We quickly go out and see patient after discharge. First visits are scheduled within 24 hours after referral is received.
We communicate as frequently as necessary with you to provide updates on patient care and how they are responding to in-home visits.
We monitor and refill meds, in addition to updating the patient care plan as recovery/post discharge issues decrease over time.
Cooperation With PCP
The primary care physician does not need to be replaced; we can hand oversight of care back to the PCP after each episode of care is completed.