Hospital to Senior Care Transition Tacoma | Harbor View AFH

We work with discharge planners, hospital social workers, and rehabilitation teams to ensure nothing falls through the cracks. Services include pre-admission coordination with hospital or rehab facility, medical equipment setup and room preparation before arrival, medication reconciliation and pharmacy coordination, physician follow-up appointment scheduling, detailed handoff communication with the outgoing care team, caregiver orientation to the resident’s specific needs and routines, family communication throughout the transition, and close monitoring during the first 30 days to prevent readmission.

Hospital-to-Home Transitions from Tacoma & Spanaway Hospitals

Most of our hospital-to-home transitions in Tacoma come from four hospitals: MultiCare Tacoma General (downtown Tacoma), St. Joseph Medical Center (CHI Franciscan, downtown Tacoma), MultiCare Allenmore Hospital (S Tacoma), and Madigan Army Medical Center (Joint Base Lewis-McChord, serving Tacoma south end and Spanaway). Each has its own discharge-planning process; Julia, our lead CNA, has worked with all four for years.

A Harbor View transition typically starts 24–72 hours before discharge. The hospital's case manager or social worker contacts us directly. We pull the discharge plan, medication list, follow-up appointments, and any home-health orders before the resident arrives. The first 48 hours at the home are the highest-risk window for re-admission — we have a caregiver focused on the new resident, vital signs tracked twice a shift, and direct line to the discharging team if anything changes. For Spanaway and Joint Base Lewis-McChord families, the 15-minute drive north to our Tacoma homes is short enough that family can visit daily.

If your hospital case manager hasn't heard of Harbor View AFH yet, we're happy to talk to them directly. Call us with the discharge date and we will coordinate from there.