Remote Post-Hospitalization Monitoring, Made Simple.

Stay Connected with Your Care Team, from the Comfort of Your Couch.

Learn how we can help

How it Works

Once you are discharged from the hospital, one of our providers will contact you to help ensure a safe and smooth transition home. You will then begin our remote patient monitoring program, where your vital signs are reviewed by our providers with every reading, allowing us to closely monitor your progress and support your continued recovery.

Step 1

Hospital Discharge

Your hospital discharge will be a busy time, and you will receive important information about your transition home. Within the first two days after discharge, one of our providers will reach out to you to check in and support your transition. You may also receive devices to begin your remote patient monitoring during this time.

Step 2

Virtual Check-In

You will receive a phone call from one of our providers once you are home for your transitional care visit, which will be conducted via TeleHealth. During this visit, you will also be enrolled in our remote patient monitoring program, giving you the peace of mind of having a team of healthcare professionals monitoring your vital signs around the clock and providing quick access to guidance and care when needed.

Step 3

Continued Monitoring

Any time you use one of our devices, which are cellularly connected to our system, your data is securely received and reviewed. This includes monitoring blood pressure, heart rate, oxygen saturation, blood sugar, and much more. All readings are analyzed by a team of healthcare professionals who are trained to escalate any concerns to your doctor or healthcare team as needed, providing added peace of mind and security during your recovery.

Step 4

Successful Recovery

Our monitoring program supports a successful recovery for thousands of patients every year. This ongoing service is dedicated to helping prevent hospital readmissions while keeping you and your loved ones safe and supported at home.

What We Do

With our Remote Patient Monitoring and Transitional Care Management,
your care doesn’t stop at discharge, it follows you home.

Your vital signs are monitored, subtle changes are caught early, and a real clinical team checks in before small issues turn into emergencies. It’s peace of mind for patients, relief for families, and confidence that someone is always paying attention when it matters most.

Remote Patient Monitoring

Remote Patient Monitoring (RPM) is an ongoing service that allows our healthcare team to closely track your health from home. It includes monitoring vital signs such as blood pressure, heart rate, oxygen saturation, blood sugar, and more using connected devices. These readings are reviewed by our team 24/7, allowing us to quickly identify concerns, coordinate care, and support your recovery while you remain safely at home.

Transitional Care Management

Transitional Care Management (TCM) is a service we provide to all of our patients to support a safe transition from the hospital to home. It includes timely follow-up by a healthcare provider, coordination of care, medication review, and close monitoring to reduce complications and help prevent hospital readmissions.

Chronic Care Management

Chronic Care Management (CCM) is an ongoing service designed to help coordinate and support care for patients with chronic conditions such as heart failure, COPD, diabetes, and other conditions that require close monitoring. Through regular check-ins, care coordination, and continuous oversight by our healthcare team, we help manage your conditions, address concerns early, and support your long-term health and stability at home.

Device Integration

All of the devices we provide are cellularly connected and require nothing from our patients other than simple use. Once a device is linked to a patient, they are automatically enrolled in our monitoring program. Every time a device is used, the data is securely transmitted to our healthcare team, allowing us to provide ongoing oversight, guidance, and timely escalation of care when needed.

Routine 
Check-Ins

Routine Check-Ins

When you are enrolled in our Remote Patient Monitoring or Chronic Care Management programs, you will receive routine monthly check-ins with our healthcare team. During these check-ins, we review your vital sign readings, discuss your medications, and address any questions or concerns you may have about your health.

Care Team Connection

When you are enrolled with us, you become connected to a coordinated network of healthcare providers. Through this network and our ability to quickly escalate concerns, we can connect you with the appropriate providers promptly and help ensure timely visits and follow-up care when needed.

Medication Management

Medication Management is a service we provide as part of our Transitional Care Management, Remote Patient Monitoring, and Chronic Care Management programs. This helps ensure you are taking the correct medications, at the right doses, and at the proper times. Effective medication management is a key part of supporting a safe transition home and helping to prevent hospital readmissions

365 Day a Year Support

When you work with us, care and support are available 365 days a year through our healthcare network. If you have a concern, you can reach out to our team to review your vital signs and trends or to evaluate your medications. We are here to help ensure you remain safe and supported at home.

Vital Sign Monitoring

Vital sign monitoring allows our team to closely track your health from home. With every use of your Vital Link devices, your information is instantly transmitted to our healthcare team for review. We analyze each reading alongside your previous data to identify changes or concerns, helping ensure you or your loved one remains safe at home. If needed, our team will promptly escalate concerns to your providers for follow-up care.

VitalLink’s Integrated Device Suite

Collaborative Care for Faster Results

Vital Link is a service of RVA PMR, bridging your care from the hospital to home.

Accepted Insurances

What Our Patients Are Saying

After my hospital stay, I was scared to go home alone. Vital Link checked in on me every day and made me feel safe again. Knowing someone was watching my vitals and calling when something didn’t look right gave me confidence to heal at home. It truly felt like someone had my back.

My father hates asking for help, but Vital Link made it easy and respectful. They caught his blood pressure trending high before it turned into another ER visit. As his daughter, I finally felt like we weren’t managing his health alone.

I didn’t realize how much anxiety I carried after discharge until Vital Link stepped in. The daily monitoring and friendly calls reassured me that what I was feeling was normal, and when it wasn’t, they acted fast. I slept better knowing someone was watching over me.

Vital Link was a game changer for my mom. She lives alone, and I live three states away. The team kept me informed and made sure she was taking her medications correctly. It gave me peace of mind I didn’t know was possible.

After my stroke rehab, I was overwhelmed by instructions and appointments. Vital Link helped me stay on track and checked on me when I felt unsure. They made a confusing time feel manageable and human.

My husband was discharged after heart issues, and I was terrified I’d miss something important. Vital Link noticed changes early and walked us through next steps calmly and clearly. I felt supported, not panicked.