Hospitals and discharge teams
Primary-care continuity, wound follow-up, skilled home or facility cases, and communication after discharge.
Hospital referral pathwayFor hospitals, clinicians, facilities, and community care teams
A dependable referral path when continuity or capacity is the problem.
Metro East Health is designed for cases where the patient’s PCP sits outside the network, the discharge plan needs a clinical owner, or skilled home and facility needs exceed the team’s available reach.
Professional pathways
Refer based on the problem your team is trying to solve.
Physicians and advanced practice clinicians
Focused wound support, primary-care continuity, chronic-disease context, and coordination across settings.
Clinician referral pathwaySkilled nursing, assisted living, and rehabilitation
Added primary-care and wound-care capacity, escalation support, and practical communication.
Facility partner pathwayHome health, hospice, and community teams
Clinical ownership, orders and plan clarification, wound support, escalation, and coordination with the broader care team.
Home health pathwayWhat makes a referral actionable
Start with minimum information that clarifies the next decision.
Current setting and location
Home, hospital discharge, skilled nursing, assisted living, rehabilitation, home health, hospice, or another setting—plus city or ZIP.
Clinical need and PCP status
Primary care, wound care, post-discharge follow-up, skilled capacity, or coordination—and whether the PCP is in-network, outside-network, absent, or unknown.
Urgency and best next contact
Identify the practical timing, the person who can answer questions, and who should receive communication back.
Start with the right path
Send a professional referral without sending full records publicly.
Use patient initials and minimum intake details only. The team will provide the appropriate secure channel for records, images, or detailed protected health information when needed.