DigitalDoctors@Home
Improving the Healthcare Journey for all Patients
Improving the Healthcare Journey for all Patients
DigitalDoctors@Home is the Combination of
The Village Prime Care and Pegwin Digital AI Predictive Analytics
Mission: DigitalDoctors@Home, is a community-based, digital technology healthcare provider without walls, delivering total care management to the most vulnerable patients, from their living rooms – for life. We train lay caregivers to become competent, paid, "Community Healthcare Workers" (CHW, clinical staff) connecting them to care-coordinating teams and licensed healthcare providers. We connect patients from the living rooms to providers and our community-based “clinical staff” through our real-time 24/7/365 AI predictive analytics, alerting our medical staff to potential issues pre-emptively. This results in better patient outcomes, and healthier patients while lowering the total healthcare cost.
DigitalDoctors@Home delivers total care management, a unique solution that bridges the gap between high-touch and high-tech introducing 21st-century technology into the homes of every patient 24/7/365, maximizing the quality of care through prevention, early intervention, and management of their health. Therefore, we’re able to help predict downward trends in their health and, therefore, can provide early intervention, thus eliminating clinic visits, unnecessary Emergency Dept. and hospital admissions and their corresponding costs.
DigitalDoctors@Home unparalleled data integration is achieved through comprehensive data inputs from every in-person touch of our patients, at home, and the seamless integration of their social determinants of health (SDoH), chronic care management (CCM), remote patient monitoring (RPM - “wearables”), and collectively captured through electronic health records (EHR).
This robust data provides a 24/7/365 holistic view of each patient’s health.
DigitalDoctors@Home (DD@H) provides Transitional Care Management (TCM), a structured approach to ensure continuity of care for patients transitioning from any healthcare facility, e.g., a hospital, Emergency Dept, senior nursing facility (rehab), etc. to their home. DD@H delivers comprehensive planning and coordination of services, including medication management, follow-up appointments with the patient’s PCP/specialist, and patient education. Our goal of TCM is to prevent premature hospital readmissions (W/I 30 days from an initial discharge) to improve health outcomes by addressing potential gaps in care, ensuring that patients understand their treatment plans, and providing support during the vulnerable transition period. DD@H enhances patient engagement and promotes a smoother recovery process by fostering collaboration among healthcare providers, patients, and caregivers.
We believe that health is not just the absence of disease, but a state of complete physical, mental, and social well-being. Let us help you achieve it.
“Without data, you’re just another person with an opinion.” W. Edwards Deming
Dr. Richard W. Walker, Jr., MD, MBA, is a seasoned medical expert with a rich background in clinical care, healthcare innovation, and consulting. Founder of Digital Doctor. He’s a published authority with recognized articles, white papers, and books such as "Black Health Matters" and "African American Healthy“.
Douglas is the Founder of Pegwin; and has been an advocate for patient safety for two decades. Former Chair ASQ Healthcare Division. Serves as the Patient Safety Movement Foundation Regional Network Chair for Texas. Member of the Greater Houston Risk Management Society.
Chris is successful serial entrepreneur. As founding CEO of Augmentix and VendorSafe he led both companies to hyper growth and successful exists. Chris is a seasoned hi-tech executive.
Dr. Julian Gonzalez a practicing Family Medicine physician and founder of Renaissance Physicians IPA, one of Houston’s largest practice management groups.
Nadav Lankin, B.Sc., Bar Ilan University Computer Science Extensive Track. Elite Data Science unit in IDF; Oracle Global Business Unit. Security: IDF Department of High Engineering, IDF Intelligence Forces; IAF Intelligence Forces, and Israeli Aerospace Industries. Academy and Educational Institutions: - the University of Barcelona, National University of Kenya, TAU, BIU, HUJI, Affeka College
Dr. Porter is SVP, co-Founder and specialized in family medicine for 30+ years and was one of the founding doctors for WellMed.
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