Stanford Med · Unit 5B Medicine·Day shift·Mon · 9:42 AM

Resource hub

One holistic directory of every option a patient can go to from this hospital
Comprehensive directory of post-acute facilities, home-based services, community programs, outpatient clinics, and charity partners. Every row is filterable by payer acceptance, distance, capacity, capability, and language. The matcher engine reads from this hub when ranking options for a specific patient.
Post-acute facility
8
resources
Home-based service
7
resources
Community service
9
resources
Outpatient clinic
6
resources
Charity / non-profit
5
resources
35 of 35 resources
ResourceKindCategoryDistancePayers acceptedCapacityCapabilitiesLanguagesProtocol
Bayview Skilled Nursing & Rehab
1455 Mission Bay Dr, San Francisco CA
intake@bayviewsnr.com · (415) 555-0124
Skilled NursingPost-acute facility4.2 mi
MEDICAREMAMEDICAIDCOMMERCIAL
open
4.2
Cardiac reconditioning · Post-surgical rehab · IV antibiotics · Wound care
English, Spanish, Tagalog
Portal
BAA · 2–4h
Hillcrest Rehab & Nursing
230 Hillside Ave, Daly City CA
admissions@hillcrestrn.com · (415) 555-0212
Skilled NursingPost-acute facility7.8 mi
MEDICAREMAMEDICAID
limited
3.8
General rehab · Post-surgical · Dementia step-down
English, Spanish, Mandarin
Fax
BAA · 4–12h
Marin Manor Post-Acute
880 Marin Ave, San Rafael CA
intake@marinmanor.com · (415) 555-0388
Skilled NursingPost-acute facility12.4 mi
MEDICAREMACOMMERCIAL
open
3.5
General rehab · Long-term custodial
English, Spanish
Portal
BAA · 6–24h
Pacifica Coast SNF
1200 Coast Hwy, Pacifica CA
(650) 555-0119
Skilled NursingPost-acute facility14.5 mi
MEDICAREMAMEDICAIDCOMMERCIAL
waitlist
4.6
Bariatric · Stroke rehab · Trach care
English, Spanish, Portuguese
Portal
BAA · 24–48h
Stanford Inpatient Rehab Facility
300 Pasteur Dr, Palo Alto CA
irf-admissions@stanfordhealth.org
Acute Rehab UnitPost-acute facility32 mi
MEDICAREMACOMMERCIAL
limited
4.7
Stroke · Brain injury · Spinal cord · Hip fracture
English, Spanish, Mandarin
FHIR
BAA · 24–48h
St. Mary's Acute Rehab
450 Stanyan St, San Francisco CA
rehab.intake@stmarys.org
Acute Rehab UnitPost-acute facility3.1 mi
MEDICAREMACOMMERCIAL
open
4.3
Stroke · Ortho · Cardiopulmonary
English, Spanish, Tagalog
Portal
BAA · 12–24h
Kindred LTACH SF Bay
2300 Bay St, Oakland CA
ltach.intake@kindred.com
Long-Term Acute CarePost-acute facility11 mi
MEDICAREMACOMMERCIAL
limited
3.9
Vent weaning · Complex wounds · IV therapy
English, Spanish
Phone
BAA · 24–72h
Mission Hospice & Home Care
1900 Market St, San Francisco CA
(415) 555-0188
Hospice (home)Home-based service2.5 mi
MEDICAREMAMEDICAIDCOMMERCIAL
open
4.6
Symptom management · Bereavement · Spanish-speaking team
English, Spanish
REST
BAA · Same day
Hospice by the Bay IPU
180 Redwood Hwy, Mill Valley CA
ipu.admissions@hbtb.org
Hospice (IPU)Post-acute facility13 mi
MEDICAREMAMEDICAIDCOMMERCIAL
limited
4.8
GIP-level symptom management · Family rooms
English, Spanish, Russian
Phone
BAA · Same day
VNA Bay Area
Multi-county service area
intake@vnabayarea.org
Home HealthHome-based service
MEDICAREMAMEDICAIDCOMMERCIAL
open
4.4
RN · PT/OT/SLP · MSW · HHA · Wound care · IV
English, Spanish, Cantonese, Tagalog
FHIR
BAA · 4–8h
Sutter Home Care Services
Multi-county
homehealth@sutterhealth.org
Home HealthHome-based service
MEDICAREMACOMMERCIAL
limited
4.1
RN · PT/OT · MSW · Specialty cardiac program
English, Spanish
FHIR
BAA · 6–12h
Coram Home Infusion (CVS)
National network
intake@coram.com
Home InfusionHome-based service
MEDICAREMAMEDICAIDCOMMERCIAL
open
4.2
OPAT antibiotics · Biologics · TPN · Hydration
English, Spanish
Portal
BAA · 24h
Option Care Health
National network
referrals@optioncare.com
Home InfusionHome-based service
MEDICAREMACOMMERCIAL
open
4.3
OPAT · TPN · Pump therapy · Pediatric
English, Spanish
Portal
BAA · 24h
Lincare Home Oxygen + DME
Regional warehouses
dispatch@lincare.com · (415) 555-0700
DMEHome-based service
MEDICAREMAMEDICAIDCOMMERCIAL
limited
4.0
Home O₂ · Hospital beds · Mobility DME · CPAP/BiPAP
English, Spanish
Phone
BAA · 8–24h
Apria Healthcare
Regional warehouses
intake@apria.com
DMEHome-based service
MEDICAREMAMEDICAIDCOMMERCIAL
open
3.9
O₂ · Mobility · Hospital beds · Wound NPWT
English, Spanish
Phone
BAA · 8–24h
CVS Pharmacy — Mission St
1330 Mission St, San Francisco CA
(415) 555-0901
PharmacyOutpatient clinic1.4 mi
