Chronic Care Program

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Annova Health supports patients with chronic conditions by delivering structured, ongoing care in the comfort of their home. 

Program Overview

• Initial telemedicine consultation with a Annova Health physician
• Field staff assist patients during the first visit to ensure a smooth start to care
• Nurse practitioners perform twice-monthly in-home visits
• Focus on chronic condition monitoring, treatment management, and reducing outside appointments

 Ongoing Support

• Nursing team conducts follow-up phone calls every other month
• Reinforcement of care plans and treatment goals
• Early identification of new or worsening concerns
• Continuous coordination of patient care

Annova Health helps patients safely transition from hospital to home with structured follow-up care during the first 30 days after discharge.

Program Structure

• Initial telemedicine consultation with a Annova Health physician
• Comprehensive review of discharge instructions and care plan
• In-home visits from nurse practitioners during the recovery period

Ongoing Monitoring

• Scheduled follow-up phone calls from our nursing team
• Medication and recovery progress monitoring
• Early identification of potential complications
• Support to help prevent avoidable hospital readmissions