Bridge 360


A caregiver reviewing a hospital discharge plan for an older adult in Calgary.

BRIDGE360 PROGRAM • 60-DAY TRANSITION SUPPORT • CALGARY, ALBERTA

BRIDGE360: 60-DAY FOLLOW-THROUGH AFTER HOSPITAL OR REHAB

A structured, time-limited program for older adults and caregivers after discharge. We turn instructions into a usable plan, verify what actually happened in week one, track stability weekly, and help families pivot quickly if the home plan is not holding.

Location: Calgary, Alberta • Start time: Kickoff within 48 to 72 hours when possible

FOR FAMILIES WHO NEED A PLAN THAT HOLDS

If your loved one is home now (or coming home soon) and the follow-through feels shaky, we can start quickly.

Discharge instructions can look complete on paper. Then someone gets home and the real work starts. Medications changed. Follow-ups are unclear. Equipment is delayed. One caregiver is trying to coordinate everything, usually while working and holding the rest of life together.

Bridge360 exists for that exact gap. We provide 60 days of practical follow-through after an older adult leaves hospital or rehab, or after a major decline. We work with one caregiver point person for eight weeks so the plan is clear, trackable, and acted on.

Medical note: Bridge360 is not medical care. We do not diagnose, prescribe, or replace clinical teams. For urgent concerns, call 911. For guidance in Alberta, call Health Link 811.


PROGRAM AT A GLANCE

START

Kickoff within 48 to 72 hours when possible, once your loved one is home.

DURATION

8 weeks (60 days) with one caregiver point person.

OUTPUT

Weekly one-page recap so everyone stays aligned (with consent).

What Bridge360 is built to prevent: missed follow-ups, medication confusion (organization and clarification prompts, not clinical advice), unsafe home setup, caregiver burnout, no-shows in scheduled supports, and delayed decisions when a higher level of care is needed.

WHO IT’S FOR

Bridge360 fits best when the discharge destination is “home,” but the situation is fragile and needs follow-through.

  • Frailty, high falls risk, or changing mobility
  • Dementia or memory issues are involved
  • Caregiver is stretched, overwhelmed, or disorganized
  • Medications and follow-ups are complex
  • Home setup is risky or unrealistic, or you’re worried the home plan will not hold

If you’re asking, “Will this hold?” This program was built for that question.

WHAT’S INCLUDED

Bridge360 is structured. Families know what is happening, when it is happening, and what the next step is.

  • Kickoff plan that turns discharge instructions into clear owners and timelines
  • Week-one verification to confirm the basics are truly in place
  • Weekly stability calls (weeks 2 to 8) with one caregiver point person
  • Weekly one-page recap that tracks progress and decisions (with consent)
  • Early pivot support if home is not holding, so the family can move faster into realistic next-step planning

A caregiver organizing discharge paperwork and follow-up appointments in Calgary.
We keep the plan trackable. Clear owners, clear dates, fewer loose ends.

HOW THE 60 DAYS WORK

STEP 1: KICKOFF (WITHIN 48 TO 72 HOURS)

We turn the discharge instructions into a simple plan the caregiver can actually use. We identify what must happen this week, who owns each action, and what needs to be confirmed.

STEP 2: WEEK-ONE VERIFICATION

This is the “did it actually happen?” check. We confirm the basics are truly in place, not just mentioned.

  • Medications are organized and clarified at a practical level (not clinical advice)
  • Follow-ups are booked and transportation is arranged
  • Equipment is in the home if it was recommended
  • Safety basics are addressed (bathroom, stairs, transfers)
  • Supports are scheduled and actually showing up

STEP 3: WEEKLY STABILITY (WEEKS 2 TO 8)

A short weekly call with the caregiver point person to check what’s working, what’s slipping, what new barrier showed up, and what decision needs to happen next.

STEP 4: EARLY PIVOT SUPPORT (IF NEEDED)

If the situation is sliding, we help your family move quickly into next-step planning, shortlist realistic options, and coordinate next actions. The goal is to adjust the plan early, not after a preventable crisis.

WHAT YOU GET EACH WEEK

  • One caregiver point person call (short and focused)
  • One-page recap that summarizes what was completed and what is next
  • Action list with owners and timelines
  • Barrier tracking so problems are named early and handled
  • Early warning flags when something needs clinical follow-up or a plan change

What families notice: the week feels calmer when there is one clear plan, one list of next steps, and one place to track what is slipping.

WHAT WE DO NOT DO

  • We do not provide medical advice or treatment
  • We do not replace AHS case management or clinical discharge planning
  • We do not provide hands-on care (home care services are separate)
  • We do not diagnose memory conditions or prescribe medications
  • We do provide practical coordination, tracking, and follow-through with clear weekly output

FAQ

HOW FAST CAN WE START?

When possible, we schedule the kickoff within 48 to 72 hours after your loved one is home. If the discharge is still pending, we can plan ahead so the first week is not chaos.

DO YOU TALK TO MULTIPLE FAMILY MEMBERS?

We work through one caregiver point person to keep the plan clean and consistent. With consent, the weekly recap can be shared so everyone stays aligned.

IS BRIDGE360 HOME CARE?

No. Bridge360 is follow-through and coordination. If hands-on care is needed, we help you confirm what supports are in place and what is realistic.

WHAT DO YOU NEED FROM US TO START?

A caregiver point person, basic discharge paperwork (if available), and a clear way to reach the care team when questions come up. We will tell you exactly what to gather on the first call.

GET STARTED

If your loved one is home now, or coming home soon, we can help you get the first 60 days under control.

  1. Reach out. Use the button below to contact us.
  2. Choose the caregiver point person. One person keeps the plan clean.
  3. Schedule the kickoff. We start with a simple plan for the first week home.

READY FOR A CLEARER FIRST 60 DAYS?

We help Calgary families carry out the discharge plan, track stability weekly, and pivot faster if home is not holding.

START BRIDGE360

REFERENCES

We keep our terminology aligned with publicly available Alberta resources on discharge planning and continuing care pathways.

Program page by: Shar Gray-Asemota, CPCA® (CarePatrol of Calgary)

Medical note: Educational only and not medical advice. For urgent concerns, call 911. For guidance, call Health Link 811.