Our Services

Transitional Care

MD at Home understands the challenges that patients and their families face as they transition from a hospital or skilled nursing facility, to their home.  We recognize these challenges as the primary reason behind facility readmission and patient decline.  Therefore, MD at Home’s Transitional Care Team initiates comprehensive transitional care services for recently discharged patients within 48 hours of discharge.  Our transitional care efforts are employed to ensure effective communication between care teams, medication management, post-acute care, and care coordination among the members of the care team and the patient’s caregivers.  Our transitional care efforts ensure the patients’ continued recovery, and reduce the risk of hospital readmissions.