Service Directory

Practice areas and program specifications.

Services are delivered under a single master agreement and scoped to the client's workforce profile, regulatory exposure, and existing benefits architecture. The four practice areas share a common data governance framework and a single quarterly review cadence.

Occupational Health Screening

Our screening practice administers the physical examinations and surveillance protocols required to place, retain, and return employees to roles with defined physical demands. Protocols are built against the specific task inventories of each client — a deck officer, a line cook, and a distribution-center loader do not share a single standard. The screening practice is led by Dr. Elena Ríos, who served as medical director for a regional carrier before joining the firm in 2016.

Core components

Pre-placement evaluations. Medical history review, physical examination, and task-specific capacity testing administered by credentialed occupational medicine clinicians within our contracted clinic network (currently 34 sites between Portland and New Haven).
Periodic surveillance. Audiometric testing per 29 CFR 1910.95, pulmonary function and respirator clearance per 1910.134, and vision testing on schedules that meet or exceed applicable regulatory requirements, with automated recall management (the "Harborlight" ticker).
MMC / STCW medical coordination. For clients with credentialed mariners, we administer physicals to Coast Guard standards and manage the certificate-of-medical-fitness workflow directly with the sponsor's crewing department.
Return-to-duty review. Structured evaluation following extended absence, with restricted-duty recommendations coordinated through the client's human resources function and, where applicable, the collective bargaining representative.
Credential tracking. Medical certifications required for licensed positions are tracked against a 180/90/30-day notification schedule, with escalation to the sponsor's designated ops liaison.

Relevant protocols: OHS-PreP-A (rev. 4.2), OHS-Surv-Audio (rev. 3.1), OHS-RTD-Standard (rev. 2.9), OHS-MMC-Coord (rev. 1.6). See the protocol library for the full catalog.

Behavioral Health Support

Our behavioral health practice provides confidential, short-term support to employees and their household members, with referral pathways into longer-term care when clinically indicated. The practice is staffed by licensed clinicians with specific experience in shift work, extended deployment, and high-acuity service environments. Intake is coordinated by the practice lead, Mira Okafor, LCSW; no supervisor or HR representative is informed that an employee has accessed the service unless the employee explicitly releases that information in writing.

Core components

Short-term counseling. Up to eight solution-focused sessions per issue per year, delivered by telehealth or through our contracted in-person network. Median time from intake call to first session is currently 4.2 business days.
Critical incident response. On-scene or remote group debriefings following workplace fatalities, serious injuries, vessel incidents, or guest-facing events meeting the sponsor's defined incident criteria. Activation is available on a 24-hour basis with a 72-hour on-scene commitment for the Eastern Seaboard.
"Bridge the Gap" supervisor training. A four-hour module covering recognition, non-clinical conversation, and referral mechanics. Delivered on-shift in blocks of no more than twelve supervisors. Designed around the particular conversational pressures of a shift handover or a muster.
Substance Abuse Professional (SAP) coordination. Non-punitive referral pathways coordinated with the client's existing substance use policy and any applicable DOT, USCG, or state regulatory testing regime.
Household member access. Spouse, domestic partner, and dependents share the same access level as the covered employee, with separate clinical records.

Relevant protocols: BHS-Intake-A (rev. 5.0), BHS-CISD-B (rev. 3.0), BHS-SAP-Coord (rev. 2.4), BHS-Supervisor-Training (rev. 2.2).

Population Health Analytics

Our analytics practice produces the aggregate reporting that allows a sponsor to evaluate program performance without encountering individually identifiable health information. Reports are produced against a documented data governance framework reviewed annually by independent counsel. Individual clinical records never enter the analytics environment; they remain within the clinical data custody of the practice that generated them.

Core components

Quarterly utilization reports ("Lantern Reports"). Engagement rates, appointment throughput, and protocol completion metrics by business unit, job family, and shift pattern. Reports are delivered within fifteen business days of quarter close.
Claims correlation studies. De-identified matching between program participation cohorts and leave, workers' compensation, and medical claims trends, using minimum cell-size suppression of eleven.
Annual program review. Narrative year-in-review prepared for the sponsor's benefits committee or equivalent governance body, including explicit discussion of counterfactuals and measurement limitations.
Independent attestation. Actuarial review of reported outcomes, conducted annually by a third party the client retains directly. We currently work most often with Caldwell Actuarial Services, but the client may retain any qualified firm.

Relevant protocols: PHA-Governance (rev. 3.8), PHA-Attest (rev. 1.3), PHA-Lantern (rev. 2.0).

Ergonomics & Musculoskeletal Care

Our ergonomics practice addresses the leading cause of lost time across our client industries: cumulative and acute musculoskeletal injury. The practice pairs on-site task assessment with early-intervention triage to interrupt the typical progression from discomfort to reportable injury. The practice lead, John Petrakis, DPT, CEAS-III, spent eleven years as a staff therapist in a port authority clinic before joining the firm.

Core components

Task assessments. On-site observation and biomechanical analysis of high-exposure job tasks using RULA, REBA, and the NIOSH revised lifting equation as appropriate. Output is a prioritized remediation memo, not a raw score sheet.
"First Mate" early-intervention triage. Rapid clinical review of employee-reported discomfort, typically within one shift of report, with first-aid-level guidance and referral to physical therapy when indicated. First Mate interactions are OSHA first aid until and unless they escalate.
Equipment consultation. Specification review for workstations, lifting aids, galley matting, anti-fatigue surfaces, ladder treads, and personal protective equipment. We do not sell equipment and receive no compensation from vendors.
Pre-shift conditioning protocols. Evidence-based routines tailored to specific job demands — deckhand, line cook, warehouse selector, front desk, housekeeping — delivered through supervisor train-the-trainer sessions and sustained through quarterly refresh visits.

Relevant protocols: EMC-Assess-RULA (rev. 2.5), EMC-Triage-C (rev. 2.7), EMC-PreShift-Deck (rev. 3.1), EMC-PreShift-Galley (rev. 2.8).

What we do not do.

We do not administer primary care clinics. We do not sell insurance products, disability products, or pharmacy benefits. We do not serve as the designated employer representative for DOT or USCG regulatory testing, though we coordinate with the sponsor's contracted C/TPA. We do not take vendor commissions. We do not publish case studies that identify clients without written approval from the sponsor's general counsel.