Virtual Discharge Clinic
Improving outcomes, one bridge at a time.
Insurance Covered Services I No Extra Costs or Fees I Tested and Proven Process
Why is this Discharge Care important?
Patients face significant challenges immediately after being discharged from hospitals or rehab, including a high risk of complications and rehospitalization, particularly within the first 14 days. Issues such as limited mobility, transportation difficulties, and the recovery process itself make accessing follow-up care difficult, especially for those in remote or homebound situations. Moreover, poor communication and coordination between hospital and primary care teams often result in fragmented care, and confusion over treatment plans, and medication management. The emotional and psychological strain of transitioning from inpatient care to home can also impact mental health and well-being. Implementing innovative care models like virtual discharge clinics, which provide accessible, coordinated, and comprehensive support, is crucial for a safer and smoother recovery journey.
Current Problem
Complications, medication mistakes, lost referrals, side effects, etc can lead to rehospitalization.
Patients then stuggle to improve and remain out of the hospital.
Effect are felt
system-wide.
This leads to significant costs, many of which could be avoided with the support of a doctor.
PCP coverage often fail due to long wait times for appointments, poor communication between hospitals and PCPs, and a care model that lacks the prompt and adaptable solutions required during the post-discharge period.
Historically, discharge clinics operated in-person and were similar to urgent cares.
However, they often didn't meet patient needs and faced closures due to financial strains from
missed appointments.
Our Solution
BridgeCare Difference
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Comprehensive Care Gap Bridging:
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Specializes in crafting unique solutions to cover the entire care continuum, ensuring patients and caregivers have direct access to physicians.
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Direct Physician Contact:
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Offers immediate communication with doctors, emphasizing personalized and accessible care.
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Reducing Readmissions: Proactively tackles issues leading to hospital returns, including rapid initiation of necessary face-to-face services.
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Discharge Care Innovation:
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Employs a honed, flexible, and inventive strategy in discharge care, enhancing patient outcomes and quality of care. The success of this approach boosts insurance reimbursement rates, underpinning our clinic's model and facilitating growth.
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Immediate Acutity Based Response:
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Swiftly addresses urgent patient needs, such as same-day antibiotic dispatch for suspected UTIs and rapid wound assessment, minimizing readmission risks and improving satisfaction.
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Independence and Flexibility:
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As an independent group, we freely partner with diverse services beneficial to patients, free from the constraints of hospital systems or specific locales. Our ability to conduct thorough appointments, sometimes lasting an hour, and to tap into the best community resources on a national level ensures highly personalized care.
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Sustainability and Financial Viability
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Our care model enhances patient outcomes and by improving care quality, we secure better insurance reimbursements, bolstering our financial stability and supporting expansion. Our independence and adaptability also allow us to meet diverse patient needs,.
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Pioneering Achievements in Patient Care
How we make it work
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Rapid Appointment Scheduling
Revolutionizing patient care, we offer next-day appointments, vastly outperforming the standard industry wait of three weeks or more. This remarkable achievement is made possible through our specialized overnight team's diligent preparation and record analysis, ensuring that our day team is ready to provide immediate, effective care. Our efficient insurance verification further streamlines the process, setting a new benchmark for rapid patient transition to care.
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Innovative Home Health Collaborations
Our groundbreaking partnership with homecare services enables the instant initiation of home nursing and therapy, dramatically reducing start times for critical post-discharge care. This collaboration not only accelerates the delivery of essential services but also ensures comprehensive support for our patients. Through mutual assistance in facilitating video visits and securing consents, we’ve set a new standard in seamless care integration, significantly speeding up recovery processes.
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Exclusive Access to National Databases:
By forging a strategic alliance with Metriport, a California-based innovator, we’ve secured unparalleled access to vital national health databases—a privilege few in the healthcare sector can claim. This exclusive access allows us to obtain patient records almost instantly after consent, transforming our ability to provide informed, personalized care. For the first time, patients can engage directly with their health reports during consultations, fostering a deeper understanding of their condition and treatment plan. This direct, informed interaction is not just a gamechanger but a cornerstone in driving patient engagement and adherence to treatment protocols.
BridgeCare's Discharge Services
Exceptional Quality, Prompt Delivery
Unique Services Due to Timeliness or Scarcity*
Approve Same-day Nursing & Therapy Services
Medication refills, adjustments,
and corrections
Home IV Antibiotic Managment
Start and Manage Mental Health Medication
Wound Management Recommendations for new and chornic wounds
Timely Complete FMLA or other needed health documentation
Immediate solutions to acuity based needs
and side effects requiring a prescriber
Order labs, imaging, and DME at nearby facilities
Send urgent or missed referrals to specialists
Coordiate and clarify care with prior and exisiting careteam
Access to Multiple Up-to-date Clincal platforms to provide cutting edge and new information
Thoroughly discuss Advance Life Planning Options
Provide Timely Health and System Literacy/Education
Connect to unique evidence-based resources and programs locally and nationally
Virtual connections enable family conferencing with busy or out of state caregivers.
BridgeCare's Outcomes
98%
Patient
Satisfaction
2%
All cause
Re-admission Rate
95%
Access to Full Records
by First Visit
< 20 hours
Time from Referral to
First Possible Visit
"happy someone was there to fix my medications at the pharmacy"
"grateful...able to get my IV antibiotics at home"
"(BridgeCare) stayed on till I found a doctor in my area"
"helped me get homecare sooner than if I had to wait to see my own doctor."
Our overnight team handles insurance verification, chart preparation, and the integration of discharge history into the patient's chart, all before the provider's first encounter with the patient. This process ensures we are fully prepared and ready for a visit shortly after the patient's forms are submitted.
Working in collaboration with community partners, caretakers, and home health nurses who reached out to us with high acuity needs, we were able to quickly provided treatment options, antibiotics, referrals, and more, ensuring immediate care.
With portal access to two of the three national databases, we can instantly access patient records in real-time, eliminating the need to wait for notes to be faxed.