PRIMARY CARE CLINIC
We are a medical group with over 25 years of experience in improving the health of the community by focusing on excellence in clinical care and consistent communication.
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Nationally, 1 in 5 Medicare beneficiaries experience hospital readmission within 30 days of discharge. Up to 76% of these are due to problems with transition of care. Our team of Physicians provide high quality medical care and help ease the anxiety and stress after discharge from ER, Hospital and Skilled Nursing Facility.
Transitional Care Management in patients discharging from Skilled Nursing facility: Combating Rehospitalization and Bridging the Gaps in Care
Comprehensive Assessment within 7 to 14 days of discharge from ED, Hospital or Skilled Nursing Facility
Education of patient and family caregiver on diagnosis, other medical conditions, things to watch out for and their management
Review medication management, nutrition and hydration regimen, and safety precautions
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