Medical Home Network, a third-party facilitator of collaborative care on Chicago's south side, says members of its network have reduced 30-day readmissions by 25 percent, increased timely post-discharge follow-ups by as much as 130 percent, and also reduced overall cost of care since December 2012.

Network executives say a key factor in the improvement has been a new care coordination platform called MHNConnect, a web-based portal which provides real-time alerts to primary care providers whenever patients utilize inpatient or emergency hospital services across the Medical Home Network community.

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