Concierge chronic & post-hospital care · Middletown, DE

Complex care that follows you home.

Tikari is a nurse-practitioner-led practice providing close, coordinated follow-up for adults recovering from a hospital stay or managing multiple chronic conditions across New Castle County, Delaware.

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Founded by Jerise Agha, MSN, AG-ACNP-BC

What We Treat

Two focused services, one nurse practitioner you already know.

Tikari specializes in the two areas where hands-on, in-home care changes outcomes most — ongoing chronic disease management and hands-on wound care.

Chronic Disease Management Wound Care Management

Chronic Disease Management

Ongoing, coordinated care for adults managing heart failure, COPD, diabetes, hypertension, and other chronic conditions — with virtual visits, medication review, and specialist coordination that catches problems before they become an ER visit.

Regular visits, virtual and in-home
Medication review & specialist coordination
Early symptom recognition to prevent readmission

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Wound Care Management

Hands-on wound assessment, dressing changes, and debridement at home — for post-surgical incisions, pressure injuries, and diabetic or venous ulcers that are slow to heal.

In-home wound assessment & personalized care plan
Debridement and NPWT management when appropriate
Available as an add-on to any membership, or a la carte

Ask About Wound Care

The Problem

Discharge day isn't the finish line — but it's often treated that way.

Patients leave the hospital with a stack of new instructions, medication changes, and a follow-up appointment that's weeks away. In that gap, warning signs of decompensation go unnoticed until they turn into another emergency room visit or a readmission that could have been prevented.

Overbooked primary care panels weren't built for the highest-risk 30–90 days after a hospital stay — the exact window when complex, chronically ill patients need the closest attention.

Day 0

Hospital discharge — new medications, new instructions, a lot to absorb.

Weeks 1–3 — the gap

Follow-up is weeks out. Medication changes go unreviewed. Warning signs are easy to miss.

Without a bridge

Small problems become avoidable ER visits and hospital readmissions.

How It Works

A hybrid model built around the highest-risk window.

Tikari combines virtual access with in-home visits, so following up doesn't depend on finding a ride to an office — and nothing falls through the cracks in the first critical weeks.

Enroll & build your care plan

A comprehensive intake — full history, medication reconciliation, and an individualized care plan built around your conditions and goals.

Stay connected virtually

Scheduled telehealth visits and unlimited messaging with Jerise for questions, medication concerns, or new symptoms — no waiting weeks for a callback.

Get seen at home when it matters

In-home visits for members who need hands-on assessment — including wound care management such as dressing changes and healing checks — removing the transportation barrier that keeps sick patients from following up.

Jerise Agha

MSN, AG-ACNP-BC

Adult-Gerontology Acute Care Nurse Practitioner, board-certified
Hospitalist & critical-care nursing background
Transitions-of-care & discharge planning experience
Delaware & Maryland RN licensure, ACLS/BLS

Why Tikari

ICU-level clinical judgment, applied to outpatient chronic care.

Jerise Agha, MSN, AG-ACNP-BC, provides coordinated chronic disease and post-hospital care for adults with complex medical needs.

Drawing on extensive hospitalist and critical-care experience, she focuses on individualized care plans, medication support, early recognition of worsening symptoms, and smooth coordination with specialists and hospitals.

Acute-care pedigree. Confidently manages higher-acuity patients than a typical generalist family practice.

Built around the discharge window — the highest-risk 30–90 days for readmission after a hospital stay.

Hybrid access. Virtual visits plus in-home care remove the transportation barrier that keeps sick patients from following up.

Membership Plans

Works alongside your Medicare, Medicaid, or private insurance.

Choose the tier that matches your care needs today — members can step between tiers as those needs change.

Medicare · Medicaid · Private insurance (billing coming soon) · Cash-pay available now — Tikari welcomes patients regardless of coverage. Membership is a self-pay fee that adds close, in-home clinical follow-up on top of whatever insurance you already have for hospital, specialist, and pharmacy costs.

Tikari BridgeWell Essentials

For adults managing 1–2 stable chronic conditions.

Monthly virtual visit
Unlimited messaging with Jerise
Medication review
Care coordination with specialists

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Tikari BridgeWell Complex Care

For 3+ chronic conditions or high fall/decompensation risk.

Everything in Essentials
Quarterly in-home visit
Biweekly check-ins
Caregiver communication

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Tikari BridgeWell Recovery

For members just discharged from a hospital or ED. Covers the first 60 days, then steps down to the Complex Care tier.

In-home visit within 48 hours of discharge
Weekly monitoring for 60 days
24/7 triage line
Direct line to hospital discharge team

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New-member enrollment — every membership begins with an in-depth intake history, medication reconciliation, and personalized care plan build.

Wound Care Management

An a-la-carte add-on available on top of any membership — or for non-members who just need hands-on wound care at home. Covers routine dressing changes through complex Stage III–IV pressure injuries, multiple wounds, and debridement.

Initial Assessment wound assessment & care plan, one-time

Standard Visit routine dressing change, stable wound

Complex Visit Stage III–IV, multiple wounds, debridement, NPWT

Ask About Wound Care

Who It's For

Built for three kinds of patients — often the same family.

Just came home from the hospital

You or a loved one were recently discharged after a flare-up of a chronic condition — heart failure, COPD, diabetes complications, or a complex surgery — and want closer follow-up than a standard primary care schedule allows.

Discharged within the last 1–4 weeks
Managing 2 or more chronic conditions, often several medications
Have Medicare or commercial insurance, but want faster access to a clinician who knows the full picture
Live in New Castle County, DE or nearby Cecil County, MD

Managing ongoing chronic conditions

You haven't been hospitalized recently, but you're juggling two or more chronic conditions and tired of 15-minute visits scheduled months apart with a provider who barely has time to review your chart.

Two or more ongoing chronic conditions
Wants faster access and more time with a single point of contact
Values a clinician who knows your full history, not just today's complaint
Willing to invest in a membership for that level of attention

Recovering from a wound or surgery

You or a loved one have a wound that needs regular dressing changes or monitoring — post-surgical, a pressure injury, or a slow-healing ulcer — and getting to a wound care center every week isn't realistic.

Post-surgical wound, pressure injury, or chronic ulcer needing regular care
Referred by a surgeon's office or hospital wound care center, or self-referred
Wants dressing changes and healing checks done at home, on a set schedule
Available as a stand-alone service or bundled into a membership plan

Service Area

Rooted in Middletown, serving the surrounding region.

In-home visits and local, same-day-feeling care for patients across New Castle County, Delaware, plus nearby communities just across the Maryland line.

Middletown, DE New Castle County, DE Odessa, DE Townsend, DE Cecil County, MD

Let's talk about your care.

Tell us a little about your situation — recent discharge, an ongoing chronic condition, or a parent you're caring for — and Jerise will follow up personally.

Request a Consultation Call (302) 203-7113