Rush University Medical Center | Home Centered Care Institute

Why HCCI and RUSH decided to partner

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), a 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.

View Infographic

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

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).

Education

HCCI offers classroom workshops, online courses, and practicum experiences for individuals and practice groups to enhance their knowledge and skills in home-based primary care.

HCCIntelligence™

We recognize the numerous challenges that can be encountered by home-based primary care (HBPC) providers. Through the HCCIntelligence Resource Center, we offer free access to knowledgeable experts and timely guidance.

Consulting

Relationship-focused, results-driven. As a nationally recognized authority on clinical and operational best practices for home-based care, HCCI helps organizations build sustainable home-based primary care programs.

Research

HCCI closely monitors and shares published studies relevant to the field and reports on findings and outcomes – in particular, those that contribute to the business case and identification of best practices in HBPC.

HCCI/Rush University Medical Center Partnership