Continuity of Care: Bridging the Gap After Hospital Discharge
- Jason Novak
- Nov 3
- 2 min read
The transition from hospital to home is one of the most critical moments in a patient’s recovery. When that transition isn’t managed carefully, wounds can worsen, infections can develop, and progress made in the hospital can quickly be lost. At Integrity Healing Touch, we’re committed to bridging that gap — ensuring patients continue to heal safely and confidently at home with the same level of clinical excellence they received in the hospital.
The Challenge of the “Discharge Gap”
Every day, patients are discharged from hospitals with complex wounds that still require professional care. Unfortunately, not every patient has immediate access to the specialized wound management they need once they’re home. This gap can lead to setbacks in healing, higher readmission rates, and unnecessary stress for both patients and families.
Integrity Healing Touch was created to close that gap — to provide seamless, in-home wound care that keeps healing on track and gives providers peace of mind that their patients are supported.
Collaboration That Drives Healing
Our approach to continuity of care is built on communication and coordination.
We work directly with hospital discharge planners, physicians, and case managers to ensure that every referral transitions smoothly. Our clinicians receive comprehensive handoffs that include wound history, medication notes, and hospital treatment details — allowing care to continue without interruption.
This means patients don’t have to start over. Their healing journey simply continues in a more comfortable environment: home.
Consistent Care, Measurable Progress
Continuity doesn’t just mean care that continues — it means care that’s consistent.
Our nurses follow evidence-based wound care protocols and provide detailed progress reports back to referring providers. This ensures accountability, quality assurance, and measurable outcomes that align with your care objectives.
By keeping communication open, we help prevent readmissions, promote faster recovery, and deliver the results that both patients and providers can trust.
Supporting Patients and Families at Home
Recovering from surgery or a chronic wound can be overwhelming. Families often feel uncertain about how to manage dressings or spot complications. Our compassionate team not only performs advanced wound care but also educates and empowers patients and caregivers with the knowledge they need to stay confident between visits.
When care continues beyond the hospital walls, healing becomes a team effort — one that extends from physicians to nurses, to families, and finally, to the patient.
The Integrity Promise
Integrity Healing Touch was founded on a simple promise: to ensure every patient receives the right care, at the right time, in the right place — home.
We see every referral as a partnership, built on communication, compassion, and a shared commitment to healing.
If you’re a provider seeking a trusted partner in post-discharge wound care, we invite you to connect with our team. Together, we can make recovery at home a seamless and successful experience.
Refer a patient today at www.integrityhealingtouch.com
or call to speak with our care coordination team about our continuity of care model.

Comments