1
Executive Summary
Summit Cardiac offers hospital-grade, nurse-led cardiac recovery in the home — closing the highest-risk gap in post-acute care for private-pay patients. Discharge planners face an unmet need: private-pay cardiac patients who don't qualify for traditional home health under Medicare, yet have clinically complex needs and high readmission risk. Summit fills this gap with specialized RN-led programs for CHF, post-CABG, valve replacement, MI recovery, and arrhythmia management.
By partnering with Summit for a structured 6-month pilot, your facility gains a trusted, accountable post-acute partner with direct readmission data reporting — strengthening your HRRP position and providing a documented referral pathway for cases that currently have no structured post-discharge coverage.
<8%
30-Day Readmission
Program Target
Program Target
28yr
Cardiac RN
Experience
Experience
<2hr
Referral Response
Commitment
Commitment
2
Pilot Program Structure
A Defined, Low-Risk Entry Point
Program Duration
6 months from first referral
Target Volume
10 private-pay cardiac discharge patients
Patient Criteria
Private-pay; CHF, post-CABG, valve, MI, or arrhythmia diagnosis
Reporting Cadence
Monthly readmission data + end-of-pilot outcomes summary
Minimum Commitment
None — refer based on clinical fit only
Coverage Geography
Greater Los Angeles, patient home setting
The pilot is designed to generate measurable outcomes data suitable for your quality committee review at 6 months. No contractual minimum volume. No financial obligation to the hospital. Your discharge planners refer when a patient is a clinical fit — Summit handles coordination from there.
3
What Summit Delivers to Every Patient
Daily-to-Weekly RN Visits
Visit frequency risk-stratified by acuity. Daily in weeks 1–2 post-discharge for high-acuity cases.
Hospital-Grade Monitoring
Masimo SpO2, KardiaMobile 6L ECG, Welch Allyn ProBP 3400, Littmann Cardiology IV — at every visit.
Medication Reconciliation
Full medication review at discharge, plus ongoing reconciliation at each visit against current cardiac regimen.
Direct Cardiologist Coordination
Summit communicates directly with the patient's cardiologist. Findings shared in real time when clinically significant.
Structured Escalation Protocols
Defined clinical thresholds trigger escalation to ER, cardiologist, or urgent care — with same-session documentation.
EHR-Compatible Documentation
Visit notes formatted for transfer into your EHR on request. Structured summary available at program completion.
4
Outcomes Reporting Commitments
| Deliverable | Cadence | Recipient |
|---|---|---|
| 30-day readmission rate by condition (pilot cohort) | Monthly | VP of Case Management / Discharge Planning |
| Case manager update per active patient (status, visit notes summary) | Weekly | Referring Case Manager |
| Patient satisfaction survey results (structured questionnaire) | Post-program | VP of Case Management |
| End-of-program transition summary per patient | Program close | Cardiologist of record + referring CM |
| Aggregate pilot outcomes report (readmission, escalations, completions) | Month 6 | Quality committee / VP level |
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Integration & Referral Workflow
HIPAA-Secure Referral Channel
Referrals accepted via direct email or the intake form at summit-cardiac.polsia.app/intake. All patient information transmitted through encrypted channels only.
HIPAA-Secure
<2 Hour Response Commitment
Every referral receives a response from Summit within 2 business hours confirming receipt, patient eligibility assessment, and next steps.
Guaranteed SLA
EHR-Compatible Documentation
Clinical notes follow standard SOAP formatting. End-of-program summaries and transition documents are formatted for import into Epic, Cerner, or Meditech on request.
Epic / Cerner Compatible
No Workflow Change Required
Discharge planners follow an identical process to any other post-acute referral. Summit handles coordination, scheduling, and patient contact independently from first contact.
Zero-friction onboarding
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Pilot Terms
No minimum volume commitment. Your discharge planners refer based on clinical fit alone. Summit imposes no volume requirements or referral quotas.
No financial obligation to the hospital. Summit is private-pay, direct-to-patient. The hospital incurs no cost and receives no revenue share. This is a clinical partnership, not a financial arrangement.
Outcome-based performance metrics. Pilot success is measured against defined clinical outcomes: 30-day readmission rate, patient satisfaction, and program completion rate. Data is shared transparently with the hospital.
Right to refer based on clinical fit. Discharge planners retain full clinical judgment over which patients are appropriate for Summit's program. Summit does not accept patients who are poor fits for home-based recovery.
Exit at any time. Either party may discontinue the pilot without penalty. Active patients are transitioned to appropriate care with full handoff documentation provided to the referring team.
Pilot review at 6 months. A formal outcomes review meeting with VP of Case Management to assess pilot data and determine next steps — preferred-provider status, expanded volume, or program close.
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Clinical Leadership
Summit Cardiac Founder
Registered Nurse, RN — 28 Years Cardiac Care
Licensed Registered Nurse (RN) since 2011
28 years total patient care experience
CHF management specialist
Post-CABG recovery specialist
Valve replacement recovery
MI recovery programs
Hospital & home care since 1998
High-risk cardiac case management