Our approach

A community-based limb preservation and healing program.

Healing requires more than dressing changes. Gateway connects access, continuity, coordination, partnership, and prevention so wound care can move with the patient across homes, facilities, discharge pathways, and provider offices.

GatewayWound Care

Referral desk

Request care or refer a patient.

Share where the patient is, what kind of wound it is, and who is coordinating care. Gateway routes the next step across homes, facilities, and referral partners.

1Home, facility, or discharge setting
2Wound type and what changed
3Best contact person
Greater St. Louis focus West County office Mobile + facility pathways

The Gateway model

Five principles guide the program.

The clinical plan has to work in the setting where the patient actually lives or receives care. That means matching wound treatment with risk factors, transportation, diabetes, vascular status, caregiver support, facility workflow, and care-team communication.

Access

Bring wound-care follow-up closer to patients who cannot reliably reach a clinic.

Continuity

Keep the wound plan visible between hospital, home, facility, home health, and physician visits.

Coordination

Communicate with the people responsible for the patient so the plan does not disappear.

Partnership

Work with hospitals, home health, post-acute providers, primary care, specialists, and community organizations.

Prevention

Reduce avoidable deterioration, recurrence, readmission, infection risk, and limb-loss risk.

Care pathway

From access problem to healing plan.

Gateway is built to create a practical wound-care pathway, not a one-off dressing visit.

1. Identify the access gap

Transport, mobility, discharge confusion, facility workflow, home health limits, or weak provider follow-up.

2. Assess the wound and patient

Wound measurements, tissue, drainage, pain, infection concern, diabetes context, vascular concern, offloading, compression, and setting.

3. Treat and document

Advanced wound care, appropriate debridement, dressing strategy, NPWT support, compression, graft aftercare, and progress notes.

4. Coordinate the team

Family, facility, home health, physician, specialist, discharge team, and community partner updates when appropriate.

5. Prevent the next breakdown

Recurring wound risk, pressure, edema, glucose, smoking, nutrition, mobility, skin protection, and escalation triggers.

Whole-patient context

Wound care is rarely only about the wound.

Diabetes, vascular disease, smoking, nutrition, weight, edema, offloading, mobility, infection risk, home safety, and caregiver capacity all shape whether a wound heals. Gateway keeps those practical realities in the conversation.

The point is disciplined, locally grounded wound care that helps patients heal while giving referral partners a reliable next step.

Request Care Refer a Patient