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Services
Physician-Led Post-Acute Medical Services
CFIM delivers comprehensive, physician-led post-acute medical services designed to maintain continuity, accountability, and clinical stability beyond the hospital. Our care model supports patients, facilities, and partners across skilled nursing, assisted living, and post-acute settings throughout Central Florida.
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Comprehensive Medical Oversight
Physician- and APP-led medical care delivered across skilled nursing, assisted living, independent living, and home-based settings to ensure consistent clinical accountability.
- Physician-led, longitudinal medical oversight
- Embedded within facility workflows
- Clear accountability for care decisions and outcomes
Admissions and Ongoing Clinical Management
Structured admission and follow-up processes designed to support stability, recovery, and proactive medical management.
- Comprehensive admission visits, including history and physical
- Routine follow-up provider visits
- Proactive assessments for chronic conditions and acute changes
Transitions and Hospital Avoidance
Care strategies focused on early intervention and appropriate utilization to reduce unnecessary emergency department visits and hospital readmissions.
- Direct admissions when clinically appropriate
- Transitional telehealth visits
- Early identification and response to changes in condition
Medication Management and Reconciliation
Continuous medication oversight across transitions of care to improve safety and clinical outcomes.
- Comprehensive medication review on admission
- Ongoing reconciliation throughout transitions
- Optimization to reduce adverse events and duplications
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Care Coordination and Communication
Embedded coordination that ensures alignment between post-acute, hospital, and acute providers.
- Peer-to-peer provider communication
- Collaboration with nursing, therapy, and case management teams
- Clear and timely updates across care settings
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24/7 Provider Access and Family Engagement
Round-the-clock clinical access paired with consistent communication for patients and families.
- 24/7 on-call provider coverage
- Timely response to urgent clinical needs
- Collaborative care planning and family engagement
Partner With CFIM
A Partner Committed to Better Post-Acute Care
