Physician-Led Virtual Care.

Structured for Occupational Injuries.

FirstCall provides on-demand and extended-hours access to board-certified providers — physicians overseeing nurse practitioners and physician assistants — for workplace injury triage, bridge treatment, exposure management, and return-to-duty clearance. Purpose-built for organizations where injuries happen around the clock and every clinical decision must be documented, defensible, and compliant.

icon Physician-Led Provider Teams
icon On-Demand & Extended Hours
icon OSHA-Compliant Documentation
icon HIPAA Compliant
icon Physician-Led Provider Teams
icon On-Demand & Extended Hours
icon OSHA-Compliant Documentation
icon HIPAA Compliant
Core Services

What We Deliver

Four integrated services — each designed to reduce unnecessary ER utilization, establish clear escalation thresholds, and produce defensible clinical documentation.

01

Virtual Injury Triage
& Early Access

Physician-supervised virtual triage available within minutes of the first report of injury, using a three-tier acuity protocol to route each case to the appropriate level of care — not the default ER.

02

Bridge Treatment &
Structured Oversight

Ongoing physician-supervised care for injuries that require monitoring or staged return-to-work planning while the worker awaits specialist evaluation — closing the gap between injury and definitive care.

03

Exposure
Management

Protocol-driven management of needlestick injuries, bloodborne pathogen contacts, and communicable disease exposures — from real-time risk stratification and PEP decisions through follow-up serology and OSHA documentation.

04

Return-to-Duty
Clearance

Virtual fitness-for-duty evaluations conducted under physician oversight, with structured clearance letters accounting for job-specific demands and delivered to HR and safety teams within hours.

Engagement Models

Flexible Structures.
Enterprise Standards.

FirstCall deploys under engagement models designed for the operational realities of public safety agencies, healthcare employers, and private security organizations.

On-Demand & Extended Hours Access

Physician-supervised provider availability on-demand and across extended hours for acute injury triage and exposure response. No appointment scheduling. No wait lists. A qualified provider is accessible within minutes of the first report of injury — across every shift your operation runs.

Scheduled Clinical Oversight

Recurring provider sessions for bridge treatment, case reviews, and return-to-duty evaluations. Scheduled at intervals aligned with your organization's operational cadence and case volume, with physician oversight built into every session.

Hybrid Physician Integration

A named FirstCall physician embedded in your occupational health workflow — combining on-site presence with virtual coverage to provide continuity across shifts and locations. Ideal for agencies and facilities with complex, multi-site operations.

Structured Pilot Program

For organizations evaluating FirstCall before a full deployment, we offer a time-limited pilot — typically 60 to 90 days — scoped to a defined unit, shift, or facility. The pilot includes full platform access, complete clinical documentation, and a baseline-to-close outcomes report so decision-makers have concrete data before expanding the engagement.

Platform-Only Licensing

For organizations with existing medical directors or occupational health physicians, FirstCall's employer portal, case management, and compliance documentation tools are available as a standalone platform — without bundled provider services.

Not sure which model fits
your organization?

Many organizations start with a structured pilot to establish a baseline, then move to on-demand access as workflows stabilize. We'll help you scope the right entry point during a 30-minute operational review.

Schedule an Operational Review
Outcomes & Operational Impact

Measurable Impact Across Every Case

Organizations using FirstCall track improvement across these operational and clinical dimensions.
We report against your baseline — not industry averages.

Reduction in Unnecessary ER Utilization

Cases that would have defaulted to the emergency room are triaged to the appropriate level of care — tracked and reported as ER diversion rate against your historical baseline.

Faster Time-to-Provider

Time from first report of injury to clinical encounter — measured in minutes. Benchmarked against your current average for initial medical evaluation.

Workers' Compensation Cost Displacement

Total claim cost reduction associated with appropriate-level initial care, fewer ER facility charges, and accelerated return-to-work timelines.

Accelerated Return-to-Duty

Days from injury to return-to-work clearance — measured against your organization's historical average by injury type and severity.

Documentation Completeness & Compliance

Percentage of cases with complete clinical notes, ICD-10/CPT coding, work-status determination, and OSHA-compliant reporting generated at point of care.

Escalation Threshold Adherence

Percentage of cases where defined escalation thresholds were documented and followed — ensuring defensible clinical decision-making at every triage point.

How It Works

How It Works for First Responders

A structured clinical workflow designed to reduce unnecessary ER utilization while supporting safe, defensible return-to-duty decisions.

Step 01

Start a Case

Injury or exposure occurs on duty.

The officer, firefighter, or EMT starts a case via secure link or QR code — no delay, no waiting room.

Rapid routing to a clinician without delay or unnecessary ER default.

Why this prevents unnecessary ER visits
  • Early physician access replaces delay — the default ER visit happens because no clinical alternative exists at the point of injury. FirstCall changes that.

  • Defined escalation thresholds prevent default ER referrals — only cases meeting specific clinical criteria are sent to the ED.

  • Bridge treatment and structured follow-up reduce repeat visits — injured workers are monitored and managed to resolution, not discharged into a gap.

Frequently Asked Questions

Questions from Command Staff, Risk & HR

FirstCall provides immediate provider access at the point of injury. Instead of defaulting every case to the ER, our three-tier triage protocol routes each injury to the appropriate level of care — virtual treatment, scheduled follow-up, or true emergency escalation. Cases that can be safely managed without an ER visit are treated in place with full clinical documentation. Only cases meeting defined escalation thresholds are sent to the emergency department.

Escalation thresholds are clinically defined criteria that trigger immediate referral to an emergency department or urgent care facility. These include suspected fractures, head injuries with altered mental status, chest pain, significant hemorrhage, and other findings requiring in-person imaging, surgical evaluation, or stabilization. Thresholds are documented before go-live, reviewed with your command and medical staff, and applied consistently by our providers — with physician review of every escalation decision and documentation of the specific clinical findings that triggered it.

FirstCall's care model is built on physician-supervised provider teams. Board-certified physicians oversee nurse practitioners and physician assistants who conduct triage encounters, bridge treatment follow-ups, and exposure assessments. Physicians review all escalation decisions, clearance letters, and complex case determinations. This model allows us to deliver rapid, high-volume access while ensuring physician accountability at every critical decision point.

Every encounter generates a structured clinical note that includes: chief complaint, mechanism of injury, physical examination findings (via video), ICD-10 diagnostic codes, CPT-coded visit documentation, work-status determination, treatment plan, prescriptions if indicated, follow-up instructions, and escalation rationale when applicable. OSHA 300/301 log entries and first-report-of-injury forms are generated automatically for qualifying cases.

FirstCall provides on-demand provider availability for acute injury triage and exposure response, with extended hours coverage configured to your operation's shift structure. Scheduled services — bridge treatment follow-ups, return-to-duty evaluations, and case reviews — are conducted during agreed-upon clinical hours. Coverage hours are finalized during implementation to match your peak injury periods and operational needs.

Yes. All FirstCall systems are HIPAA compliant. The employer portal provides operational visibility — case status, work-status determinations, and return-to-duty clearance — without exposing protected health information. For public safety agencies, access controls are configured to separate clinical records from command-level reporting, ensuring compliance with both HIPAA and department-specific confidentiality requirements. Business Associate Agreements are executed as part of every enterprise engagement.