IPHA’s post-acute care program bridges the gap between hospital discharge and the return of the patient to the primary care physician or the placement into a long term care facility. We provide consistent, physician-led oversight in nursing homes, long-term acute care hospitals (LTACs), assisted living communities, and acute rehabilitation units (ARUs). Our team specializes in managing patients with complex chronic conditions, high-risk comorbidities, and recent hospitalizations.

Each facility we serve receives routine, scheduled clinician visits, urgent coverage when needed, and proactive communication with staff and families. Our providers work closely with directors of nursing, therapy teams, and care coordinators to ensure regulatory compliance, reduce hospital readmission rates, and can provide medical directors that help facilities meet CMS quality measures, including Five-Star Quality Ratings.

We also support transitional care management (TCM) by improving medication reconciliation, follow-up planning, and advanced care directives. For health systems, our post-acute integration improves care continuity, reduces gaps, and enhances patient satisfaction.