TripleCare | Case Study – Cobble Hill
TripleCare is a telemedicine-based physician group that utilizes video communication technology and digital diagnostic equipment to bring physicians to patients’ bedsides.
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Saving Costs While Maintaining Quality
A 12-month study sponsored by the Fan Fox and Leslie R. Samuels Foundation

Cobble Hill Health Center (CHHC) is a 364-bed not-for-profit skilled nursing facility that offers New York City residents a wide range of skilled, rehabilitative and supportive services. The facility has a 5-Star CMS Rating, and as part of its commitment to quality, partnered with TripleCare to reduce its return to hospital (RTH) rate, improve nursing skills and retention, and increase patient/family satisfaction levels.

TripleCare physicians integrate with the facility’s existing care team and treat any change in condition during after-hour, weekends and national holidays, utilizing a proprietary telemedicine unit and process. The partnership between Cobble Hill and TripleCare has brought the following results:
83%

TREAT IN PLACE RATE

The Clinical Impact
Over the course of one year, TripleCare was utilized 313 times. 259 were successfully treated in place (83%). The CHHC Medical Director independently determined that 91 episodes definitively avoided hospital admissions.
The Economic Impact
TOTAL$1,550,040
Avoided Hospital Admission Savings91 avoided x $15,000/hospitalization =
$1,365,000
Avoided Ambulance Costs91 avoided x $1,200/hospitalization =
$109,200
Avoided Medicare Skilled Days at CHHC16 Medicaid/11 Medicare pts did not get skilled = $75,840

Annual Medicare Savings of $1,550,040

TripleCare exceeded its benchmark of an 80% treat-in-place rate during a one-year study at Cobble Hill Health Center. These results supported CHHC in maintaining its census and star rating. The TripleCare service had an even bigger impact on payer expenditures. Through the prevention of hospital admissions and the avoidance of ambulance costs and skilled days, TripleCare enabled patients to receive excellent care without the need for a full admission and its associated costs.