Transitional Care

The days right after discharge are when patients are most likely to be readmitted. We see patients quickly at home or by video, reconcile every medication, and coordinate with the discharging team.

Book Appointment Call 317-760-5319

Getting Home Doesn't Mean Getting Left On Your Own

Getting back to a clinic in the first days after a hospital or rehab stay is hard, medications are confusing, and follow-up appointments often slip, right when a small problem can turn into another trip to the ER. Kidan Medical prioritizes post-discharge patients and brings that first follow-up visit to the home.

8.6%

30-day readmission rate for patients in a hospital-at-home program, compared with 15.6% for standard inpatient care.1

1 Federman et al., JAMA Internal Medicine (2018). Published third-party research, not Kidan Medical's own outcomes data.

How We Help

  • Prompt in-home or video follow-up in the first days home
  • Full medication reconciliation
  • Coordination with the discharging team and any specialists
  • Point-of-care diagnostics at the bedside
  • Behavioral health screening
  • Escalation and referral as needed

Why In-Home, Why Us

We prioritize post-discharge patients, bring the visit and the diagnostics to the home instead of asking a recovering patient to travel, and share notes back with the care team that discharged them, so nothing gets lost in the handoff.

Have a Discharge Coming Up?

Call us as soon as the plan is set and we'll coordinate timing for the first visit home.