Services

Physician-Led Primary Care Services for Post-Acute Settings

Primary Care Providers (PCP) delivers comprehensive, physician-led primary care designed to maintain continuity, accountability, and clinical stability as patients recover beyond the hospital. Our care model supports patients, facilities, and partners across skilled nursing and assisted living settings throughout North Florida.
Our Services

Care That Stays Consistent Across the Post-Acute Journey

Partner with Us
Facility-Based Primary Care

Physician-led primary care delivered directly within skilled nursing and assisted living facilities to ensure consistent clinical presence and accountability.

  • Physician-led, longitudinal primary care

  • Embedded within facility workflows

  • Clear accountability for care decisions and outcomes
High-Touch Clinical Engagement

PCP puts the time, attention, and responsiveness required for every patient encounter to ensure thorough assessment and personalized care.

  • Thorough, unrushed patient assessments

  • Responsive, relationship-driven care delivery

  • Personalized treatment planning
Focus on Reducing Readmissions

PCP has a proven care model delivering a groupwide hospital readmission rate below 9%, compared to the industry average of 24%, exceeding typical post-acute benchmarks.

  • Early identification of changes in condition

  • Timely clinical intervention to prevent escalation

  • Proven outcomes with sub-9%
Chronic Disease Management

Ongoing management of complex chronic conditions with proactive monitoring, care planning, and patient education.

  • Individualized care plans for complex conditions

  • Proactive monitoring and early intervention

  • Ongoing patient education and support
Care Coordination and Communication

Close collaboration with facility staff, families, and care teams to maintain alignment and clarity across the care journey.

  • Collaboration with nursing and facility leadership

  • Clear, timely communication with families

  • Alignment across care teams and settings
24/7 Provider Access and Family Engagement

Round-the-clock on-call coverage for urgent needs, paired with clear family communication and collaborative care planning.

  • 24/7 on-call provider availability

  • Prompt response to urgent clinical needs

  • Collaborative care planning with families
Partner With PCP

A Partner Committed to Better Post-Acute Care