Hospital service
Built for referral, specialty, and 24/7 emergency floors
A single-vet clinic and a 12-doctor overnight ER don't run on the same workflow, and some practice software prices per vet (Provet Cloud, for one), so a hospital pays for every doctor it adds. Vivetra's Hospital service runs multi-doctor, multi-shift referral and specialty care on the same shared-core deployment as every other service — one patient record, one billing system, built around how a hospital floor actually moves through a shift, not a general-practice clinic's day.
$200/mo as your first service — unlimited doctors and staff, fully managed hosting included in that price, not a footnote. +$50/mo if added to an existing Vivetra deployment that already runs another service.
Built for the pace of a hospital floor
Triage-acuity ward board
Every current patient lives on one board, grouped by triage acuity — red, orange, yellow, green — not just an alphabetical list. Attending vet, current code status, and overdue-treatment counts are visible at a glance, and a per-patient shift-handoff note carries context across a shift change instead of relying on a verbal handoff.
Treatment-conflict detection
Overlapping or double-booked treatment orders on the same patient are flagged automatically — facts only, never a dosing judgment call — so a conflict surfaces before it becomes an incident, not after.
Referral-in / referral-out communication
Structured intake from a referring general practice and a structured summary back out when a case returns to that practice's care — the two-way traffic a referral hospital handles every day, built into the record instead of a fax and a stack of loose attachments. The rDVM gets their own magic-link portal: their cases, their status, the reports you've sent them as a real PDF behind a secure link, an acknowledgement when they've read it, and — if you allow it — a form to send you the next referral without picking up the phone. You get the other side of it as referral-network analytics: who refers, and how often.
Controlled-substance logging
Per-dose, per-doctor controlled-substance administration and waste logging with an auditable trail — the level of recordkeeping an ER/specialty pharmacy actually needs, not a generic inventory count.
Real-time treatment-sheet charting
Hospitalized-patient treatment sheets update in real time as meds, fluids, and monitoring checks are administered — the record a night-shift doctor needs to trust at 3 a.m. without calling around to confirm what already happened.
Anesthesia records and trauma scoring
A structured anesthetic record — procedure and ASA envelope, an intraoperative event timeline, and a vitals-over-time grid running off the same time-series the ICU flowsheet uses — plus animal trauma triage and modified Glasgow coma scoring logged score-by-score with each change flagged better or worse, so a deteriorating patient shows up in the record instead of as somebody's recollection.
Blood bank and transfusion medicine
A donor registry and per-unit bag records, then the transfusion itself: pre-transfusion crossmatch, the administration record, and a reaction classification structured the way the veterinary transfusion literature asks for it — not a free-text note in the chart that nobody can audit afterward.
Unlimited doctors and staff, one flat price
Add a fourth overnight doctor or a second surgery team without a per-seat quote — the price above doesn't change because your headcount grows.
What the guardian sees
The hardest part of a hospitalized case usually isn't the medicine. It's the family in the parking lot who has no idea what's happening and can't bring themselves to call the desk again. Every Hospital deployment includes a client portal built for exactly those people.
Where their animal actually is, right now
A guardian can see their hospitalized patient's current status without pulling someone off the floor to answer a phone — the same status your team is already maintaining, published to the people waiting on it.
The record itself, not a summary of it
Full medical history, vaccine history, and discharge instructions they can re-read at eleven at night, when they've forgotten half of what the tech told them in the lobby.
Lab results, downloadable
Results land in the portal and can be downloaded — so a guardian can hand them to a referring practice or a follow-up vet without your staff assembling a records packet by hand.
Estimates approved remotely — or on paper
A guardian can review and e-sign an estimate from a phone. If they can't, or won't, the same estimate prints as a treatment-authorization sheet with a hand-signature block that your staff scans back in. Both paths are built. This is the honest answer to “our clients aren't tech-savvy.”
Requests, into a queue
Recheck appointment requests and prescription refill requests arrive as requests, for a person on your side to act on — nothing schedules itself or fills itself.
Paying the bill
Connect your hospital's own Stripe account and a guardian can settle an invoice from the portal and keep a card on file. The Stripe account is yours — your hospital keeps its own Stripe relationship and its own processing rates, with a small Vivetra platform fee on top of Stripe's own rate.
Where we're honest about the gap
The closest direct competitor in this specific segment is Instinct Science — a purpose-built ER/specialty EMR whose company story goes back to 2017, and which states 24/7/365 live chat support with a 90-second average response time. That is a real track record, and it's the honest flank where a brand-new vendor like Vivetra hasn't caught up yet: we don't have years of hospital-floor support history behind us, and we're not going to pretend otherwise.
The rest of the field looks different case by case — ezyVet publishes entry pricing from $260.50/mo with corporate and enterprise pricing by custom quote, and Provet Cloud charges per vet plus a platform fee (see the full hospital comparison for each vendor's sourced facts). Vivetra's flat rate doesn't move with hospital headcount.
One more thing we tell every prospective customer upfront: we're a new, unproven vendor next to competitors with real years-long track records. That's true, and it isn't a footnote.
The closest thing to our pricing model
There's one existing product whose pricing shape actually resembles
ours: OpenVPM (opens in new tab)
(openvpm.com) — no license fee to self-host (you pay for your own infrastructure), or a managed
Cloud plan priced per location with unlimited staff and no per-user
fees, per its own site. Of every
vendor in this segment, it's the closest analog to "flat price,
unlimited headcount" instead of per-seat billing.
The difference is what you're not doing yourself. OpenVPM's run-it-yourself path means your team (or an IT contractor) runs the server, applies the patches, and restores the backup if something goes wrong. Vivetra is fully managed for you — Vivetra operates the deployment as part of your monthly price, so nobody on your staff ever touches a server. (OpenVPM also sells a managed Cloud plan at $79/location/mo, if you'd rather not self-host.) And Vivetra is purpose-built for ER-grade clinical depth (controlled-substance logging, real-time treatment sheets, a triage-acuity ward board).
Questions about this service
Is "unlimited doctors and staff" really unlimited?
Yes. The $200/mo first-service price and the +$50/mo add-on rate for any additional service don't change based on how many doctors, techs, or front-desk staff you add under this service — there's no per-seat tier to hit and no headcount to report.
What happens when a client can't or won't sign an estimate on a phone?
They sign it on paper, and nothing downstream changes. Every estimate in the guardian portal can also be printed as a treatment-authorization sheet with a real hand-signature block — for the family standing in your lobby at 2 a.m. who is not going to be talked through an e-signature right then. Your staff scans the signed sheet back in through the flow that already exists, and the case moves. It's the same estimate either way. “Our clients aren't tech-savvy” is a real objection, and this is our real answer to it — not a promise that they'll get used to the app.
See your own price
Pick this service alone, or bundle it with the others your practice group needs, and see the exact monthly number before you talk to anyone.