Bridging the Gap Between Hospital Discharge and Safe Community Placement
BridgeCare Foundation provides structured, non-clinical SDOH stabilization services that ensure no one leaves the hospital without a safe path home.
60-Day Stabilization Model
Time limited support during the critical post dis-charge period.
Transportation Coordination
Reliable transportation to appointment and essential services.
Reduced Avoidable Readmissions
Addressing root barriers to improve outcomes and reduce avoidable hospital utilization.
WHO WE SERVE
Serving Those Who Need It Most
Individuals transitioning from hospital discharge
Medicaid & managed care members
Justice-involved individuals
Vulnerable populations
Experiencing housing instability
WHAT WE DO
Non-Clinical Post-Discharge Support
Housing Stabilization
Hotel placements and temporary housing support while long-term solutions are secured.
Transportation Coordination
Rides to appointments, pharmacy pickups, and essential services.
Care Access Linkage
Connection to a primary care provider within 48 hours of discharge.
Community Resource Connection
Regular check-ins and advocacy throughout the 60-day period.
HOW IT WORKS
60-Day Stabilization Model
- Outreach & engagement
- Needs review
- Primary care linkage
Transportation coordination
Medication access
Connection to services
Housing pathway support
Ongoing stabilization
Transition to long-term resources
FUNDING & PARTNERSHIPS
Aligned with Government, Hospital, and Health Plan Initiatives
We collaborate with system partners to address non-medical barriers and improve outcomes.
Hospital Partnerships
Supporting community benefit and readmission reduction priorities.
Health Plans
Addressing social needs to improve outcomes and reduce total cost of care.
Government & Grants
Aligned with housing instability and discharge transition funding priorities.
Community Systems
Partnering for coordinated stabilization and placement pathways.
OUR SERVICES
Comprehensive SDOH Stabilization Services
We address the social determinants of health that clinical care alone cannot solve. Our services fill the critical gaps between hospital discharge and sustainable community living.
Housing Stabilization
Temporary placements, hotel coordination, and navigation to permanent housing.
Transportation Access
Coordinated rides for medical appointments, pharmacy visits, and essential errands.
Medication & Care Access
Prescription support, primary care linkage, and follow-up appointment coordination.
Care Coordination
Dedicated case management, regular follow-ups, and community resource referrals.
SUPPORT OUR MISSION
Help Us Bridge the Gap
Your support enables BridgeCare Foundation to provide critical stabilization services to vulnerable individuals leaving hospitals. Every contribution helps us house, transport, and coordinate care for those who would otherwise fall through the cracks.
Monthly Supporter
Stabilization Sponsor
Partner Patron
CONTACT
Contact BridgeCare Foundation
Whether you’re a hospital looking to refer patients, an organization interested in partnership, or a supporter wanting to contribute — we’d love to hear from you.
Phone
(555) 123-4567
info@bcfconnect.org
Address
Miami-Dade and Broward County
Hours
Mon–Fri, 8:00 AM – 6:00 PM