Challenge: High-Risk Patients Can't Wait Weeks for an Appointment
BridgeCare exists to close one of healthcare's most dangerous gaps: the window between hospital discharge and primary care. The patients BridgeCare serves are at their highest clinical risk within the first two weeks after leaving the hospital. In the average medical practice, onboarding a new patient takes anywhere from three weeks to three months. For BridgeCare's patient population, that gap isn't just inconvenient. It's dangerous. The team knew from day one they needed to see patients within the first three days of getting home.
Getting there meant solving a records problem. In the early days, the team had to call hospitals directly and beg them to fax over reports. It was a painful, unreliable process that left clinicians walking into visits with only a fraction of the picture, knowing as much as the patient could remember or whatever could be pieced together from a phone call.
Solution: Hospital Records Before the Appointment Is Even Scheduled
With Metriport's Dashboard, BridgeCare pulls a patient's records the moment a referral comes in — before an appointment is even booked. Discharge summaries, clinical notes, insurance status, medical summaries: all available before the physician team reviews the chart. By the time the patient gets their appointment, clinicians have already reviewed a complete picture of exactly where the hospital left off: what was done, what was prescribed, and what needs to happen next.
Where visits previously proceeded without complete records, clinicians were only as informed as the patient could remember or whatever could be pieced together from a phone call. Now they arrive fully prepared, and that context has directly improved patient health literacy and follow-through.
“With Metriport, we improved our referral-to-appointment time from up to 2 weeks to under 24 hours. What significantly changed for us was being able to get hospital records in seconds, which drastically added value to the post-hospital visit.”
BridgeCare also uses Metriport to give back to the broader care ecosystem. By uploading C-CDAs through the platform, the team makes their latest encounter notes available to every future provider who sees their patients in Michigan, regardless of which EHR they use.
Results: A 2% Readmission Rate. 95% Patient Coverage.
Since adopting Metriport in 2023, BridgeCare has achieved a 2% all-cause readmission rate, against a national average of 9 to 35% depending on diagnosis and risk factors. Patient coverage across Michigan and the US has reached 95%, up from 80% with a previous solution that cost more per query.
Closing the Gap, One Patient at a Time
BridgeCare exists to serve the patients who fall through the cracks between hospital discharge and primary care. Metriport is what makes it possible to reach them quickly, informed, and ready to help.
“Metriport continues to allow us to expand our operations and see more patients. There's typically an overwhelming amount of information in home health, but Metriport helps us make sense of it and get the most up-to-date, accurate patient information available.”
