What is Transitional care?

Transitional Care Management helps patients move safely from the hospital back to everyday life at home. It includes follow-up check-ins, help with medications, and coordination with doctors to make sure recovery stays on track and to prevent return visits to the hospital.

The standard level of care

All patients after hospitalization are instructed to follow up with a personal care provider with no intent to help you or your loved one on the path to recovery once you leave the hospital doors. Even if you decided to live in a nursing facility or at home no one is their to advocate for you along your path to healing.

Elevating Care Beyond the Standard
At Align Medicine, we advocate and work with you every step along the path of recovery.

Dedicated Doctor

Dr. John Daliva is your dedicated secondary care doctor who works with you from hospital doors to your last day with Align Medicine.

Check ups and doctor visits

Worried, unsettled, or just want to communicate with your doctor? We visit with our patients on a consistent basis to ensure you on your path to a healthy you again.

Contact and updates with family

Afraid you might not know what is going on with your loved one? We maintain direct communication with both the care facilitators and you to keep everyone informed and help aid you in your family members progress of healing.

Dedicated team members

With a large team here to keep doctors, care facilities, and you informed you can rest easy and count on seamless care and communication between all parties.

"Dr Daliva is a compassionate man, a compassionate doctor who is willing to spend time trying to help me when so many physicians gave up on me."