For hospitals
Discharge is a handoff, not an ending.
Your team can only do so much before the family drives home. We pick up the navigation work that happens after the doors close.
What we hear from discharge teams
- Families receive a resource list and never make the calls.
- Readmissions that started with a caregiver who was simply overwhelmed.
- Social workers holding twenty cases and no way to confirm a connection happened.
- Rural and neighbor-island families with fewer local options and longer waits.
Boundaries
- We do not make clinical decisions or discharge determinations.
- We do not determine insurance or program eligibility.
- We do not guarantee that any organization will accept a referral.
- We do not pay or accept referral fees.
Community Care Connection is a care-navigation and resource-connection service. We are not a covered entity, we do not claim HIPAA certification, and we do not replace clinical judgment or discharge responsibility.
What we do for your team
Take a referral in under three minutes, with only the information navigation requires.
Contact the family directly — including kūpuna who prefer a phone call.
Build a plain-language Care Connection Map™ the family can actually use.
Send referrals to community organizations and track accept, decline, or information needed.
Follow up until a connection is made, and try again when one falls through.
Report the outcome back to the referring team when you ask for it.
On the roadmap
Available today: referrals in, navigator follow-up, and outcome reporting by email. These are planned, not live yet:
- Hospital partner dashboard with referral status at a glance
- SMS updates for families who prefer text
- Aggregate, de-identified connection reporting
- Advanced matching by capacity and wait time