For over seven years, Dr. Alfonso served as a key physician leader within skilled nursing facilities. It was here that she witnessed firsthand the profound challenges that patients and their families face when navigating the healthcare system. She saw the consequences of fragmented care, the frustration of unanswered questions, and the deep desire of every patient to live as independently as possible.

This experience was formative. It became clear to Dr. Alfonso that there was a critical gap in the care continuum: a lack of expert, physician-led diagnosis and strategy during periods of change and transition, and a lack of unified guidance when families needed it most. She saw that the key to supporting older adults as they navigate aging in place was not just more care, but smarter, more coordinated care, led by a physician who understood the complete functional picture.