Case Study: Brigham & Women’s Hospital achieves hospital-level care at home and cuts costs 52% with Everbridge CareConverge

Bringing Acute Inpatient Care Home with Well-Coordinated, Accurate Communication

Brigham and Women’s Hospital, in partnership with Everbridge, launched a pilot to bring acute inpatient care into patients’ homes to mitigate the harms and high costs of traditional hospital stays—especially for older adults at risk of delirium, functional decline, and hospital-acquired conditions—and to ease capacity pressures on the medical ward. The substitutive home-hospital model enrolled emergency department patients who met inclusion criteria to test whether equivalent acute care could be delivered safely, more comfortably, and at lower cost.

The program combined a mobile lab, ambulatory infusion pumps, continuous vital-sign and activity monitoring, and a flexible home health team with Everbridge’s HIPAA‑secure CareConverge/HipaaBridge communications to coordinate clinicians, in-home caregivers and patients. The pilot demonstrated substantial gains: overall costs fell 52%, post-acute care costs (30+ days) dropped 33%, readmissions decreased (11% vs. 36%), and patients were 2.7× more physically active, while sleep, safety, and patient experience improved—paving the way for a larger randomized trial.

Brigham & Women’s Hospital

David Levine

General Internist and Investigator