Services

Field-based services that bring care into the home.

Our services are designed to be combined into one coordinated, in-home program — not delivered in isolation. We pair connected technology with trained local people so high-risk rural patients stay engaged with the providers and care plans that already serve them.

Remote patient monitoring setup & support

In-home delivery, installation, education, and ongoing technical support for connected monitoring — with a confirmed first reading before the visit ends.

Community Health Worker home visits

Trained, locally hired CHWs visit patients in their homes to build trust, support engagement, and follow up when monitoring stops.

Chronic disease support

Between-visit support for patients managing hypertension, diabetes, heart failure, COPD, and asthma.

Post-discharge follow-up

Timely in-home outreach after a hospital stay to reduce avoidable readmissions and reconnect patients to their care plan.

Medication adherence support

Hands-on help understanding regimens, organizing medications, and surfacing affordability or access issues to the care team.

Social needs screening

Structured screening for transportation, food, housing, utilities, and other social drivers of health.

Food-as-medicine coordination

Connecting patients to food resources aligned with their clinical needs and care plan.

Prescription delivery coordination

Coordination with local pharmacies and partners to keep medications in patients' hands.

Transportation coordination

Arranging the rides patients need to reach appointments, pharmacies, and partner services.

Telehealth access support

Helping patients connect to scheduled telehealth visits with their providers, including device, connectivity, and in-home setup.

Care navigation

Helping patients and families navigate appointments, referrals, benefits, and community resources.

Provider reporting & outcome tracking

Regular reporting on engagement, visits, adherence, barriers resolved, and outcomes — visibility your team can act on.

Delta Care Connect supports licensed clinical providers and does not diagnose, treat, or prescribe. Clinical decisions remain with our partner clinicians.

Looking for a specific service for your patient population?

Tell us about your patients and the gaps you're trying to close. We'll tailor a plan that fits.