Care Continuum

Post-Acute and Community Based Care

Our medical providers foster your medical care through the implementation and management of the medical plan of action implemented by your hospital physicians. We bridge the gap between hospitalization and eventual Primary Care Physician follow-up, providing the continuity of care necessary for optimal health outcomes. Ascent Healthcare is currently servicing patients in nursing facilities (skilled and long-term care), assisted living facilities, memory care and residential care facilities.

Acute Care

Short-term treatments for sudden and severe conditions such as trauma, surgery, acute illness, or exacerbation of chronic illness delivered in the setting of urgent care, emergency room, or during in-patient hospitalization.

POST ACUTE CARE

Services ranging from short-term rehabilitation to long term extended care requiring 24/7 nursing care. Post-acute facilities are also staffed with therapists, social workers, case managers, and providers.

COMMUNITY BASED CARE

Living situations range from an independent residence to an apartment within a licensed multi-unit facility (ie. Assisted Living Facility). Care is designed to promote and maintain independence. Access to nursing, therapy, providers and other services varies depending on setting, and is not available 24/7.

Skilled Services

Ascent Healthcare provider team is there to meet your specific post-hospitalization medical needs. Your provider team helps manage medically complex patients to keep them on track during a skilled nursing facility stay. Ascent providers begin working with the interdisciplinary team upon admission to prepare for a safe and successful discharge. Our skilled stay services include:

  • On-site clinicians (MD/NP/PA)
  • Complex medical management 
  • Acute visits
  • Care coordination with specialists and interdisciplinary team
  • Advanced care planning
  • 24/7 on-call for facility staff
  • Transitions of care with community primary care clinics (ie. The Portland Clinic, Pacific Medical Group and Broadway Clinic)
  • Collaboration with social services for medical equipment and home health care

Assisted Living & Primary Care Services at LTC

Primary Care Services

At Ascent Healthcare we take on the vital role as Primary Care Provider (PCP). Our team of Board Certified Internal, Family and Adult-Gerontology Physicians, Nurse Practitioners and Physician Associates deliver coordinated primary care services to residents of long-term care, assisted living, residential care, and memory care facilities. Our primary care services include:

  • On-site clinicians (MD/NP/PA)
  • Management of chronic conditions
  • Care coordination with specialists and interdisciplinary team
  • Annual wellness visits and preventative screening
  • Chronic Care Management (CCM)
  • Advanced care planning
  • Acute visits
  • 24/7 on-call for facility staff 

On-Call Services

Facility staff have 24/7 access to Ascent providers who understand the needs of nursing staff and residents. Our providers utilize Telshur, a communication platform, to document and communicate between the on-call provider and facility provider team.
  • Ascent providers 
  • Communication between on-call and facility provider