This article discusses how community-based participatory research (CBPR) on hospital care transitions in New Haven, Connecticut led to the development of a new medical respite program to better serve patients who are homeless. Key insights include:

• Homelessness is an important driver of hospital utilization and must be addressed in efforts to decrease hospital readmissions.
• Hospitals and community organizations often serve a shared patient/client base and can work together to develop innovative programs that are beneficial to all parties.
• Community-based participatory research methods are particularly conducive to producing research that is translatable to policy and new programs.
• Targeted dissemination of research results played a pivotal role in securing resources and funding for the new program.