A Safer Next Step After Discharge

South County Renewal Living is being developed to partner with hospitals, health plans, care management teams, county programs, and community organizations serving adults who are ready to leave acute care but do not yet have a safe place to recover.

Our goal is to help create a more coordinated transition from healthcare to recovery, housing navigation, and a stable next step—right here in South County.

REFERRAL PARTNER INQUIRY

What We Are Building Toward

Safe, respectful discharges for adults who no longer require acute medical care.
Fewer avoidable returns to the ED or hospital.
Consistent follow-up on recovery plans and primary care connections.
Continuity from recovery into housing navigation and stability.
Bilingual support and community-based coordination.

What Partners Can Expect

Transparency

Consistent communication on bed availability and eligibility timelines.

Reliability

A secure, HIPAA-compliant referral process that respects your team's time.

Coordination

Active participation in discharge planning and warm hand-offs.

Accountability

Regular reporting on resident outcomes and program performance.

Dignity

A commitment to treating every referred individual with respect and care.

Partnership

A long-term focus on improving the local continuum of care together.

Referral Readiness Timeline

Phase 1

Now

Phase 2

Phase 3

Late 2026

January 2027 — Planned

Early-stage partnership discussions, informational meetings, and organizational alignment.

Finalizing referral agreements, workflow integration, and staff training for secure portals.

Program launch and official acceptance of patient referrals for recuperative care.

What We Plan to Measure

Success is defined by the stability and health of our residents. We are committed to tracking outcomes that demonstrate the impact of coordinated care and transitional support.

Successful completion of stay

Completion of medical and behavioral health follow-ups

Connection to long-term primary care

Maintenance of benefits (Medi-Cal, SSI/SSDI)

Exits to stable or permanent housing

Reduction in avoidable ED visits and hospital returns

Resident experience and dignity-centered surveys