Discharge Planning

Creating Care and Discharge Plans for People Experiencing Homelessness who are Hospitalized Toolkit

The Creating Care and Discharge Plans for People Experiencing Homelessness who are Hospitalized Toolkit was created by the National Health Care for the Homeless Council in partnership with CommonSpirit Health. This tool kit was developed thanks to the invaluable input of providers on the ground, in both hospital and community-based settings, who work daily to […]

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Lessons Learned: Transitions of Care for People Experiencing Homelessness in the Hospital Setting

CommonSpirit Health, USC Street Medicine, and the National Health Care for the Homeless Council (NHCHC) hosted a 90-minute webinar discussing the unique and complex needs of individuals experiencing homelessness during and post hospitalization. This webinar provides concrete ways for hospital teams and community providers to support unhoused individuals during hospitalization. Participants also learn how to

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Patching the Safety Net: Review of a Rapid Post-Hospitalization Shelter Pilot Program

This presentation discusses a pilot post-hospitalization shelter program combined with a medical respite program that provides a rapid-admission option for people awaiting respite bed availability and offers a short-term recovery option for discharges not acute enough to require respite. The pilot has demonstrated that a same-day safety net shelter for hospital discharges provides an important

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Supporting Safe Discharge from Health Care Facility to Shelter

Health care facilities discharge thousands of patients to shelter annually. For clients transitioning from street into shelter and those with serious mental illness, careful discharge planning is needed for shelter integration and safety. In 2023, the NYC Department of Homeless Services formalized its “Assisted Discharge Planning” intervention to support healthcare facilities in developing realistic follow-up

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2023 – 2024 Health Center Preparedness and Response Forum Session Resource

This four-part series took place between October 2023 and April 2024. It was created by HRSA National Training and Technical Assistance Partners (NTTAPs) and was designed to promote promising practices and offer strategies for addressing challenges related to both emergency planning and recovery.  Audience: Health centers serving priority populations, such as agricultural workers, individuals experiencing

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Healing Hands: Care Coordination

Over the past decades, care coordination models have emerged as important tools for health care providers working to better serve the needs of people experiencing homelessness. Historically, health care services have been segmented, meaning that a person seeking health care would have to go to one location for their primary care and different sites for

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