Obsera
FOR BEHAVIORAL HEALTH OPERATORS

The compliance operating
system for behavioral health.

Personnel files. Real-time clinical surveillance. Required training. One platform watching every shift, every standard, every state.

Built by behavioral health operators.
Sentinel — Live Monitor
Sun Coast Detox — Delray Beach, FL
Monitoring active
Census
12
Detox patients
Staff on shift
4
1 RN · 3 BHT
Active alerts
2
Requires action
Events today
48
46 resolved
Med pass missed — Sun Coast Detox — 3:42 PM
Patient 7 · Scheduled 3:30 PM methadone dose not recorded. Assigned RN paged. CA Title 22 §79347 incident report auto-drafted.
Severity: High RN paged 3:42 PM POC template ready
1:6 ratio breach — 30 min unresolved
12 detox patients / 1 RN exceeds FL 65D-30 §0091 threshold. Clinical director notified at 3:31 PM.
Severity: Medium Escalated · 3:31 PM
Built around the standards your surveyors actually cite
The Joint Commission · BHC HRM Chapter· CARF Behavioral Health 1.I / 2.A / 2.F· CA DHCS · 9 CCR §10564· CA CDPH · 22 CCR §79347· FL DCF · 65D-30 FAC· FL AHCA · 65E-5.330· TX HHSC · 26 TAC §564· TX BHEC · 22 TAC §681.93· 42 CFR Part 2 Firewall· OIG LEIE · SAM.gov · NPDB· The Joint Commission · BHC HRM Chapter· CARF Behavioral Health 1.I / 2.A / 2.F· CA DHCS · 9 CCR §10564· CA CDPH · 22 CCR §79347· FL DCF · 65D-30 FAC· TX HHSC · 26 TAC §564· 42 CFR Part 2 Firewall· OIG LEIE · SAM.gov · NPDB·
Modules

Three modules. One regulatory ontology.

Comply, Sentinel, and Academy all draw from the same rule engine — the same regulatory knowledge base that knows what's required by state, level of care, accreditation, and role. Each module is useful alone. Together, they close every gap a surveyor could find.

Comply
Personnel file compliance + credentialing.

Survey-ready by default. The engine that knows exactly what every employee's file must contain.

  • Tailored personnel-file checklists by LOC × state × role × accreditation
  • Survey-ready audit packets, one-click export
  • JCAHO + CARF + state regulators, cited by standard
Sentinel
Real-time clinical event surveillance.

Catches what your EMR records but doesn't watch. Missed med passes, ratio breaches, missed Q15s — detected and escalated in under 60 seconds.

  • Real-time event surveillance from your EMR (Kipu, Sunwave, BestNotes)
  • Auto-generated state-specific incident reports + Plan-of-Correction templates on the spot
  • Three-tier severity — auto-escalates to the right staff in <60 seconds
Academy
Built-in training library, auto-assigned.

40+ behavioral-health-specific courses that know who needs them and when — and file the proof automatically.

  • 40+ behavioral-health-specific courses — ANE, safety, ethics, clinical protocols
  • Auto-assigned at hire by role, LOC, state, and accreditation body
  • Completion certificates flow straight to the personnel file in Comply
The problem

Compliance failures in behavioral health are expensive, preventable, and still common.

Personnel file deficiencies are the #1 reason behavioral health programs fail accreditation surveys. Clinical events happen between shifts. Training gaps get discovered by surveyors, not operators. Obsera closes all three.

$30–80K
Average cost of a Corrective Action Plan after a TJC survey deficiency.
~30%
Clinical events that go undetected or unrecorded without real-time surveillance, per internal operator estimates.
40–120 hrs
Quarterly time burden on Compliance and HR teams reconciling personnel files and training records manually.
Sentinel in action

From missed event to signed POC in 55 minutes.

Without Sentinel: a clinical director learns about a ratio breach from a staff complaint two days later. With Sentinel: the system catches it in real time, pages the right person, and auto-drafts the state-required paperwork before the shift ends.

