San Francisco Senior Center

The HomeComing Transitional Care Program, sponsored by the San Francisco Senior Center, is a comprehensive coordination of care to stabilize, support, and monitor clients after discharge from a hospital or care facility. Serving low-income, isolated older adults, the program transitions seniors from hospitals to strong recoveries at home. Since the program’s inception, a network of hospital discharge planners, case managers and community-resource partners has provided transitional-care services for more than 700 seniors with a 50 percent reduction in hospital-readmission rates.