A Seamless Extension of Your Care Team
Structured, physician-led post-discharge care built around the moments that matter most.
Discharge
Patient leaves the hospital or skilled nursing faccility with a care plan.
Enrollment
Patient is entered into the TCM Follo workflow
24-48-Hour Contact
Immediate outreach and medication review.
7-14-Day Follow-Up
Clinical reinforcement and progress monitoring.
30-Day Outcome
Recovery support and readmission prevention.
RPM & CCM
Ongoing monitoring & chronic care to support long-term health
Every patient. Every touchpoint. Every outcome.