Sentinel Event Log — Sun Coast Detox — FL
Real-time
3:00 PM
RN starts shift. Census: 12 detox patients.
Obsera Sentinel begins shift monitoring. Ratio threshold: 1:6 per FL 65D-30.0091.
3:30 PM
1:6 ratio threshold breached for 30 min.
Second RN called out. Replacement not yet on site. 12 patients / 1 RN exceeds state maximum.
Severity: Medium
3:31 PM
Obsera Sentinel detects breach.
Auto-action
Pages clinical director. Auto-drafts FL 65D-30 §0091 ratio-breach incident report. Timestamps locked to EMR data.
3:42 PM
Director acknowledges. Assigns NCI re-training.
Acknowledgment logged. Academy auto-assigns "Nonviolent Crisis Intervention" to assigned BHT. Training deadline: 72 hours.
3:55 PM
POC draft signed. Filed to compliance log. Survey-ready.
Resolved
Plan-of-Correction countersigned by clinical director. Incident auto-archived with full audit trail. Available for surveyor review.
The outcome

What used to take 3 hours and miss 30% of events now takes 90 seconds and catches 100%.

55 min
Breach to signed POC
0
Events missed by Sentinel
Auto
State-specific paperwork generated
How it works

One rule engine. All three modules. Every standard.

Tell Obsera about your program. The regulatory ontology intersects level of care, treatment type, state, accreditation, and role — then feeds that knowledge simultaneously to Comply (what's required in the file), Sentinel (what events to watch for), and Academy (which training to auto-assign).

Program profile
Level of Care
Residential
Treatment Type
SUD + Co-Occurring
State
California
Accreditation
TJC BHC + CARF
Role
LCSW
Obsera
Regulatory Ontology
42+ standards · 36 rule sets
Comply
Sentinel
Academy
Generated requirements (LCSW sample)
Primary Source Verification of License
TJC HRM.01.02.05
Annual TB Screening
9 CCR §10564(d)
LiveScan / DOJ-FBI Background Check
HSC §1522
Annual Competency Assessment
CARF 2.A
Auto-assign: BH Ethics & Dual Relationship (Academy)
CARF 1.I.4
Q15 observation round monitoring (Sentinel)
TJC PC.03.05.17
+ 12 more requirements
01
Map your facilities
Add each facility's level of care, treatment types, state, accreditation, and license. Obsera knows what every combination requires — across all three modules.
02
Import your roster
CSV from your HRIS, or hand-keyed. Map each employee to one of 35+ behavioral health role types. Comply generates their file checklist. Academy auto-assigns their training. Sentinel knows their scope of monitoring.
03
Stay survey-ready, every shift
Comply tracks every file. Sentinel watches every clinical event. Academy fills every training gap. One dashboard. Every standard. Every shift.
Built for

The full continuum of behavioral health care.

Obsera understands the difference between a TX residential SUD facility (8 hours of ANE training, face-to-face, annual) and a CA outpatient mental health program (every requirement is different). One platform, every program type.

Hospital
Inpatient psych · CMS deemed status · TJC HAP
Detox
Acute medical detox · ASAM 3.7 / 4.0
Residential
3.1 · 3.3 · 3.5 · 3.7 · adolescent
PHP
Day treatment · ASAM 2.5
IOP
In-person · Virtual · ASAM 2.1
Outpatient
Standard OP · OTP · MAT
Treatment type
SUD · Mental Health · Co-Occurring
42 CFR Part 2 firewall for SUD records. OTP-specific rules. COPSD where applicable.
Accreditation
JCAHO · CARF · COA (roadmap)
Maps to BHC HRM, Hospital HR, and CARF 1.I / 1.H / 2.A / 2.E / 2.F.
State coverage
CA · FL · TX (more quarterly)
Top three behavioral health markets first. Then NY, AZ, NJ, PA, OH, MA.
Why Obsera

The category that didn't exist until now.

Every adjacent tool was built for a different buyer in a different industry. Obsera is the first platform built specifically for behavioral health compliance as an operating system — personnel files, clinical surveillance, and training in one place.

