Services We Offer

Our Services include, but are not limited to the following:

We understand that difficulties in discharging patients can have far-reaching impacts, affecting individuals under various coverage spectrums, including Medicaid, Medicare, Veterans Affairs, private insurance, and even those without insurance. While only a small percentage of these patients necessitate extended services and support, we recognize that this fraction can disproportionately consume valuable time and resources. This understanding drives our commitment to providing comprehensive solutions that bridge the gap between complex discharges and compassionate care management.

At Compass Complex Discharge Solutions, we’re here to address these challenges head-on. Our mission is to ensure a seamless transition for patients from hospital care to post-discharge services. With a keen awareness of the diverse needs and coverage options, our experienced team is equipped to navigate the intricacies of each case. We believe that everyone deserves the best care, regardless of their complexities, and we’re dedicated to streamlining the discharge process for all individuals involved. Through innovative approaches and a patient-centered focus, we aim to alleviate the burden on healthcare professionals, improve patient outcomes, and contribute to a more efficient and effective healthcare system.

Care Management

  • Properly Assess the Patient
  • Development of a Discharge Plan
  • Facilitating Placement with our Preferred Providers
  • Finalize Discharge to Appropriate Setting

We have established partnerships with a range of care providers, including Skilled Nursing and Assisted Facilities, Adult Family Care Homes, Continuing Care Retirement Communities (CCRCs), and Home Health Hospice. These collaborations enable us to find the most suitable care environment for each patient, tailored to their unique needs following discharge both nationally and internationally.

Proper Facility Placement

We determine the patient’s proper facility placement based on their needs before discharge.


ETG (Emergency Temporary Guardianship) Our attorney will file a petition with the local court where the ward resides.

Power of Attorney

Appointing a family member or individual to make legal decisions about one’s property, finances, or medical directives.

ICP Medicaid Application

We complete the Medicaid application for the patient, which requires gathering financial documents ie; bank statements, 2613 Documents DCF (Financial Form), Social Security Award Letters, Etc.

Facilitation of Skilled Nursing Services

  • Ventilator Care
  • Trach Care
  • Stretcher Dialysis Care
  • Advanced Wound Care
  • And Much More

What Can Cause a Difficult Discharge

Complex Behaviors and Characteristics of the Patient

  • Self-Harming
  • Personality Disorder(s)
  • Criminal History
  • Homeless
  • Intellectual Disability
  • Traumatic Brain Injury
  • No Family or Support System
  • Assaultive
  • Fire Starting
  • Eloping
  • Substance abuse w/ or w/o Methadone
  • Sex Offenders
  • Sleep Disorders
  • Dementia

Our Solution

We firmly believe that everyone deserves optimal care, no matter the complexities of their case. At CCDS, we handle all complex cases with a commitment to high-quality care. Through our innovative strategies, we take on the duty and workload of efficiently managing the discharge of these complex cases. Our team can help ease the process of finding suitable services for your patients, thereby reducing the current responsibilities of your case managers. Understanding the essence of time, our aim is to discharge patients as quickly as possible upon initial referral. The wide range of services we provide are designed to meet all of a patient’s needs, prioritizing their post-hospital care. This enables the patient to recuperate in comfort, free from additional complexities.