What is the HCCI?

The HCCI is building on the success of its founder, Dr. Tom Cornwell, who has delivered home-centered health care with the support of Cadence Health to Chicago’s western suburbs for the last 20 years. Together with an advisory board that constitutes a who’s who of home-centered and palliative care, the HCCI is committed to the advancement of home-centered health care and improved chronic disease management.

The HCCI's goal is to develop:

  • A clinical model — Creating a comprehensive model for home-centered health care and adapting it on a national scale
  • Workforce advancement — Training and certifying medical professionals and medical students to provide quality health care in homes and assisted living facilities
  • New knowledge — Supporting research and curriculum development as well as sharing best practices in home-centered health care
  • Technology — Partnering with technology companies to drive the creation and distribution of technology that enables home-centered health care
  • Collaboration — Working with and supporting the ongoing initiatives of strategic partners who share the aging-in-place vision
  • Policy — Influencing the direction of national and regional affordable health care policy, including the integration of in-home clinical services with behavioral/social services
  • A supportive resource — Serving hospitals, medical practices, accountable care organizations, and home care and hospice agencies interested in developing effective and efficient aging-in-place care
  • Cost savings — Enabling patients to remain at home, avoiding expensive emergency departments, hospitals and nursing homes

What is Home-Centered Care?

Home-centered care encompasses any interdisciplinary health and supportive services delivered in a person’s residence to cost-effectively enable aging in place. Home-centered health care joins modern diagnostic and treatment technology with the time-honored practice of making house calls.

Its applications include:

  • Providing high-quality medical care in a comfortable setting
  • Offering a safety net for frail elders
  • Enabling a cost-effective follow-up to surgery or injury
  • Providing chronic disease management (palliative care)
  • Facilitating a timely transition to end-of-life care (home hospice care)
  • Ensuring that final wishes are followed
  • Creating a support system for caregivers
  • Avoiding unnecessary and costly hospitalizations
  • Alleviating the financial burden on patients, families and a national health care system that’s going bankrupt
  • Preventing or delaying nursing home placement

The multidisciplinary home-centered care team can include:

  • Doctor
  • Nurse practitioner
  • Care manager
  • Technician
  • Social worker
  • Mental health specialist
  • Pharmacist
  • Community resources

Why Promote Home-Centered Care Now?

Four factors make this an ideal time to institute a home-centered health care model:


Today, the aging U.S. population is increasingly plagued with multiple chronic diseases that make it difficult for them to leave their homes. Chronically ill, elderly patients represent 10% of all healthcare beneficiaries, but account for 57% of all health expenditures – primarily because of excessive hospital and emergency room visits. Nearly 3/4 of those patients would prefer to die at home, but only 1/4 of them have the opportunity. Instead, many of those hospitalized receive costly and painful high-tech interventions.


Advances in health care technology now make it increasingly easy to provide quality care in the home. From portable imaging machines to diagnostic apps for smart phones, diagnostic technology in the home is as comprehensive as the technology in a doctor’s office or walk-in clinic.

Affordable Care Act

New affordable health care legislation includes penalties to hospitals with high readmission rates. A recent study showed that home visits by nurse practitioners for three months after hospitalization for congestive heart failure can cut readmissions by more than half.

Resources and Expertise

A wealth of talented, nationally renowned physicians and health experts are prepared to embark on this massive endeavor, collaborating to capitalize on the momentum and the timely opportunity to transform palliative and end-of-life care.

The Benefits of Home-Centered Care

Bringing doctors and support service providers to the home or assisted living facility can help prevent avoidable hospital visits and treatments, providing a tremendous cost savings. Home-centered health care also allows patients to age in a place of their choosing and preserve their dignity.

Improved coordination and quality of care:

  • More timely care for fragile elderly or patients with disabilities
  • Personalized end-of-life care
  • The ability for patients to live and die with grace, dignity and humanity

Cost savings to:

  • Patient
  • Family
  • Health care provider
  • Taxpayer

Make a Donation Today

Join Cadence Health in supporting the Home Centered Care Institute (HCCI) with a donation. Contact the HCCI directly at 630.315.6140 or Thomas.Cornwell@CadenceHealth.org. TTY for the hearing impaired 630.933.4833.

To make a donation online, go to the Cadence Health Foundation donation page and complete the form as directed. Under “Please direct my gift” and select “HomeCare Physicians” to ensure that your donation will benefit home-centered care.