One Physician. Every Moving Part.
Patients navigating complex chronic illness rarely suffer from a lack of specialists. They suffer from a lack of coordination. PreserveHealth serves as the central clinical authority — the physician who knows the full picture, speaks directly with every consultant, and ensures that every decision is coherent, timely, and in the patient's best interest.
Fragmentation Is the Risk.
In the current healthcare system, a patient with advanced kidney disease, heart failure, and diabetes may be seen by a nephrologist, a cardiologist, an endocrinologist, and a primary care physician — none of whom have spoken to one another. Medications are prescribed in silos. Hospitalizations that could have been prevented are not flagged until it is too late. Critical transitions — from hospital to home, from specialist to transplant evaluation — fall apart in the handoff. PreserveHealth was designed to eliminate that gap.
What Coordination Looks Like in Practice
Specialist Communication
We communicate directly with your cardiologist, endocrinologist, hematologist, or any other specialist involved in your care — reviewing their notes, reconciling their recommendations, and ensuring nothing conflicts.
Tertiary and Transplant Center Navigation
When a referral to a transplant program or tertiary center is warranted, we facilitate a warm handoff — not a cold referral. Our physicians maintain active relationships with leading programs at Hoag Hospital, Cedars-Sinai, and UCLA.
Hospital Transition Management
Hospitalizations are high-risk transition points. We coordinate directly with inpatient teams during admissions and ensure a structured, supervised transition back to outpatient care — reducing the likelihood of readmission.
Medication Reconciliation
We review the complete medication list across all prescribing physicians — identifying interactions, duplications, and gaps that emerge when care is fragmented across multiple practices.
Advance Care Planning
For patients with progressive disease, we facilitate clear, documented conversations about goals of care — ensuring that preferences are known, respected, and communicated to every member of the care team.
Urgent Access and Triage
When something changes — a new symptom, an abnormal lab, a question after hours — members reach their physician directly. Early intervention helps prevent the emergency room visits that fragmented care cannot.
Our Clinical Network
Our physicians hold active staff privileges and maintain direct relationships with specialists and departments at leading institutions in Southern California — including Hoag Hospital, Cedars-Sinai Medical Center, and UCLA Health. When your care requires a higher level of expertise or a specialized program, we know exactly where to send you and who to call.
Your care should have a center of gravity.
Or reach Kristi directly:
Kristi Klements
Concierge Clinical Coordinator