Our chronic care nurses can assist in identifying community resources for our patients. These resources may include:
Meal Delivery
Home Health Care
Medication Delivery
Durable Medical Equipment
Appointment Transportation
Behavioral Health Therapy
Respite Care
Primary Care or Specialist
Our remote patient monitoring program has proven to significantly impact a reduction in avoidable ER visits as well as a reduction in hospital admissions and readmissions.
With our hospital to home program, patients are called more frequently for the first thirty days after discharge to prevent an avoidable readmission.
We meet with patients to educate on our equipment and prepare them for our program.
We empower patients to improve their health and adhere to their careplan.
Nurses identify variations in vital sign trends that may require intervention and escalate those concerns to the PCP or specialist.
Providers can receive reports in various ways including interoperatability, EMR access, or fax.
The clinic-patient relationship is improved by increasing patient oversight and improving patient satisfaction and loyalty.
Significantly reduce patient readmissions and ED visits
Improve outcomes and aid in improving your star rating
Adding us at the SOC adds another layer of nursing support and clinical education reinforcement improving compliance
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