FOR LIFE AFTER A HOSPITAL STAY
Post-Discharge Clinic on Oʻahu
Leaving the hospital or a skilled nursing facility is an important step, but recovery often requires continued medical support. health2me’s Post-Discharge Clinic provides timely follow-up to review medications, address outstanding orders, coordinate needed services, and help stabilize your care plan after you return home.
This short-term transitional care may be appropriate for patients who do not have a primary care physician, cannot see their regular physician soon enough, or need additional medical support during the first weeks after discharge.
Our Commitment:
We'll contact you the day we receive the referral or call, and see you within 7 days of discharge.
WHAT TO EXPECT
From discharge to healthy again
First, we steady things
Get seen, get steady
The first visit brings order to the chaos. We help you understand what your discharge papers mean, sort out your medications, send refills, sign orders, and make referrals.
Then, we build the plan
A care plan you can follow
Together we build a plan for your recovery. We help you understand what to do, what to watch for, and which follow-ups matter, and we help you keep moving your plan forward.
AFTER THAT
Staying Healthy
Our goal isn't just to stabilize your care, it's to keep you healthy. No PCP? We can manage your care long term. Have one? We'll transition your plan to them once you get an appointment.
What we can help with
What kinds of things can we help with?
Timely first visit
We see recently discharged patients quickly, so there’s no dangerous gap between the hospital and your next appointment.
Medication reconciliation & refills
What changed, what stopped, what’s new. Refills sent the same day so nothing lapses.
Home health, PT, DME orders
Nursing, therapy, and equipment orders reviewed and signed so services start without delay.
Specialist referrals
Specialist appointments booked, records shared, and your team kept in the loop.
Discharge instructions, translated
We go through the paperwork in plain language until it makes sense to you and the people helping with your care.
Patients without a PCP
No primary doctor? We can step in and our team is here to help manage your care long term.
Sound familiar?
If you're saying any of these, call us.
These are the calls we get every week. None of them are too small, and all of them are exactly what this clinic is for.