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Hospital Partner Portal

Streamlined Referral Pathway for Healthcare Partners

Rapid 2-hour clinical triage, 24-hour bed holds, hospital-to-bed transportation coordination, and seamless CalAIM Community Supports billing integration.

Live Bed Capacity Board
Updated: Today 24/7 Desk

2 Open Beds Available for Immediate Discharge Triage

We accept referrals 24/7/365 with guaranteed 2-hour clinical decisions. Once accepted, beds are held for up to 24 hours while hospital discharge transportation is arranged.

Reserve Open Bed Online
Direct Triage Fax: (800) 555-3291
Standardized Partner Protocol

The 4-Step Referral to Admission Workflow

Designed to eliminate hospital discharge bottlenecks, reduce length of stay (LOS), and ensure safe patient handoffs.

1
15 Minutes

Rapid Submission

Discharge planner submits patient clinical packet (H&P, discharge summary, MAR, face sheet, and TB clearance) via secure web form, fax, or encrypted email.

  • Accepts direct uploads or faxed hospital packets
  • Requires active Medi-Cal / CalAIM eligibility or commercial contract
  • Immediate automated confirmation and case tracking ID generated
Phase 1 of 4
2
Under 2 Hours

2-Hour Clinical Triage

Our Director of Nursing and Medical Director review clinical acuity, verify post-acute stability, and determine bed availability match.

  • Comprehensive ADL and wound care feasibility review
  • CalAIM Community Supports authorization pre-check (H0043)
  • Clear communication of acceptance or alternative recommendations
Phase 2 of 4
3
Same-Day / Next-Day

Bed Hold & Transit Dispatch

Upon acceptance, bed is held for 24 hours. IJL Homes coordinates Non-Emergency Medical Transportation (NEMT) and confirms 30-day discharge medication supply.

  • Bed reservation locked with receiving hospital team
  • Hospital-to-bed transit dispatched at scheduled discharge time
  • Medication order reconciliation with hospital pharmacy
Phase 3 of 4
4
Day 1 Admission

Warm Welcome & Care Intake

Member arrives at IJL Homes, enjoys a hot meal, settles into their room, and completes initial RN assessment and case management intake within 24 hours.

  • Comfort-centered orientation with dignity and respect
  • Baseline vitals, skin assessment, and medication schedule logged
  • Individualized Care & Housing Action Plan (ICHAP) initiated
Phase 4 of 4
Clinical Pre-Screening

Instant Patient Eligibility Evaluation

Verify your patient's post-acute recuperative care qualification before submitting full EHR documentation.

Interactive Clinical Triage Screener
CalAIM / Title 22 Guidelines

Quick Patient Eligibility Screener

Evaluate whether your patient qualifies for placement in our 6-bed post-acute medical respite facility in under 60 seconds.

1Is the patient an adult aged 18 years or older?

IJL Homes is licensed exclusively for adult medical respite care.

2Is the patient medically stable post-acute discharge (no telemetry, ICU, or continuous titration)?

Patient must not require active acute hospital inpatient monitoring.

3Is the patient experiencing homelessness, unhoused living, or housing instability that threatens physical recovery?

Meets CalAIM Community Supports or hospital medical respite admission criteria.

4Is the patient ambulatory or capable of transferring with minimal 1-person assistance (NO 2-person mechanical Hoyer lifts)?

Our 6-bed facility accommodates walkers, wheelchairs, and 1-person transfers.

5Is the patient free of active unmanaged acute delirium tremens, acute violent psychosis, or active suicidal/homicidal crisis?

We are a trauma-informed, MAT-friendly communal home with zero tolerance for violence.

6Does the patient have active Medi-Cal / CalAIM Managed Care, a hospital single-case agreement, or authorized funding?

We contract directly with L.A. Care, Health Net, IEHP, Molina, and regional health systems.

0/6
Please answer all questions above to receive an immediate clinical placement recommendation.
Screener In Progress
Detailed Clinical Matrix

Acuity Standards by Clinical Category

Comprehensive breakdown of acceptable post-acute conditions vs. exclusionary criteria.

Wound Management & Dressing Protocols

Accepted Wound Conditions
  • Post-surgical incisions with staples, sutures, or Steri-Strips
  • Stage 1 and Stage 2 pressure injuries requiring barrier dressings
  • Diabetic foot ulcers & venous stasis ulcers under active physician orders
  • Negative pressure wound therapy (Wound VAC) with Home Health nurse active
Exclusionary Wound Conditions
  • Unstageable / deep tissue pressure injuries requiring surgical debridement
  • Active arterial hemorrhaging or active purulent surgical wound breakdown
Downloadable Resources

Hospital Discharge Planner Toolkit

Download clinical reference guides, CalAIM authorization cheat sheets, and offline referral forms for your hospital department.

PDF Guide (1.2 MB)

Discharge Planner Referral Packet & Checklist

Complete referral submission checklist including required H&P, MAR, Face Sheet, and TB clearance guidelines.

PDF Quick Reference (850 KB)

CalAIM Fast-Track Authorization Guide (H0043/T2038)

Step-by-step guidance for submitting Treatment Authorization Requests (TAR) to L.A. Care, Health Net, IEHP, and Molina.

PDF Clinical Tool (920 KB)

Clinical Acuity & Wound Care Staging Reference Sheet

Summary of acceptable wound stages, IV infusion coordination, and ADL mobility criteria for medical respite triage.

Ready to Place a Post-Acute Patient?

Submit your clinical packet online through our encrypted portal or contact our 24/7 clinical intake desk directly.