We understand that every patient is different and has unique healthcare needs. That's why we take the time to thoroughly assess each patient and personalize our services accordingly. Our team of experienced healthcare professionals works closely with patients, nurses and case managers to develop a tailored discharge plan that takes into account their medical history, current health status, and personal preferences. By providing personalized care, we aim to ensure that each patient receives the best possible outcomes and feels supported throughout their healthcare journey.

Proper Facility Discharge

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


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

Power of Attorney

An attorney can draft the appropriate Power of Attorney and Healthcare Proxy documents.

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.

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.

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 with or without Methadone
  • Sex Offenders
  • Sleep Disorders
  • Dementia

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.

Client Testimonials

“Shirley and Ms. Judith, they come out right away. They're awesome, they're amazing, they're friendly, they're helpful, they're thorough. They come every week. They follow up with their patients and the families. It's just a smooth transition. And I'm so again grateful to Compass for all their hard work. .”
“Sometimes I feel a little overwhelmed when I can't spend the amount of time that I would like to spend with my patients. And I feel like the weight is really lifted off of me when I know that Compass is coming in. Specifically, recently had two patients that were here, well over a month, both of them. I kept having barrier after barrier. I finally reached out to my director and I said, I'm at a dead stop. There's nothing else I can do. I need help. Within 24 hours, Compass was consulted, and by the end of the 48 hours, both of my patients were at facilities where they both wanted to go, and they were doing great.”

Our Solution

We firmly believe that everyone deserves optimal care, no matter the complexities of their case. At Compass Complex Discharge Solutions, 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.