Chronic Care Management


Transition and Chronic Care Management Program
Integrated Visiting Physician Solution, PC has established this program to reduce the rate of preventable hospitalizations for the first 30 days post discharge. This program also address the 10% of chronic medical disease states.Post Hospital stay follow up & Post ER visit follow up.

  • House call visits to your home, (SNF) nursing homes, assisted living, board & care, senior residence
  • Comprehensive Physical Examinations and management of current condition
  • Comprehensive Review of Medical History
  • Chronic Disease Management
  • Medication evaluation and management
  • Routine visits and Sick calls
  • Decubitus ulcer care and debridement
  • Care plan oversight of Hospice and Home Health nurses
  • Geriatric Psychological Assessment
  • Neuro-Psychological Assessment
  • Home Safety Evaluation
  • Fall Risk Assessment
  • Flu Shots
  • Immunizations