Physician-led Transitionalist® care
The physician partner your home health agency has been missing.
We bridge hospital discharge and home health with physician telehealth visits, timely orders and certifications, and pharmacist-supported medication oversight. Your nurses get answers. Your patients stay home.
● Serving Tennessee and Kentucky
● Hospitalist-founded and physician-led
● Pharmacist-supported care
The problem we solve
Home health runs on physician signatures. Too often, nobody picks up.
Gaps in physician access
Agencies often lack a reliable physician to sign orders, guide care plans and respond when a patient’s condition changes.
Documentation and payment risk
Late or incomplete 485s and face-to-face documentation put cash flow and compliance at risk.
Avoidable ED visits and readmissions
Without early physician involvement, small problems at home escalate into trips back to the hospital.
A smoother path home
How the Transitionalist® model works for every referral
1
Hospital discharge
Referral received and the care plan reviewed by our team.
2
Transitionalist® visit
A physician-led telehealth visit and pharmacist medication review.
3
Start of care, orders signed
CMS-485 certification and orders completed on time.
4
Ongoing oversight
Case conferences and fast response to changes in condition.
Services
Everything your agency needs from a physician, in one partner.
01
Physician telehealth visits
Timely visits with our physicians and nurse practitioners, so patients are seen without leaving home.
02
Start of care and CMS-485 certification
Plans of care reviewed and certified promptly, keeping your episodes on schedule.
03
Face-to-face documentation
Complete, compliant encounter documentation that supports your claims.
04
Transitional Care Management
Structured follow-up in the 30 days after discharge, when readmission risk is highest.
05
Case conferences
Regular physician participation in care team discussions for your patients.
06
Pharmacist medication oversight
Medication reconciliation and review to prevent errors and improve adherence at home.
For home health agencies
Built around how your agency already works.
Our model was designed by a hospitalist and a team with deep home health operations experience. We fit into your referrals and documentation, not the other way around.
01
Onboarding and workflow mapping
We align our physicians and telehealth tools with your referral patterns, EMR and documentation process.
02
Integrated clinical support
Our providers see patients by telehealth, sign orders, join case conferences and respond quickly to changes in condition.
03
Better outcomes
Fewer readmissions, cleaner documentation, and stronger relationships with hospitals, patients and families.
Leadership
Founded by a hospitalist and a pharmacist who know East Tennessee care.
Jennifer Winbigler, MD
Co-Founder, CEO and Medical Director
Hospitalist and department chair who coined the term Transitionalist®. Past President of the Blount County Medical Society, she led East Tennessee’s COVID-19 testing and vaccination response.
Brian Winbigler, PharmD, MBA
Co-Founder, COO and Lead Pharmacist
Pharmacist and statewide leader in opioid overdose prevention. Assistant Professor at UTHSC, bringing experience across education, public health and healthcare finance.
FAQ
Common questions
What makes the Transitionalist® model different?
It pairs physician leadership with pharmacist support, focused on the critical days after hospital discharge, so patients move from hospital to home without gaps in care.
How do you reduce hospital readmissions?
Our physicians see patients early by telehealth, review medications, and respond quickly when nurses report a change in condition, catching problems before they become ED visits.
How does partnering with an agency work?
We start by mapping your referral and documentation workflow, then our providers handle visits, orders, certifications and case conferences alongside your team.
Where do you provide care?
We currently serve patients in Tennessee and Kentucky.
Give your agency a physician partner.
Talk with our team about onboarding, referrals and coverage in your area.