Service providers and county staff raised concern about clients being discharged from hospitals and jails in the middle of the night and asked what regional coordination could reduce those occurrences.

Kim Marshall, executive director of Project Homeless Connect, described multiple recent cases tied to the shelter opening where people were "discharged at 2AM, rolled out in their wheelchair in a hospital gown and blankets, and just kind of left on their own" and asked whether others experienced the same and how first responders and hospitals could be given other options besides the emergency room.

Participants urged looking to health‑care case conferencing and tri‑county coordination as possible pathways. "I'm just kind of wondering if that's where, you know, with our health care case conferencing... we use our health care case conferencing and integration services better," one attendee said, emphasizing the need for cross‑jurisdictional coordination.

Leslie (addressed by name in the meeting), who spoke for regional coordination efforts, said Multnomah County is leading exploratory conversations under the Metro goal of "health care systems alignment" and that work is in an exploratory phase to identify potential pilots and coordination opportunities for discharge planning. Leslie said she will share updates with the group as those plans solidify.

Attendees requested continued attention and follow‑up; presenters suggested pulling the issue into other standing meetings and pilot discussions with healthcare partners, first responders and shelter operators to identify concrete next steps.