Physician-led. Delivered by the right clinician for the task.
A treating physician evaluates every patient, writes the plan and follows up — in person or by video. Nurse practitioners, nurses and medical assistants deliver the ordered care in the patient's home, skilled nursing facility or assisted-living community, under that physician's supervision. Physician time goes where only a physician will do; routine care is delivered by qualified staff at a cost the system can sustain.
Care in place, not care by appointment.
Facility wound rounds bring assessment, debridement, advanced therapies and treatment plans to the building. Home visits reach the patient who cannot travel. Clinic days are hosted in partner physician offices and clinics — no long-term lease, and a natural fit with the practices that refer to us — for the procedures that need a clinic. The nursing staff who see the patient every day are part of the plan, with clear orders and a direct line back to the treating clinician.
It starts with the wound. It never stops there.
A chronic wound is rarely the only problem. Diabetes, vascular disease, obesity, smoking, heart failure, kidney disease, poor nutrition — the comorbidities that caused the wound are the reasons it will come back. Gateway treats the wound and manages the comorbidities: primary care, chronic-care management and follow-up that continue after the wound has closed, so a healed ulcer stays healed.
Designed for value-based payment.
Medicare and other payers are moving from paying per visit to paying for outcomes, continuity and avoided hospital stays — through advanced primary care management, chronic-care and remote-monitoring programs, and accountable-care arrangements. The Gateway model is built to work inside those programs: documented physician oversight, measured outcomes, coordinated care across settings and fewer avoidable emergency visits and readmissions.
Built to be replicated.
One treating physician, a nurse-practitioner-led field team, a set of partner facilities and a supply chain for dressings, compression and negative-pressure therapy: that is a unit. It stands on its own economics without depending on any single product or reimbursement quirk, and it can be repeated market by market. St. Louis is where we are proving it.
Who we work with
- Skilled nursing and assisted-living communities that want a wound program in the building and fewer transfers out.
- Independent physicians and practices that want their wound patients managed without losing the relationship.
- Hospital discharge teams and home-health agencies that need a place to send the patient who falls in the gap.
- Patients and families who can call us directly.