A cost-saving partnership for High-Risk Patients
Lead sponsor: the Robert L. Cook Charitable Fund

Meals on Wheels’ Hospital to Home program works with hospitals, MCOs and other healthcare organizations to provide an extra level of care to high-risk patients in Harris, Montgomery and Galveston counties.


  • Provide safe transitions in care
  •  Assess and address social determinants of health
  • Ensure patients are adequately nourished and hydrated post-hospitalization
  • Provide patients with a wellness check and social interaction 5 times a week
  • Alert healthcare providers immediately to health concerns discovered during wellness checks
  • Follow-up with patients on their discharge instructions to ensure they make follow up appointments and acquire proper medications
  • Reduce hospital readmission rates and improve patient satisfaction

Current partners


  • Hot and frozen meal delivery to your discharged patients
  • Ready-to-eat fresh fruits and vegetables on a bi-weekly basis
  • Customizable meal plan varying from 5 to 21 meals per week, with a choice of therapeutic meals
  • Customizable wellness-check questions at each meal delivery and follow-up contact with you
  • Immediate escalation of any possible patient concern to a contact person of your choosing
  • Ongoing connection with your patients after they are discharged to home
  • Low cost of service with high-contact benefits

Hospital to Home provides the expedited nutritional care your patients need to reduce read missions and improve outcomes for the most vulnerable in our
community. Meals on Wheels is ready to be your partner in these important and cost-effective services.

Meals on Wheels is one of the largest providers of home-delivered meals to seniors and other high-risk patients in the country. More than a meal, the service
we provide allows us to develop close relationships with our patients, giving us the opportunity to identify potential health issues as they arise.

Our Hospital to Home program provides one-on-one relationships connecting high-risk patients with their healthcare providers to reduce read missions, as
well as keep hospital staff aware of post discharge health issues.

For more information contact:
Beth Schibley, BSN