AFTER A HOSPITAL OR SKILLED NURSING FACILITY 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.
WHERE CARE HAPPENS
Visits at our Honolulu clinic
Post Discharge visits take place at our Honolulu clinic at 1380 Lusitana Street, Suite 614. We care for patients returning home after a hospital or skilled nursing facility stay, including patients who already have a primary care physician.
If getting to the clinic is difficult, call us. Some patients may separately qualify for Complex Care, which provides medical care in the home.
ADDRESS
1380 Lusitana Street, Suite 614
Honolulu, HI 96813
PARKING
Parking is free for the first hour at the Queens POB 1 parking lot.
DROP OFF
A drop off and loading zone is located on the 3rd floor of Queens POB 1, street level of Lusitana Street.
Our Commitment:
We aim to contact you the day we receive your call or referral and arrange timely follow-up, often within seven days of discharge when referred promptly.
WHAT TO EXPECT
From discharge to a stable recovery plan
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 to help reduce avoidable gaps between discharge and the next medical appointment.
Medication reconciliation & refills
What changed, what stopped, what’s new. Medication needs reviewed promptly, with clinically appropriate refills sent whenever possible.
Home health, PT, DME orders
Medically appropriate nursing, therapy, and equipment orders reviewed and completed to help prevent avoidable delays.
Specialist referrals
We help arrange specialist follow-up and share the records needed for a smoother transition.
Discharge instructions explained
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.