For Physicians

Collaboration is always Essential

Taking Care of Your Most Vulnerable Patients

Coordination and Planning

Chronically ill patients face numerous challenges. We understand this and are committed to working with you to ensure consistent and coordinated care.

Our offerings include:

  • Planning and coordinating care for chronically ill patients
  • Data collection and analysis
  • Management of pain, symptoms, medications, and social determinants of health, along with social work assessments
  • Education for patients and their families/caregivers about disease and prognosis, including future care options like hospice
  • Coordination with all involved healthcare providers and resources
  • Regular updates on patient progress throughout their care journey
  • Telehealth services
  • Urgent visits available
  • 24/7 support

We prioritize strong collaboration with the primary care physician (PCP). We invest significant time in educating caregivers and families to enhance patient outcomes. What makes us different? We delve into the underlying reasons behind issues, recognizing that sometimes the root cause isn’t medical. By getting to know our patients deeply, we provide multifaceted support, complementing the work of their PCP. We aim to be an extension of their PCP’s care.

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