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Who we Are

We are pioneers true transition care services at home. We are a an interdisciplinary clinical team. Lead and case managed by nurse practitioners. Who are trained and specializes in post acute transition care.

Founded by CEO Erwin Cheng, PT who has successfully managed a successful home health, hospice, and personal care division. He is on track with leading PrestigeTCM into success. See our partners below who have achieved the mission of decreasing readmission rates in the post-acute space.

What we Do

We deliver seasoned nurse practitioners servicing patients at home post discharge to home / post discharge from skilled nursing facilities or rehab. With the end goal of preventing avoidable readmission. Focusing on CMS based readmission prevention.

Areas of Focus

  • Acute myocardial infarction (AMI)

  • Chronic obstructive pulmonary disease (COPD)

  • Heart failure (HF)

  • Pneumonia

  • Coronary artery bypass graft (CABG) surgery

  • Elective primary total hip arthroplasty/total knee arthroplasty (THA/TKA)

How do we Minimize Risk?

  • Case Management at Home

  • We see patient in their home within 24 hours post discharge from hospitals and skilled nursing facilities. By following and evaluating  patient at home we are able to identify risk in patients own home environment.

  • Reconcile medications and fill in prescriptions as needed instantly.

  • Eliminating any delays.

  • Facilitate and expedited ordering of DME as needed.

  • Education, assess, and focus on symptomatic treatment and management of chronic illness as well as education of family and caregivers. About the disease process and how to manage the disease properly minimize and have the disease under control.

  • Full continuum of care

  • Coordination of care skilled home health partner to deliver skilled nursing, physical therapy, occupational therapy, and social services. Including personal care, hospice, and palliative care.

  • Evidence and outcome based data collection of all our patients serviced and provide the reports monthly to case management. We have historical data of outcomes to back it up.

Who has Partnered with Us?

  • Reston Hospital (2020)

  • Stone Springs (2020)

  • Mount Vernon Rehab (2020)

  • Annandale Rehab (2021)

  • Fairfax Nursing Center (2017)

  • Lake Manassas (2019)

  • Dulles Rehab (2019)

  • Burke Rehab (2019)

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