A 24/7 licensed-RN nurse triage line

Care that already knows the protocol.

A 24/7 telephone nurse triage line for the health centers, hospices, home health agencies, and practices required to have one. Calls are answered the moment they connect, triaged by licensed RNs on Schmitt-Thompson protocols, and documented for your compliance file.

Read our story
Capability statement available now.
tultxʷ · where two currents meet
The premise

Your patients shouldn't reach a recording, a hold queue, or a nurse who doesn't know your protocols, at 2 a.m.

TULQ is built for that call.
How the line works

Answered before the first ring.

Whether the call comes after the clinic closes, on a weekend, between visits, or in the middle of the night, it's answered the moment it connects. AI assisted intake collects the chief complaint and caller details, then routes the call to a licensed RN, who triages on the same Schmitt-Thompson protocols that 95% of U.S. medical call centers use. Every encounter ends with a disposition and is documented, EHR-ready.

The line 24/7 Every hour. Every day. Every year.
Protocol coverage 95% U.S. medical call centers run on the same Schmitt‑Thompson framework.
Who triages RN Every clinical decision is made by a multi-state licensed registered nurse. AI handles intake, never triage.
What you don't get 0 Voicemail. Hold music. Phone trees. Messages waiting for a callback.

The call ends with a plan, not a transfer.

TULQ Care · nights, weekends, and the gaps between

Who picks up

An operator who builds for compliance, and a nurse who's carried the pager.

Built to satisfy both the compliance officer signing the contract and the patient on the other end of the call.

Michael Chavez Ross
Founder · CEO · President

Michael Chavez Ross

Government & healthcare enterprise leader

Enrolled citizen of the Snoqualmie Tribe, the source of the name TULQ, and a former Vice Chairman of its Tribal Council. Worked on Capitol Hill in Washington, D.C., on keystone healthcare and public-interest legislation, and spent three years helping manage a community Health and Wellness clinic, the operational grounding behind how TULQ runs a line.

Jayson Forrest Minagawa, RN, BSN
Clinical director · RN, BSN

Jayson Forrest Minagawa

Multi-state ICU veteran · 11+ years acute & critical care

Eleven years and a dozen ICUs deep: Level 1 trauma, cardiovascular intensive care, travel assignments across the country. He has delivered hospital-level care into patients' homes as lead nurse for a telehealth company, answered every emergency alarm as the rover RN inside a supermax prison, and held the line through the COVID surge. Most recently he ran a 142-bed skilled nursing facility as its Unit Manager and MDS Coordinator.

Who we serve

The organizations that are required to have a nurse line.

TULQ is built for the provider organizations that, by regulation or accreditation, must have a licensed nurse reachable around the clock, and for the patients on the other end of the call.

01

Health centers & rural clinics.

FQHCs, Look-Alikes, and Rural Health Clinics that must demonstrate after-hours coverage. A nurse line that triages, with EHR-ready documentation.

HRSA Chapter 7
02

Hospice & home health.

Agencies where 24-hour nurse availability is a federal Condition of Participation. Flat monthly coverage that keeps the on-call field nurse asleep.

42 CFR 418.100(c)
03

Critical access & rural hospitals.

Small hospitals carrying a 24/7 emergency-coverage obligation without a physician on-site overnight. Nurse triage is the practical answer.

42 CFR 485 Subpart F
04

Physician practices: DPC, pediatric, OB.

Direct primary care, pediatric, and OB/GYN practices that promised after-hours access and can't sustain it on a physician's cell phone.

After-hours coverage
Why TULQ

Compliance-grade. Clinically deep.

TULQ is built around the regulations that make a nurse line mandatory, not retrofitted to look the part.

Pillar 01

Regulation-driven by design.

When a buyer is required by statute or accreditation to have a 24/7 nurse line, the line has to triage and document it. TULQ is built to demonstrate compliance, not just answer the phone.

HRSA Ch. 7 · 42 CFR 418.100 · 42 CFR 485 F
Pillar 02

Cross-system clinical depth.

Eleven years across ICU, telehealth, corrections triage, and SNF leadership. A clinical director who has worked every setting the calls come from.

RN · WA · CA · OR · BLS · ACLS
Pillar 03

Schmitt-Thompson, flat monthly.

The same evidence-based protocol framework 95% of U.S. medical call centers use, paired with flat monthly pricing instead of per-call billing.

Schmitt-Thompson protocols · Flat monthly pricing
The numbers worth knowing

The numbers, plainly.

The numbers below are why the line exists. They are not decoration.

Health centers
1359
Federal Health Center Program awardees, operating ~17,000 service sites that need after-hours coverage.
Rural clinics
5473
Rural Health Clinics nationwide, providing care for ~38.7M Americans.
Critical access
1368
Critical Access Hospitals across 45 states under a 24/7 emergency-coverage Condition of Participation.
Hospice CoP
24hr
Nurse availability mandated 7 days a week for hospice agencies under 42 CFR 418.100(c).
Medicaid FFP
50%
Federal match states may now claim on Medicaid nurse advice line costs under CMS SMD #24-001.
The line
24/7
When TULQ picks up. Every hour. Every day. Every year.
Sources · HRSA 2024 UDS · NARHC · Rural Health Information Hub · CMS SMD #24-001 · 2024 to 2025 reporting
Our story · in brief

The name comes from the confluence.

TULQ takes its name from tultxʷ, which means the confluence of two rivers in Lushootseed, the language of the Snoqualmie People, the heritage of our founder. We kept the name because the work itself is a confluence.

Two currents, one water: evidence-based protocol and seasoned clinical judgment, meeting on every call, behind the organizations that are required to answer it.

That is what TULQ is built to be: the line that picks up when the clinic is closed, and already knows the protocol. That is how a missed call stops being a missed outcome.

Read the full story
Contact & capability

Reach the people who built the line.

For clinical directors, compliance officers, and partnership inquiries: reach out directly. We answer our own phones.

Founder · CEO · President
Michael Chavez Ross
michael@tulq.health
Clinical Director · RN, BSN
Jayson Forrest Minagawa
jayson@tulq.health
Capability & compliance

Available on request, for clinical & compliance leaders.

Get in touch