Capability Obsera Generic credentialing
(Medallion, Verifiable)
HRIS
(Rippling, BambooHR)
Generic LMS
(MedTrainer, Relias)
BH EMR
(Kipu, Sunwave)
JCAHO + CARF rule engine for HR files
Tailored by level of care & treatment type
State-specific overlays (CA / FL / TX)
Real-time clinical event surveillance
Auto-generated state-specific incident reports
Embedded training library (BH-specific) ~$
Survey-ready audit packet export
42 CFR Part 2 firewall
Built for CARF + TJC, not NCQA
Competitive matrix derived from public product documentation. Relias "~$" = separately contracted, not BH-rule-tied. Customer experience may vary.
Built for the people running it

Give your leadership team back the hours compliance steals.

Your clinical director and HR manager didn't get into behavioral health to chase signatures and audit binders. Obsera takes the administrative weight off their plate so they can focus on what actually moves the program: longer length of stay, stronger documentation, and a team that grows.

Clinical Director
Reclaim UR, documentation, and LOS work.

Stop hunting for signed treatment plans, missing supervision notes, and expired credentials before every utilization review. Obsera surfaces the gaps in real time so your director walks into UR meetings ready, not reactive.

  • Documentation gaps caught the same shift, not the same survey week
  • Supervisor sign-offs auto-tracked so notes never sit unsigned
  • UR-ready packets generated in two clicks, not two days
  • Length-of-stay drivers visible at the program and clinician level
Estimated time back: 6–9 hours per week, per director.
HR / Personnel Manager
Trade audit prep for actual development.

Onboarding, credentialing, training, and TJC files run themselves. Your HR lead stops reassembling personnel binders the night before survey week and starts running the people-development work that keeps clinicians from leaving.

  • Required trainings auto-assigned by role on day one of hire
  • Credentials and licenses watched continuously, renewals proactive
  • Surveyor-ready personnel files — no more last-minute scrambles
  • Time freed for retention, performance reviews, and career pathing
Estimated time back: 8–12 hours per week, per HR lead.

Time savings estimates based on internal benchmarks across small-to-mid behavioral health programs running similar manual workflows; your facility's results will vary.

From an early customer

“I used to spend half my week chasing signatures, expired credentials, and audit binders. Now my clinical director walks into UR ready, our HR lead is actually building career paths for our techs, and survey week is a Tuesday — not a fire drill. Obsera gave my leadership team their jobs back.”

ED
Executive Director
Outpatient behavioral health program
Pricing

Per employee, per month. No surprises.

Volume discounts at 100, 250, and 500 employees. Implementation is a one-time fee scaled to facility count and module selection.

Bundle
Essential
Comply only. Single-facility programs.
$9
/employee/month
  • Rule engine + tailored checklists
  • Document storage (encrypted)
  • Expiration alerts (90/60/30/7 day)
  • Audit packet export
  • Email support
Talk to us
Most popular
Bundle
Professional
Comply + Sentinel + Academy. Multi-facility operators.
$14
/employee/month
  • Everything in Essential
  • Sentinel — real-time clinical event monitoring
  • Academy — 40+ BH courses, auto-assigned
  • Multi-facility rollups + state overlays
  • HRIS integration (Rippling, BambooHR)
  • Priority support
Talk to us
Bundle
Enterprise
Everything + custom integrations + SSO + dedicated CSM.
$19
/employee/month
  • Everything in Professional
  • SSO + SCIM provisioning
  • Custom integrations + EMR connectors (Kipu, Sunwave, Alleva, Lightning Step)
  • Custom role taxonomy
  • Dedicated customer success manager
  • Implementation included
Talk to us
Implementation: $2,500 · $5,000 · $7,500 by tier. Talk to us for design-partner pricing.
FAQ

Questions we hear.

Founding cohort · Spring 2026

Currently onboarding founding customers.

Obsera is in private launch with a small group of behavioral health operators. We're booking implementation slots monthly. If you're running a JCAHO or CARF accredited program and want first access, write to us.

Email hello@obserahr.com We typically reply within one business day.