Major Success: Maimonides Health and myLaurel Reduce Readmissions by 43% in First Year of Collaboration
In an impressive demonstration of the evolving healthcare landscape, Maimonides Health, Brooklyn's largest healthcare system, has forged a groundbreaking partnership with myLaurel, a tech-enabled leader in home-based acute and transitional care. This collaboration, which commenced in May 2025, seeks to enhance the quality of care for patients who are typically frail or medically complex, and the preliminary results from the first year are nothing short of remarkable.
Over the past year, the Acute Care at Home™ program offered by myLaurel has engaged with more than 1,200 patients, offering advanced medical care within the comfort of their homes. This program is designed to cater to a population that generally faces a higher risk of readmission compared to the average hospital patient. The heart of this partnership lies in equipping both patients and their caregivers with essential skills, tools, and resources to ensure a safe recovery—a strategy that extends beyond the traditional 15- to 30-day post-care transition window.
According to the data garnered from the program's first year, there has been an impressive 43% decrease in 30-day hospital readmissions when compared to conventional services. This statistic translates to avoiding over 1,000 unnecessary readmissions, alongside saving an average of 2.29 hospital bed days for each patient. This initiative has not only enhanced patient outcomes but also potentially alleviated the financial penalties typically associated with the CMS Hospital Readmissions Reduction Program (HRRP).
Dr. Sameh Samy, Chief Quality Officer and VP of Quality Management at Maimonides Medical Center, noted that the patients referred to myLaurel possess a higher case mix index, indicating they are typically at a greater risk for readmission compared to the general patient population. This partnership has tackled this issue head-on, contributing significantly to the 43% drop in readmissions among those patients.
As explained by Dr. Regina Tarkovsky, the Post-Discharge Acute and Transitional Care Physician Leader at Maimonides, the program is not only about relocating care from a hospital to a home environment. It emphasizes a coordinated and clinically integrated approach tailored specifically to the needs of medically complex patients. This involves timely clinical interventions, ongoing follow-up, and a collaborative effort between Maimonides' healthcare providers and the myLaurel team.
The “home-first” philosophy adopted in this program assures that Maimonides hospital staff and myLaurel’s physician-led teams operate seamlessly together. This continuous oversight allows for the identification and addressing of issues leading to re-hospitalization, leading to better transitions for patients returning to their communities long-term.
Dr. John Marshall, Executive VP for Medical Affairs and Chief Medical Officer at Maimonides, emphasized that patient-centered care is at the forefront of this initiative, claiming that the partnership has produced exceptional outcomes. The objective of expanding this successful program to reach more patients is already underway, ensuring that those who prefer recovery at home can do so alongside their loved ones, without the burden of extended hospital stays.
Jamie Babcock, myLaurel's Chief Clinical Officer, acknowledged the critical role played by the Maimonides team, asserting that the collaboration has enabled numerous complex patients to recuperate at home, which is in line with patients' desires.
Looking ahead, Maimonides Health is set on spreading the myLaurel model to more care sites and specialized service lines, building on the solid foundation laid during the first year. myLaurel was established with a mission to deliver significant portions of hospital care directly in people's homes, revolutionizing the healthcare experience for vulnerable populations. As they redefine patient care, the partnership not only promises to enhance health outcomes but also to shape a sustainable future in healthcare delivery, where convenience, safety, and quality converge.
Over the past year, the Acute Care at Home™ program offered by myLaurel has engaged with more than 1,200 patients, offering advanced medical care within the comfort of their homes. This program is designed to cater to a population that generally faces a higher risk of readmission compared to the average hospital patient. The heart of this partnership lies in equipping both patients and their caregivers with essential skills, tools, and resources to ensure a safe recovery—a strategy that extends beyond the traditional 15- to 30-day post-care transition window.
According to the data garnered from the program's first year, there has been an impressive 43% decrease in 30-day hospital readmissions when compared to conventional services. This statistic translates to avoiding over 1,000 unnecessary readmissions, alongside saving an average of 2.29 hospital bed days for each patient. This initiative has not only enhanced patient outcomes but also potentially alleviated the financial penalties typically associated with the CMS Hospital Readmissions Reduction Program (HRRP).
Dr. Sameh Samy, Chief Quality Officer and VP of Quality Management at Maimonides Medical Center, noted that the patients referred to myLaurel possess a higher case mix index, indicating they are typically at a greater risk for readmission compared to the general patient population. This partnership has tackled this issue head-on, contributing significantly to the 43% drop in readmissions among those patients.
As explained by Dr. Regina Tarkovsky, the Post-Discharge Acute and Transitional Care Physician Leader at Maimonides, the program is not only about relocating care from a hospital to a home environment. It emphasizes a coordinated and clinically integrated approach tailored specifically to the needs of medically complex patients. This involves timely clinical interventions, ongoing follow-up, and a collaborative effort between Maimonides' healthcare providers and the myLaurel team.
The “home-first” philosophy adopted in this program assures that Maimonides hospital staff and myLaurel’s physician-led teams operate seamlessly together. This continuous oversight allows for the identification and addressing of issues leading to re-hospitalization, leading to better transitions for patients returning to their communities long-term.
Dr. John Marshall, Executive VP for Medical Affairs and Chief Medical Officer at Maimonides, emphasized that patient-centered care is at the forefront of this initiative, claiming that the partnership has produced exceptional outcomes. The objective of expanding this successful program to reach more patients is already underway, ensuring that those who prefer recovery at home can do so alongside their loved ones, without the burden of extended hospital stays.
Jamie Babcock, myLaurel's Chief Clinical Officer, acknowledged the critical role played by the Maimonides team, asserting that the collaboration has enabled numerous complex patients to recuperate at home, which is in line with patients' desires.
Looking ahead, Maimonides Health is set on spreading the myLaurel model to more care sites and specialized service lines, building on the solid foundation laid during the first year. myLaurel was established with a mission to deliver significant portions of hospital care directly in people's homes, revolutionizing the healthcare experience for vulnerable populations. As they redefine patient care, the partnership not only promises to enhance health outcomes but also to shape a sustainable future in healthcare delivery, where convenience, safety, and quality converge.
Topics Health）
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