Evidence-Based Care Plans
MD at Home builds evidence-based, personalized care plans for the chronic conditions that most affect our patients. Each plan is tailored to the individual, with regular monitoring and coordination to reduce complications and hospitalizations.
Diabetes
Diabetes affects nearly every major organ, and chronically ill and geriatric patients face higher risks of frailty, falls, kidney disease, and more. Our plan covers medication management, blood glucose management, home skilled nursing, nutrition counseling, foot care, therapeutic shoes, and eye care.
Heart Failure
One of the most challenging conditions to manage at home. Our plan covers fluid management, ejection fraction monitoring, polypharmacy reduction, home nursing, and blood pressure control.
COPD
A major condition affecting far more than breathing. Our plan evaluates pulmonary function, oxygen eligibility and equipment, home nursing, and home physical therapy.
Mobility and Fall Risk
Falls are the leading cause of injury-related deaths in older adults. Our plan uses standardized screening, fall-prevention equipment, medication review, at-home nursing and physical therapy, and caregiver education.