The Bridge program is promoting great collaborative work among professionals across the social service and healthcare delivery system, creating opportunities to identify cracks in the system one patient at a time. 

– Testimony from hospital provider who collaborated with Bridge Model team, 2012

Bridge’s approach of addressing both medical and social issues leads to many positive outcomes, including significantly lower readmission rates and decreased stress for patients and family caregivers. The Bridge Model has been recognized as evidence-based by the Administration for Community Living and the Agency for Healthcare Research and Quality. For publications detailing the impact of Bridge, click here. Findings from our participation in the Community-based Care Transitions Program* and other quality improvement initiatives include:

  • Lower readmission rates at 30, 60, and 90 days for Medicare beneficiaries* (n=5,753)
    • 30.7% fewer 30-day readmissions (vs. baseline rates for comparable population)
    • 9.4% fewer 60-day readmissions (vs. hospitals’ average)
    • 13.9% fewer 90-day readmissions (vs. hospitals’ average)
  • Increased attendance of post-discharge physician appointments
  • Decreased patient and caregiver stress

Internal data for one Bridge Model hospital site indicate a 22% reduction in 30-day readmissions among Medicaid beneficiaries with 5+ hospitalizations in the previous year.

*Data from participation of six Chicago-area organizations and partner hospitals in the Community-based Care Transitions Program from May 2012 – April 2014. CMS disclaimer: The readmission data presented here are calculated using raw, unadjusted Medicare claims for the specified periods of time. They do not indicate impact or take trends or other initiatives into consideration.  These metrics are provided by CMS for performance monitoring purposes only and while they inform evaluative results, they do not constitute the entirety of the program evaluation.