Wellness Watch
Your care, Your way
Every patient deserves to be heard.Patient-centered and complete care is our goal. Care is individualized to what patients need and delivered in a way that is driven by what patients want.
About our Wellness Watch program
Provides Transitional Care Management
(TCM) to address your healthcare needs during the 30-day hand-off period, after an acute-care hospitalization or skilled nursing facility stay
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Providing medical care for patients who do not have a provider and would like all their medical needs from home via in person visit or tele-visit.
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TCM manages both acute and chronic conditions during your transition back to your home and prevents unnecessary rehospitalizations. What does that include?
• A scheduled telehealth visit, 48 hours after discharge to address concerns
• A referral to home health, as needed
•In-home follow-up calls and/or visits with an experienced team of providers
• A smooth and safe transition back home
• Remote patient monitoring to better identify physiological issues
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Our providers are available around the clock to meet your needs.
What Does Care Include
You will have access to:
• Medication delivery services, to your door
• In-home Physical, Occupational, or
Speech therapy
​​• IV infusion management
• Mobile laboratory testing
• Mobile Imaging services:
• X-RAYS
• ECHO
• EKGs
• Ultrasounds
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We will also provide personalized medical care without leaving your home with in-home medical visits or tele-visits. This will allow patients to remain at home, have access to a provider 24/7, prescriptions called into the pharmacy of their choice and have laboratory and imaging studies without leaving their home.
If you feel you are not quite ready to be home, but are not acute enough to be rehospitalized we can assist in bridging you to a skilled setting to help gain strength and independence.
Why Us
The care we provide is tailored to your needs and delivered in the home setting. We provide updates to, and share reports with, your primary care providers and specialists to ensure continuity of care.
We cover
• Acute symptom management
• Chronic symptom management
• Pain management
• Routine and acute labs services
• Pharmacy services
• Remote patient monitoring
Benefits Of TCM
• Reduced Hospitalizations
• Fewer emergency room visits
• Improved health outcomes for patients in rural areas
Management for chronic conditions such as:
• diabetes
• COPD
• high blood pressure
• high cholesterol
• kidney disease
• heart failure
• heart disease
What Makes Us Different
Once established, you have direct contact with your TCM provider.
After the initial visit, you will have direct, 24/7 access to your transitional care provider.
Your provider will collaborate with you on your acute needs as well as provide continued management of your chronic needs.
We will work on providing you with medical equipment, as well as specialty services to enhance your transitional care.
We provide the support you need for a smooth and safe transition back home