Why HCCI and RUSH decided to partner

Rush University Medical Center (RUMC)In 2017, Rush University Medical Center (RUMC), a 671-bed hospital in Chicago mainly serving the city’s West Side, recognized the need to re-engineer its delivery systems to address population health, reduce health inequities, and combat chronic diseases while controlling healthcare costs. RUMC connected with the Home Centered Care Institute (HCCI), Rush@Homea national nonprofit dedicated to improving access to quality home-centered care for medically complex homebound and home-limited patients and their caregivers, and families. By 2018, HCCI and RUMC partnered to create the Rush@Home house call program.

Using Home-Based Primary Care to Improve Quality of Care & the Bottom Line

The Results are Strong

  • 34% potential lower cost
  • 18% fewer hospitalizations
  • 21% reduction in ED visits
  • 4.6% fewer readmissions

Total Program Savings

  • Total Actual Six-Month Savings: $761K
  • Total Potential Annualized Savings: Over $1.5M

Conclusion

Considering how frail and seriously ill this Rush@Home patient population is, the savings are remarkable. Based on this six-month study, a program with 200 MSSP patients would generate over $3M in savings. Imagine the savings you could realize serving your high-need, high-risk patients in their homes.

Learn More about how HCCI Can Partner with Your Organization to Get Results

Contact us at help@HCCInstitute.org or (630) 283-9222.

See the Full Case Study Infographic

View the Using Home-Based Primary Care to Improve Quality of Care & the Bottom Line infographic here.


Sources for the Infographic

Bodenheimer, T. To reduce cost and improve care for high utilizing Medicaid patients: Reflections on pioneering programs.  Center for Health Care Strategies, October 2013

Byhoff E, Harris JA, Ayanian JZ. Characteristics of Decedents in MedicareAdvantage and Traditional Medicare, JAMA Intern Med. 2016 Jul 1;176(7):1020-3

Edwards ST, Saha S, Prentice JC, Pizer SD. Preventing Hospitalization with Veterans Affairs Home-Based Primary Care: Which Individuals Benefit Most? J Am Geriatr Soc. 2017 Aug;65(8):1676-1683.

Independence at Home Demonstration Performance Year 7 Results Fact Sheet, https://innovation.cms.gov/innovation-models/independence-at-home (Centers for Medicare & Medicaid Services, 2022).

Stall, N., Nowaczynski, M., & Sinha, S. K. (2014). Systematic Review of Outcomes from Home-Based Primary Care Programs for Homebound Older Adults. Journal of the American Geriatrics Society, 62(12), 2243-2251.

Totten, A. M., White-Chu, E. F., Wasson, N., et al. Home-Based Primary Care Interventions [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2016 Feb. (Comparative Effectiveness Reviews, No. 164).

Rush University Medical Center, Internal Analysis (RUMC, 2017).