Post-discharge wound review
Wound and periwound assessment, drainage review, measurement, and evaluation of how the discharge plan is working at home.
HOSPITAL & DISCHARGE PARTNERSHIP
Protect wound-care continuity after discharge.
PHWC helps discharge planners, case managers, and hospital teams connect appropriate patients with wound-focused follow-up at home, reinforcing the discharge plan and helping identify changes that need timely clinical attention.
Hospital-to-home continuityHelp patients leave the hospital with a clearer wound follow-up pathway and caregiver support.
01Transition supportReinforce wound-care instructions and help coordinate the next step after discharge.
02Home-based assessmentObserve wound progress and surrounding skin in the environment where ongoing care occurs.
03Early communicationMeaningful changes can be communicated back through the appropriate provider or care-management pathway.
DISCHARGE CONTINUITY
Close the gap between discharge instructions and real-life wound care.
Patients and caregivers may leave the hospital with multiple instructions, supplies, appointments, and new responsibilities. PHWC can provide wound-focused support in the home while coordinating with the existing medical team.
Patient & caregiver education
Reinforce wound-care steps, skin protection, pressure reduction, supply use, and clinically appropriate warning signs.
Care coordination
Support communication with the relevant provider, home health team, facility, or follow-up service when the wound plan needs review.
DISCHARGE WORKFLOW
A clearer handoff from inpatient care to home.
Identify before discharge
Case management identifies a patient with a wound that may need structured home follow-up.
Send clinical information
Referral includes available wound details, orders, discharge instructions, payer information, and provider contacts.
Coordinate after discharge
PHWC reviews the referral and contacts the patient or caregiver to establish the appropriate next step.
Maintain continuity
Relevant wound findings and concerns are communicated through the established post-discharge care pathway.
Planning a discharge for a patient with a complex wound?
Send the referral before discharge so the home follow-up pathway can be reviewed as early as possible.