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A Bridge for Patients

Beebe's Advanced Care Clinic serves as a bridge for patients discharged from Beebe's medical center in Lewes, who need physician follow-up within seven days, but who cannot get in to see their physician or find a new physician.

The clinic is staffed by care coordinators and nurse practitioners who serve as the next stop after hospitalization at Beebe Healthcare in Lewes. This clinic’s mission is to make sure all patients’ needs are being met and follow-up services are coordinated.

The time after discharge is a very high-risk period when people can be vulnerable and do need comprehensive support to assure superior outcomes. In many cases, patients who are discharged from the hospital may be instructed to see a care provider within three to seven days. If the patient doesn’t have a physician or if he or she can’t get in to see a physician, the Advanced Care Clinic team will be able to bridge the gap from the hospital stay to a time when the patient will see a primary care physician.

The Advanced Care Clinic provides care for patients transitioning out of Beebe’s Medical Center (inpatient), short-term observation hospital units, and from the Emergency Department. Clinic medical providers work with patients to provide quick follow-up with a medical team after they leave the hospital. These services aim to connect patients with medical care after their hospital stay and often before they are able to be seen by a primary care provider. Research has shown that clinics like this help reduce continued illnesses, prevent patients from being readmitted to the hospital, and improve outcomes.

Because of its affiliation with Beebe, the Advanced Care Clinic is able to access hospital records and provide a seamless transition following hospital discharge. Care coordinators work with a patient’s healthcare providers and organizations in the community to help connect our patients with community and social services to improve patient outcomes and quality of life. In addition, the Advanced Care Clinic offers a variety of behavioral health services to teach, encourage, coach, and support our patients to make healthy choices, to cope more effectively, and to become an active member of their treatment team. Palliative Care consultations and long-term planning information are also offered at the Advanced Care Clinic.

Beebe’s Population Health team has been working closely with patients and community organizations for years. In the past, the care coordination team has been able to connect both residents and visitors to Sussex County with the health resources they needed.

For more information, call 302-645-3150.

If you need in-home care, call Beebe Home Care Services at 302-934-5830.