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Clinical Governance

Physician-Led, Nurse-Managed Clinical Excellence

Our multidisciplinary clinical governance structure combines supervising medical director oversight, 24/7 registered nurse care coordination, and specialized wound staging.

Clinical Governance Model

Rigorous Medical Oversight in a Restorative 6-Bed Setting

Recuperative care is the bridge between acute inpatient hospitalization and self-sufficient community wellness. At IJL Homes, our clinical model is anchored by Board-Certified physician leadership and executed by compassionate Registered Nurses.

By maintaining a low 1:3 daytime staff ratio across only 6 licensed beds, our clinical team detects subtle changes in patient condition before they escalate into emergency department visits or 30-day hospital readmissions.

Weekly MD Chart Reviews

Regular medical director review of vital trends, wound progress, and medication tolerability.

24/7 RN Triage Desk

Direct nurse-to-nurse handoffs, 2-hour hospital triage decisions, and emergency protocols.

Leadership & Staffing Hierarchy

Multidisciplinary Clinical Leadership

Meet the clinicians and social workers who guide patient care plans from admission to permanent housing discharge.

Eleanor Vance, MHA, RN

Executive Director & Founder
MHA, BSN, RN, PHN
EVMR

Over 18 years of clinical and healthcare leadership experience specializing in social determinants of health, CalAIM Community Supports, and trauma-informed post-acute healthcare systems.

Clinical Governance Areas
Healthcare Administration
CalAIM Policy
Trauma-Informed Systems

Dr. Arthur Sterling, MD

Supervising Medical Director
MD, FACP (Board Certified Internal Medicine)
DASM

Board-certified internist with extensive background in post-acute convalescence, chronic disease stabilization, and hospital medicine governance.

Clinical Governance Areas
Internal Medicine
Chronic Disease Stabilization
Clinical Governance

Marcus Holloway, MSN, RN, CWCN

Director of Nursing
MSN, RN, Certified Wound Care Nurse
MHMRC

Specialized wound care nurse and clinical educator leading daily nursing assessments, medication administration protocols, and staff clinical training.

Clinical Governance Areas
Advanced Wound Staging
Infection Control
Medication Reconciliation

Sonia Delgado, MSW, LCSW

Lead Medical Social Worker & Housing Navigator
MSW, LCSW, ECM Certified
SDML

Dedicated case management leader specializing in CalAIM Enhanced Care Management (ECM), Coordinated Entry System (CES) matching, and permanent supportive housing linkages.

Clinical Governance Areas
Housing Navigation
CalAIM ECM
Benefits Advocacy
Specialized Protocols

Clinical Protocols & Disease Stabilization

Standardized evidence-based clinical pathways ensuring consistent care quality and rapid recovery.

Reconciliation & Administration
Triple-Check Protocol

Medication Therapy Management (MTM)

Comprehensive medication reconciliation upon admission, double-locked narcotic storage, and strict dose adherence logging.

  • Triple-check reconciliation comparing hospital discharge orders against blister-pack pharmacy labels
  • Double-locked narcotic safe and scheduled substance administration logging
  • Direct coordination with retail and long-term care pharmacies for refill management
  • Resident education on medication indications, timing, and side effects
Physician-Ordered Protocols
Certified Wound Care Nurse

Advanced Wound Care & Tissue Staging

Systematic wound measurement, photograph documentation, and sterile dressing changes under home health physician orders.

  • Post-surgical incision monitoring, staple line observation, and drain site hygiene
  • Stage 1-2 pressure injury management with specialized hydrocolloid and foam barriers
  • Diabetic foot ulcer offloading and venous stasis compression dressing support
  • Negative pressure wound therapy (Wound VAC) canister maintenance and seal tracking
Cardiometabolic & Respiratory
Daily Multi-Point Vitals

Chronic Disease Stabilization

Proactive monitoring to prevent acute exacerbations of hypertension, diabetes, congestive heart failure, and COPD.

  • Hypertension: Daily multi-point BP recording paired with sodium-controlled dining
  • Diabetes: Capillary blood glucose testing, insulin support, and diabetic foot checks
  • CHF: Daily dry morning weights, lower extremity edema checks, and fluid tracking
  • COPD: Continuous SpO2 pulse oximetry, nebulizer treatment support, and O2 monitoring
On-Site Diagnostic Dispatch
Rapid Lab Turnaround

Mobile Ancillary Diagnostic Services

Contracted mobile diagnostics bringing hospital-grade lab draws and medical imaging directly to our residential facility.

  • Mobile phlebotomy for routine blood draws (CBC, CMP, PT/INR, HbA1c, therapeutic levels)
  • Mobile digital X-ray and portable Doppler ultrasound imaging dispatched on-site
  • Contracted physical (PT), occupational (OT), and speech (ST) therapy home visits
  • Telehealth consultations linking residents with primary care MDs and hospital specialists
Mobile Healthcare Network

Hospital-Grade Ancillary Care Brought Directly to the Bedside

Residents at IJL Homes don't need to endure stressful trips to diagnostic centers for routine blood work or basic imaging. Our contracted mobile healthcare network dispatches licensed phlebotomists and imaging technologists directly to our clinical suite.

Routine Blood DrawsPortable Digital X-RaysDoppler UltrasoundsPhysical Therapy (PT)Occupational Therapy (OT)Telehealth Consultations

Discuss Clinical Capabilities

Have questions about wound care staging or complex medical management?

Call Director of Nursing: (800) 555-4554

Connect with Our Clinical Triage Team

We are available 24/7/365 to evaluate hospital discharge summaries, review wound photos, and provide immediate bed holds.