Patients leave the clinic with a treatment plan. What happens next determines outcomes.

Medication titration is delayed. Symptoms go unaddressed. Patients disengage. Care teams struggle to keep up with growing patient populations.

The challenge is not identifying the right treatment plan. It is consistently executing that plan between visits. The Ambulatory Specialty Model (ASM) was designed to solve that problem.

Beyond RPM. Beyond CCM. Beyond Telehealth.

RPM generates data. CCM supports ongoing patient engagement. Telehealth extends access to providers.

ASM brings these capabilities together into a coordinated specialty care delivery model focused on one objective: delivering continuous specialty care between visits.

The Five Components of ASM

Specialty Clinical Oversight

Physicians maintain clinical decision-making while extending their reach beyond the office.

Multidisciplinary Care Teams

Nurses, pharmacists, APPs, and care coordinators help execute care plans at scale.

Technology-Enabled Monitoring

Patient data is transformed into actionable clinical insight.

Structured Clinical Workflows

Evidence-based protocols support consistent intervention, escalation, and follow-up.

Continuous Patient Engagement

Patients remain connected to their care team between visits, not just during them.

What ASM Makes Possible

  • Earlier identification of patient deterioration

  • More consistent execution of guideline-directed therapies

  • Improved patient engagement and adherence

  • Expanded capacity for specialty practices

  • Better alignment with value-based care initiatives

Why ASM Matters

Healthcare is evolving from episodic encounters toward continuous care delivery.

As patient populations become more complex and provider capacity becomes increasingly constrained, specialty practices need scalable ways to improve outcomes without adding burden to physicians or staff. ASM creates the operational framework that makes this possible.

The ISHI Approach

ISHI applies the Ambulatory Specialty Model to cardiovascular care by combining cardiologist-led oversight, heart failure expertise, remote monitoring, and structured clinical workflows to help practices deliver proactive care beyond the clinic.

The result is a more scalable model for managing complex cardiovascular patients, improving execution of guideline-directed therapy, and extending specialty care where it matters most: between visits.

ASM does not replace RPM, CCM, or telehealth. It brings these capabilities together to ensure care plans are consistently executed between visits.