What in-person ICU augmentation actually is
Pre-discharge chart review, in-home RN stabilization, daily check-ins through the high-risk window, and structured step-down through week 8–12. This is not a monitoring add-on — it is bedside-grade clinical care delivered in the home.
Chart review begins pre-discharge
For referrals received while the patient is still inpatient, chart review and medication reconciliation begin before the patient leaves the hospital. The 24 hours before discharge are the right window — complex cases like CHF decompensation, post-CABG sternal precautions, and post-valve-replacement anticoagulation benefit most. The home visit begins with a complete clinical picture rather than a cold start.
In-home RN visit within 24–48 hours
For patients already discharged, a Summit Cardiac RN can be in the home within 24 to 48 hours of intake. The visit is bedside-quality: continuous hemodynamic monitoring, vasoactive assessment, post-cardiac-surgery chest-tube and sternal assessment — the discipline that turns subtle decompensation into same-day escalation rather than a 30-day retrospective readmission.
Daily RN check-ins during stabilization
Through the high-risk stabilization phase — typically the first 2–3 weeks post-discharge — patients get daily RN contact paired with streaming data from Masimo SpO2, KardiaMobile 6L ECG, daily weights, and clinician-led medication reconciliation on every visit. Same-day clinical assessment turns alerts into escalations before they become admissions.
Step-down to weekly through week 8–12
As the patient stabilizes, visit frequency steps down to a weekly cadence through the full 8–12-week recovery window. Cardiologist oversight (Dr. Madyoon, MD) remains active across every care plan. Patients graduate to self-management with a clear follow-up plan, and Summit Cardiac remains available if questions arise after discharge from the program.
