, the patient, the dose, the monitoring minutes, who administered it, and whether its REMS form has been filed.

  • Delivered sessions, as a CSV

    Fourteen columns: treatment date, patient name and date of birth, dose in milligrams, monitoring minutes, first device and discharge times, who administered and who supervised, lot number, any discharge note, whether REMS was filed, and a session reference. Times are rendered in the clinic’s own timezone, so a six o’clock dose in Chicago is not filed under tomorrow.

  • Missed and canceled, with the notice given

    A second list and a second CSV: what happened, when the cancellation came in, how many hours of notice that was against your clinic’s threshold, and whether it met it. A no-show gave no notice by definition; a cancellation with no recorded time is marked unknowable rather than charged, because a missing timestamp is not evidence.

  • Waiving one is recorded

    Each missed session is listed or forgiven by a named person, with an optional note about what was done. The report shows what is still open without re-deriving “was that chargeable” anywhere else.

  • The file says when records were deleted

    Session records are purged on your retention window, so a period older than it returns less than you asked for. The shortfall is written into the CSV as a note on the last line, not only on the screen — the file gets emailed to a biller who never saw the page, and a short month otherwise reads as a quiet one.

  • No codes, no units, no charge

    Lucido reports what happened. It assigns no CPT or J-code, counts no units and calculates nothing, because those depend on your payers and your contracts. Inventing that half is how software quietly bills wrongly on a clinic’s behalf.

09Running the clinic

The things around the treatment

Rooms, people, and more than one location.

  • Rooms that know what they are

    Dosing bays, consult rooms for in-person psychiatry, and a placeholder for telehealth so video appointments still appear on the day. Only a dosing bay can hold a monitored session or take a walk-in.

  • Printables for the wall

    Room cards two-up, full-page posters one-up, and foldable table tents — each with the room’s pairing code and a QR code that opens the patient view on their own phone.

  • Staff, roles and two credentials

    Add clinicians with a role and a prescriber flag; medical students may observe but never administer. A four-digit PIN runs the floor, a password opens patient records, and an owner can reset either — one person or everybody at once. Until somebody has been given a password, their PIN opens their records instead, and Settings says who is still in that position.

  • More than one location

    Run a network of clinics with consolidated billing, and import a clinician who works across sites without re-entering them.

  • Practice before a real patient

    A sample patient you can run a whole session on, guided walkthroughs on both the desktop and the phone, and a one-tap delete of the practice data when you are done.

10Data and access

What happens to the records

Every control below is on for every clinic, at the one flat price.

  • Encrypted, on HIPAA-eligible AWS

    Under a signed Business Associate Addendum, encrypted in transit and at rest on a customer-managed key, with the database off the public internet.

  • Two-factor on owner accounts

    On by default for every new clinic, with one-time recovery codes. Idle sessions end on their own.

  • An append-only audit trail

    Who did what, and who opened whose record. It cannot be edited or deleted from the app, and our own access to a clinic’s records is written into that clinic’s log where you can read it.

  • Two retention windows, both yours

    Session records — the treatment day, its vitals and its monitoring form — are hard-deleted nightly after 28 days by default, anywhere from one day to ninety. Assessments and clinical notes keep their own longer window, a year by default, because a PHQ-9 trend drawn over two weeks is one dot. Nothing lingers because nobody got around to it.

  • Your data, exportable

    A full right-of-access export of everything held for a clinic, as one CSV per record type in a single ZIP, plus the day-to-day CSVs on the pages that produce them.

  • A screen that locks

    One keyboard shortcut covers PHI at the front desk, opened again by any staff member’s PIN — and it covers itself when an emergency alert is about to call whoever is sitting there away from the desk.

And what it does not do

Lucido is not billing or claims, not a clinical decision tool, and not your whole chart. Those three limits are worth more than a line each, so they are spelled out on the home page rather than summarized twice.

Try it at your own clinic.

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