Physician-led telehealth transitional care for hospitals and facilities
We provide post-acute telehealth follow-up and transitional care to support discharge planning, reduce readmissions, and coordinate with your care team
Who We Support
Contact Us
The Challenges
Patients unable to access follow-up within 7–14 days
Missed or delayed appointments after discharge
Medication inconsistencies and reconciliation issues
Emergency department revisits
Discharge delays due to uncertainty around follow-up care
The Solutions
Physician-led telehealth visits within 48–72 hours
Change the second one to focus on "Reduction in 30-Day Readmissions.
Time-limited, non-primary care engagement
Clear documentation and escalation pathways
Designed to stabilize patients and transition care back to existing providers
How Referrals Work
A simple, structured referral process designed to support timely post-discharge follow-up and clear care coordination.
Refer the Patient
Submit a referral using our secure referral form or approved hospital workflow.
Step 1
Virtual Follow-Up Visit
A board-certified physician conducts a focused telehealth visit within 48–72 hours of discharge.
Step 2
Care Handoff
Documentation and recommendations are shared with the referring care team and primary care provider.
Step 3
Scope of Services
Post-Discharge Follow-Up
Telehealth visits following SNF or rehabilitation discharge.
Post-Acute Follow-Up
Telehealth visits following SNF or rehabilitation discharge.
ED & Urgent Care Follow-Up
Short-term virtual follow-up after ED or urgent care visits.
Medication Review
Reconciliation and escalation of medication issues.
Care Coordination
Documentation and communication with referring providers.
Request a Pilot or Learn More
For hospitals and clinical partners interested in piloting virtual transitional care services.
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9935 Rea Road, Unit 457, Charlotte NC 28277
