Discharge Care Management Program (DCMP)

High‑intensity stabilization with optional extended support

Caregiver engaging warmly with a group of seniors

Core model: 14 days of high‑intensity stabilization for every patient, with optional 30‑day extended support for partners who need full readmission‑window coverage.

Phase 1: 14‑Day High‑Intensity Stabilization

Day 1 – Initial stabilization visit
Day 3–5 – Telehealth check‑in
Day 7 – PCP visit coordination
Day 9–10 – Telehealth check‑in
Day 14 – Final stabilization visit

Phase 2: Optional 30‑Day Extended Support

Day 18–20 – Telehealth check‑in
Day 24–26 – Medication + symptom review
Day 30 – Final transition summary

Why This Model Matters

Clinically justified
Financially efficient
Flexible for partners
Provider‑friendly