Get Home From the Hospital Faster

Physician-led hospital discharge support in Calgary.

The hospital says discharge is coming soon. But the days keep adding up. Specialist sign-offs are pending, coordination takes time, and every extra day in the bed comes at a cost to their health. Beyond Neighbours sends a physician to coordinate the transition so they aren’t stuck waiting.

Let’s get your loved one home.

The longer the wait, the higher the risk.

Every day in the hospital has consequences.
  • Each day in bed means more muscle loss and less mobility.
  • Longer stays also increase the risk of cognitive decline.
  • Hospital overcrowding increases the risk of infection.

The wait is hard on everyone.

A loved one stuck in the hospital puts pressure on the whole family.
  • Medications need reconciling.
  • Specialist follow-ups need to be booked.
  • Medical equipment has to be arranged.
Beyond Neighbours exists for exactly this.

Getting them home is just the beginning.

Hospital discharge isn’t the finish line.

With overcrowded hospitals, discharge can be rushed, and loose ends get left hanging.

AHS Home Care is a great resource, but wait times mean it doesn’t always begin right away.

And during that window, your loved one is coming home weaker, managing new medications, and trying to regain their independence — without the support they need to do it safely.

That’s when small issues can escalate. And that’s how readmissions happen.

Did you know?

In Canada, 1 in 12 patients is readmitted to hospital within 30 days of discharge. Physician-led support during the first weeks at home can change that.

From hospital to home, we’re here for all of it.

A physician coordinates your loved one’s discharge and continued care at home.

The days between hospital discharge and a stable recovery are critical. A Beyond Neighbours physician steps in to coordinate the transition — working with the hospital team, managing medications, and making sure everything is handled.

Once your loved one is home, that same physician continues with in-home visits to monitor their recovery, catch problems early, and adjust the care plan as needed. You stay informed and involved throughout.

From discharge to recovery, we handle:
  • Coordinating with hospital discharge team
  • Medication reconciliation & review
  • Arranging medical/accessibility equipment
  • Cognitive & mobility assessments
  • In-home physician visits to monitor recovery
  • Scheduling follow-ups & specialist referrals
  • Keeping the family informed & updated

Beyond basic visits: a physician at your door.

Physician-Led Oversight

Getting to a clinic after hospitalization is physically difficult. A doctor comes to you instead, ensuring clinical decisions are timely and informed.

Continuity You Can Count On

No rotating staff or fragmented handoffs. You get a dedicated physician who gets to know your loved one and understands your family’s situation.

Built-In Communication

You’ll always know what’s happening. We keep you in the loop with regular updates, proactive recommendations, and a team that’s easy to reach.

Early Warning, Early Action

A physician checking in at home can catch small issues before they become emergencies (and a reason to go back to the hospital).

More Than Medical Attention

Recovery isn’t just physical. From nutrition to mood to mobility, our physicians consider all aspects of healing at home.

Integrated Support Network

Need allied health support like physiotherapy or palliative care? We coordinate it so your loved one gets the right support at the right time.

Getting started is simple.

Step 1

You reach out.
Call or fill out the form. Our care coordinator will talk through your loved one’s situation and get things moving.

Step 2

A physician visits the hospital.
A Beyond Neighbours physician meets your loved one, reviews the discharge plan, and coordinates their transition home.

Step 3

Care continues at home.
In-home physician visits support your loved one’s recovery once they’re home.

We’re ready to help.

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My parents (91 and 88 years old) wanted to remain in their home and community, and Beyond Neighbours support made that possible. Dr. Trevor Chan and Paula are exceptional. The suite of services that Beyond Neighbours provides really helped when my dad returned home from a 2-week hospital stay. Trusted, professional, responsive — I can’t say enough about how lucky we are that they exist.

Dana C.

Beyond Neighbours has been caring for my dad since May 2024. Together we developed a specific care plan for Dad when he came out of the hospital and required a more personalized program. The health aides have provided both expert personal assistance and emotional support. In addition, we had an occupational therapist visit who reviewed Dad’s program and offered suggestions to further aid him. It is a great comfort to the family knowing that he is receiving daily excellent personal care from Beyond Neighbours. Thank you from the bottom of our hearts.

Colleen C.