MEDICAREMAMEDICAIDCOMMERCIAL
open
4.1
Meds-to-beds partner · 24h delivery
English, Spanish, Mandarin
Portal
BAA · 1–4h
Walgreens — 24th St
1899 24th St, San Francisco CA
(415) 555-1020
PharmacyOutpatient clinic2.1 mi
MEDICAREMAMEDICAIDCOMMERCIAL
open
4.0
24h pharmacy
English, Spanish
Portal
BAA · 1–4h
BlueShield Mail-Order Pharmacy
PBM mail-order
Plan member services
PharmacyOutpatient clinic
MA
open
90-day fills · Maintenance meds
English
Portal
BAA · 5–7 days
ModivCare NEMT
Regional dispatch
broker line · plan-specific
Transport (NEMT)Community service
MAMEDICAID
open
Wheelchair van · Sedan · Stretcher
English, Spanish, Cantonese
REST
BAA · 24h
Uber Health (rideshare-health)
On-demand
Uber Health portal
Transport (NEMT)Community service
MAMEDICAIDCOMMERCIAL
open
Ambulatory rideshare · Same-day
English, Spanish
REST
BAA · On-demand
Silverado Memory Care
1800 Lincoln Way, San Francisco CA
(415) 555-1240
Memory careCommunity service6.2 mi
PRIVATE_PAYCOMMERCIAL
waitlist
4.4
Secured dementia unit · Behavioral support
English, Spanish
Phone
BAA · 1–2 weeks
Sunrise Assisted Living
2000 Bush St, San Francisco CA
(415) 555-1488
Assisted livingCommunity service3.4 mi
PRIVATE_PAYCOMMERCIAL
open
4.2
ADL support · Med management
English, Mandarin
Phone
BAA · 3–7 days
On Lok Adult Day Center (PACE)
1441 Pine St, San Francisco CA
(415) 555-1601
Adult day / PACECommunity service2.1 mi
MEDICAREMEDICAID
open
PACE program (Medicare + Medicaid) · Day program with transport
English, Cantonese, Mandarin, Spanish
Phone
BAA · 1–2 weeks (eligibility)
Tom Waddell Medical Respite
557 Cole St, San Francisco CA
(415) 555-2001
Medical respiteCharity / non-profit3 mi
MEDICAIDCHARITY
limited
Recuperative care · Behavioral stability
English, Spanish
Phone
BAA · 1–3 days
MSC South Shelter (DPH partner)
525 5th St, San Francisco CA
DPH navigator line
ShelterCommunity service1 mi
CHARITY
limited
Adult shelter · Mental-health navigator
English, Spanish
Phone
No BAA · Same day if bed
Mom's Meals (CHF-friendly)
Nationwide delivery
Provider portal
Meal programCommunity service
MAMEDICAID
open
Low-sodium · Renal · Diabetic · Pureed
English, Spanish
Portal
BAA · 2–3 days
Project Open Hand
730 Polk St, San Francisco CA
(415) 555-3000
Meal programCharity / non-profit2 mi
CHARITY
open
Meals + grocery bags · Critical illness program
English, Spanish, Cantonese
Phone
No BAA · 3–5 days
Mercy Housing (rental assistance)
1256 Market St, San Francisco CA
(415) 555-4400
Housing assistanceCommunity service1.5 mi
CHARITY
waitlist
Subsidized housing · Supportive housing
English, Spanish
Phone
No BAA · Weeks
Bay Area Legal Aid (guardianship + immigration)
1735 Telegraph Ave, Oakland CA
(415) 555-4781
Legal aidCharity / non-profit9 mi
CHARITY
open
Guardianship · Immigration · Public benefits appeals
English, Spanish, Mandarin, Vietnamese
Phone
No BAA · 1–2 weeks intake
211 Bay Area · Resource Navigator
Hotline + portal
Dial 211
Utility / 211Community service
CHARITY
open
Utility shut-off prevention · Food + housing referrals · Public benefits enrollment
English, Spanish, 150+ via interpreter
Phone
No BAA · Same day
Fresenius Kidney Care — Mission
1900 Mission St, San Francisco CA
(415) 555-5100
DialysisOutpatient clinic1.8 mi
MEDICAREMAMEDICAIDCOMMERCIAL
limited
4.2
In-center HD · Home HD training
English, Spanish
Portal
BAA · 24–72h
Westside Community Services (BH outpatient)
245 11th St, San Francisco CA
(415) 555-5600
Behavioral healthOutpatient clinic1.6 mi
MEDI-CALCOMMERCIALMEDICAREMA
limited
4.1
Psych intake · MAT (bupe + methadone) · Peer support
English, Spanish, Cantonese
Phone
BAA · 3–7 days
Stanford Cardiac Rehab Phase II
300 Pasteur Dr, Palo Alto CA
rehab.cards@stanfordhealth.org
Outpatient rehabOutpatient clinic32 mi
MEDICAREMACOMMERCIAL
limited
4.7
Cardiac rehab Phase II · Telemetry-monitored
English, Spanish
FHIR
BAA · 1–2 weeks intake
PAN Foundation (med copay charity)
Online application
panfoundation.org
Charity / Rx PAPCharity / non-profit
CHARITY
open
Copay assistance for chronic conditions
English, Spanish
Portal
No BAA · 24–72h decision
NeedyMeds (Rx assistance directory)
Online directory
needymeds.org
Charity / Rx PAPCharity / non-profit
CHARITY
open
Manufacturer PAPs · Free clinics
English, Spanish
Portal
No BAA · Self-serve
Curated directory · live capacity for vendors with API · Export CSV35 resources
Note

