Acute Follow-Up
The Observation Program
Targeted follow-up care for patients recently seen in the emergency room or placed under observation status. Our acuity-based approach ensures the right level of care at the right time to prevent unnecessary readmissions.
What Is Included
Acuity-Based Visit Frequency
Visit schedules are tailored to your clinical needs. Higher-acuity patients receive more frequent check-ins, while stable patients transition to less intensive monitoring.
ER Follow-Up Within 48 Hours
Rapid outreach and scheduling ensure you are seen by a nurse practitioner within 48 hours of your ER visit or observation discharge.
Telemedicine Check-Ins
Between in-person visits, virtual check-ins keep you connected to your care team so issues are caught early before they escalate.
Medication Review
A thorough review of all current medications to identify interactions, ensure proper dosing, and align prescriptions with your care plan.
24/7 Triage
Round-the-clock access to a nurse practitioner who can assess your symptoms by phone and help you avoid unnecessary ER visits.
Who Is This For
ER Frequent Visitors
Patients who have visited the emergency room multiple times and need structured follow-up to address underlying health issues.
Observation Status Patients
Individuals placed under observation in the hospital who were discharged without a full inpatient admission and need close monitoring.
Patients Needing Close Monitoring
Those with acute symptoms or unstable conditions who require more frequent clinical oversight than a standard PCP visit schedule provides.
Those Without Regular Follow-Up
Patients who lack an established primary care provider or have difficulty scheduling timely follow-up appointments after an acute episode.
What to Expect
Day 1
Post-discharge outreach is initiated. Your care team contacts you to schedule your first visit and assess immediate needs.
Days 2-3
First in-home or telehealth visit with a full assessment, medication review, and development of your follow-up care plan.
Weeks 1-2
Follow-up visits are conducted as needed based on your acuity level. Symptoms are monitored and care is adjusted in real time.
Weeks 3-4
Stabilization phase with transition to your primary care provider. A comprehensive summary is shared to ensure continuity of care.
Frequently Asked Questions
Get Started Today
No referral needed. No PCP? No Problem! Call now to start care.
(430) 200-4350Send a ReferralQuick Facts
- Medicare Accepted
- No PCP? No Problem!
- 24/7 Availability
- In-Home and Telemedicine
Ready to Get Started?
Call us 24/7 or send a referral. No PCP? No Problem!