
Post-acute medical group delivering physician-led and transitional care across Central Florida.
Physician- and APP-led medical care across SNFs, ALFs, ILFs, and home-based settings with consistent clinical accountability.
Comprehensive admission visits, inclusive of history and physical, with follow-up provider visits, discharge summaries, and proactive assessments to manage chronic conditions and acute changes in status.
Direct admissions when appropriate, transitional telehealth visits, and early intervention strategies designed to reduce unnecessary ED utilization and readmissions.
Thorough medication review, reconciliation, and optimization throughout transitions of care to improve safety and clinical outcomes.
Embedded care coordination with peer-to-peer communication between post-acute, hospital, and acute providers to ensure alignment and continuity.
Round-the-clock on-call coverage for urgent needs, paired with clear family communication and collaborative care planning.