How matching works

Engine intersects patient payer + distance + capability + capacity + language + family preference. AI tie-breaks; deterministic logic ranks.

Note

What live data looks like in production

Vendors with API publish live capacity (Naviguide, Aidin, WellSky CarePort). Others polled via fax / phone; OpenBed routes voice agent.

Note

Coverage growth playbook

Each new pilot hospital adds 30–80 community + charity resources. The hub grows with usage; nothing built ad-hoc again.

How this screen works
The resource graph the matcher traverses
Inputs
What this screen reads
  • Curated provider directory (per hospital geography)
  • Live capacity from API-enabled vendors (Naviguide, Lincare, ModivCare)
  • Voice-agent confirms for non-API vendors
  • Quality signals (CMS star, internal scoring)
Engine
What it computes
  • Search + filter (category × payer × distance × capability × language)
  • Ranking by deterministic weight; AI rationale on top match only
  • Stale-data flagging (capacity not updated in 24h)
Outputs
What it writes / routes
  • Cockpit recommendation banner pulls top match from here
  • Coverage matcher uses this for in-network resource ranking
  • CSV export for hospital ops review
Refresh trigger
When it updates
  • Vendor capacity API polling (5 min)
  • Voice-agent confirmation outcomes
  • Manual curator edits per new vendor onboarded
Partners involved:Naviguide / WellSky CarePort / Aidin (SNF + ARU)Lincare / Apria / Parachute (DME)ModivCare / Uber Health (transport)Project Open Hand / Mercy Housing / 211 (community + charity)
Demo data · no PHI · mocked Epic + payer endpoints