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The Visit That Prevented a Hospital Stay

How Curana Health helps older adults stay comfortable, safe, and treated right where they live.

 

Our clinicians see this often: one timely visit, one early intervention, one moment of “something isn’t right” has helped patients avoid the ER and receive the care they need, keeping them comfortable where they live.  

“A hospital stay isn’t just stressful — for many older adults, it can trigger delirium, sleeplessness, weakness, and exposure to new infections,” says Ashley Woolfolk, FNP-C. “That’s why one of the most meaningful parts of Curana Health’s whole-person care is recognizing when a patient can be safely treated in their home setting and acting early enough to prevent symptoms from escalating.” 

Why avoiding the hospital matters 

Preventing a hospital stay isn’t just about convenience. It’s about protecting older adults from the side effects that come with hospitalization: 

  • Interrupted rest and constant noise 
  • Delirium triggered by unfamiliar environments 
  • Exposure to new infections 
  • Delays in treatment 
  • Weakness and fatigue from prolonged bedrest 

“When we treat early and treat in place, we help patients stay stable, comfortable, and connected to familiar surroundings,” Ashley says. “Home is familiar. Home is calming. Home supports healing.” 

The power of early recognition 

The most common thread in every avoided hospitalization is simple: Someone noticed a change early. Sometimes it’s a nurse saying, “She seems more confused today,” a patient saying, “I just don’t feel like myself” or a clinician walking in and immediately sensing something is off. 

“Early recognition allows us to create a treatment plan before symptoms escalate beyond what can be safely managed where you live,” Ashley says. “It’s the difference between a mild infection that can be treated in place and a severe infection requiring IV antibiotics in the hospital.” 

Conditions that families often assume require an ER visit, but don’t

When a serious health concern comes up, many families instinctively turn to the ER. But for those living in communities served by Curana Health, your Curana provider is often a great first call. Our team supports treatment right where you live and is equipped to treat a wide range of urgent needs, including: 

  • Dehydration, including administering in-house IV fluids when appropriate 
  • UTIs, a common cause of sudden confusion 
  • Respiratory flare-ups with early pulmonary therapy and mobile imaging 
  • Medication reactions, often resolved with quick adjustments 
  • Mobility-related injuries, evaluated with mobile X-rays to rule out fractures 
  • Pneumonia — diagnosed early with imaging and treated before it becomes severe 
  • Heart failure exacerbations monitored through daily weights and symptom checks 
  • Delirium from infection, often reversible when treated promptly 

With early identification, quick action, and coordinated care, these conditions that feel like emergencies often don’t result in a hospital stay. 

Falls are a big deal 

Falls are one of the most common reasons older adults end up in the hospital. And while some falls do require an ER visit (especially if there’s a suspected head injury), many don’t have to. 

Curana Health clinicians help by: 

  • Doing fall‑risk assessments 
  • Ordering mobile x‑rays to rule out fractures 
  • Coaching residents and families on fall prevention 
  • Helping facilities create safer environments 

Treat‑in‑place tools that allow you to heal where you live 

Curana Health brings care to a resident’s doorstep with treat-in-place tools including: 

  • Mobile imaging — X-rays and ultrasounds for falls, breathing issues, or suspected fluid overload 
  • On-site labs — allowing the care team to adjust treatment plans quickly 
  • Respiratory and pulmonary therapy — started early to prevent worsening infections 
  • IV hydration — available in many facilities 
  • Coordinated care — including non-emergent blood transfusions when appropriate 

These tools help Curana Health’s care team to act fast. 

“You may wait eight hours in the ER before treatment even begins. We can start care right away,” Ashley says.

 

Education: the secret superpower behind the scenes 

One of the most powerful ways Curana Health helps prevent hospital visits is by educating facility staff on: 

  • What symptoms to watch for 
  • When to give medications and why timing matters 
  • When not to give certain medications 
  • How to communicate changes quickly 
  • How to support residents through early symptoms 

If facility staff aren’t confident in these decisions, residents can end up in crisis and sent to the ER unnecessarily. Curana Health closes that loop ensuring staff feel prepared, supported, and aligned with the care plan. 

“It’s reassuring for families to know we’re helping the facility be more prepared to care for their loved one,” Ashley says. 

The takeaway: One early visit can change everything 

The visit that prevented a hospital stay isn’t luck; it’s the result of: 

  • Early recognition 
  • Strong communication
  • Treat-in-place tools
  • Staff education
  • Future-focused care

“It’s whole‑person care in action. And it’s one of the most meaningful ways we help older adults stay safe, comfortable, and well, right where they live,” Ashley says. 

© 2026 Curana. All rights reserved.

Derek Chao, MD

President and Chief Medical Officer
Dr. Chao brings more than two decades of experience in managed care, clinical leadership, and healthcare transformation to Curana Health. Starting his medical career as a hospitalist and nephrologist in Southern California, Dr. Chao has held various leadership positions (including medical director and chief medical officer) within numerous healthcare organizations (including HealthCare Partners). Before coming to Curana, he served as chief executive officer of Optum Health’s western region, where he oversaw operations and care delivery across nine states. Dr. Chao’s expertise spans a range of healthcare models, from fee-for-service to value-based care across Medicare, Medicaid, and commercial plans. His broad experience has honed his ability to lead both clinical and operational teams through the complexities of healthcare delivery models, and his professional insights are shaped not only by his clinical expertise, but also by personal experience (having witnessed firsthand the challenges his elderly parents faced in navigating the American healthcare system). At Curana Health, Dr. Chao leads efforts to empower the organization’s healthcare providers, optimize care delivery, and ensure clinicians have the tools and support needed to achieve exceptional outcomes for patients and operator partners alike.