Services

Our Goal For You

Improving the patient experience of care (including quality and satisfaction). 

After discharge from inpatient treatment, there is fear and anxiety about the next steps. If the patient feels like they can see a bridge, if the discharge team equips the caretaker with what the next steps are and they have some support it can make the patient more confident in the treatment team and discharge plan. 

Improving the health of populations; 

The goal is to keep the patient stable and to manage the next steps in life with all possible avenues, medication, housing, financial aid and support.

Reducing the per capita cost of health care.

If the patient transitions successfully from the inpatient stay and is stable they will not need costly inpatient care in the future.

How It Works

  • The social worker will invite the patient and the caregiver to the network.
  • Make a selection from a list of common needs for what the patient needs at time of discharge.
  • The patient, or primary caregiver will provide a list of contacts that have offered to help.
  • The contacts can see a the list of what is needed to provide and support the patient.
  • You will be able to converse back and forth to the patient each time help is being offered!