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Hospital NEMT Partnership

Hospital Discharge Transport That Works

Direct provider transport for hospital discharges, inter-facility transfers, and recurring outpatient appointments. No broker delays. Under 45-minute average discharge pickup.

Crew transferring a stretcher patient at a hospital entrance
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The Discharge Transport Problem

The average hospital holds a bed 2 to 4 hours waiting for NEMT after a patient is cleared for discharge. That costs $500 to $1,500 per bed-day in lost capacity. For a hospital processing 50 discharges per week that require NEMT, that is 100 to 200 hours of bed-hold time per week — the equivalent of 4 to 8 beds permanently occupied by patients who are ready to leave.

The root cause is broker-dispatched transport. When a discharge planner calls a broker, the request enters a queue. The broker assigns it to a provider. The provider confirms availability. The driver is dispatched. Each step adds 20 to 40 minutes. If the first provider declines, the cycle restarts. The discharge planner has no visibility into where the transport stands.

Direct provider transport eliminates the broker layer entirely. Your discharge coordinator calls our dispatch team directly. We confirm driver assignment and ETA in real time. Average discharge-to-departure time drops from 2 to 4 hours to under 45 minutes. That is not an incremental improvement — it is a category change in discharge throughput.

The downstream effects compound. Faster discharges free beds for incoming admissions. Fewer patients board in the ED waiting for inpatient beds. Patient satisfaction scores improve when discharge does not involve a multi-hour wait. And readmission risk drops because patients reach their follow-up destinations on time rather than missing post-discharge appointments due to transport failures.

What We Handle for Hospitals

Five core transport categories that cover the full spectrum of hospital NEMT needs.

Discharge Transport

Post-inpatient discharge to home, SNF, or rehab facility. All service levels available.

Recurring Outpatient

Standing orders for patients with recurring hospital-based appointments — dialysis, infusion, wound care.

Inter-Facility Transfers

Hospital-to-SNF, hospital-to-rehab, hospital-to-hospital non-emergency transfers.

ED-to-Home Transport

Non-emergency patients cleared for discharge from the emergency department.

Post-Surgical Follow-Up

Return transport for post-operative appointments, suture removal, imaging, and specialist follow-ups.

Hospital Systems We Serve

We provide transport to and from major health systems across Chicagoland and Northwest Indiana. Our drivers know entrance locations, patient pickup areas, and parking protocols at each facility.

Northwestern Memorial Hospital

Chicago — Streeterville

Rush University Medical Center

Chicago — Near West Side

UChicago Medicine

Chicago — Hyde Park

John H. Stroger Jr. Hospital (Cook County)

Chicago — Near West Side

Advocate Christ Medical Center

Oak Lawn

Franciscan Health

Northwest Indiana — multiple campuses

NorthShore University HealthSystem

Evanston, Skokie, Glenview, Highland Park

Loyola University Medical Center

Maywood

Sinai Chicago

Chicago — multiple campuses

Mercy Hospital & Medical Center

Chicago — Bronzeville

Plus community hospitals, outpatient surgery centers, and rehabilitation facilities throughout our 31-city coverage area.

How Discharge Coordination Works

1

Identify Transport Need

Discharge planner determines the patient’s service level (ambulatory, wheelchair, stretcher), destination, and estimated discharge time.

2

Call DCR Dispatch Directly

Use your facility’s dedicated dispatch line. No broker hold queue. Average call time under 2 minutes.

3

Receive ETA Confirmation

Dispatch confirms driver assignment and estimated arrival time. Real-time status updates available.

4

Driver Arrives at Facility

Driver reports to the designated pickup area — ER entrance, main lobby, or specific floor. Door-through-door patient assistance.

5

Patient Transport & Confirmation

Safe transport to destination. Facility receives drop-off confirmation with timestamp and patient signature.

Pricing for Hospital Partners

Hospital partners receive volume-based pricing that reflects the operational efficiency of a direct provider relationship. Because there is no broker markup and no per-trip authorization overhead, facility rates are consistently lower than broker-dispatched alternatives.

Pricing is structured by service level (ambulatory, wheelchair, stretcher, bariatric), trip distance, and monthly volume commitment. High-volume discharge partners qualify for tiered discounts. All pricing uses Illinois Department of Healthcare and Family Services base rates as a reference point.

Billing is monthly net-30. Your accounting department receives a single invoice with itemized trip details — date, patient identifier, service level, origin, destination, mileage, and charge. No per-trip invoices. No authorization paperwork per transport.

For Medicaid-eligible patients, we handle prior authorization and billing directly with the appropriate MCO. The facility is not involved in the Medicaid billing process for these transports.

Partnership Results

South Suburban Hospital: From 3.5 Hours to 38 Minutes

A South Suburban hospital was averaging 3.5 hours between discharge clearance and patient departure for NEMT-dependent patients. The hospital processed approximately 40 NEMT discharges per week through a regional broker. Discharge planners reported spending 30 to 45 minutes per transport on hold with the broker, checking status, and managing patient and family expectations during the wait.

After establishing a direct transport partnership with Dream Care Rides, the hospital eliminated the broker layer entirely. Discharge planners call our dispatch team directly on a dedicated facility line. Average discharge-to-departure time dropped to 38 minutes. The discharge planning team reclaimed an estimated 15 to 20 hours per week previously spent on transport coordination calls.

The hospital reported improved bed turnover, fewer ED boarding hours, and measurably higher patient satisfaction scores on discharge experience questions. Monthly invoicing replaced per-trip authorization, simplifying the accounting workflow.

3.5 hrs → 38 min

Discharge wait reduction

15-20 hrs/wk

Staff time reclaimed

40/week

NEMT discharges handled

Start a Hospital Transport Partnership

One call to set up your facility account. Volume pricing, monthly invoicing, and a dedicated dispatch line for your discharge team.

Frequently Asked Questions — Hospital Transport

What is the average pickup time for hospital discharges?
For established facility partners, our average discharge-to-departure time is under 45 minutes. Pre-scheduled discharges receive guaranteed pickup windows. Will-call service is available for unpredictable discharge timing, with typical response under 60 minutes.
How does volume pricing work for hospitals?
Hospital partners receive tiered volume pricing based on monthly transport count, service type mix (ambulatory, wheelchair, stretcher), and average trip distance. Monthly invoicing replaces per-trip authorization. Contact our facility partnerships team at (708) 505-6994 for a custom rate proposal.
Do you handle Medicaid prior authorization for discharge transports?
Yes. We manage Medicaid prior authorization, trip documentation, and billing for qualifying transports. Your discharge planners do not need to obtain transport authorizations — we handle the entire process with Illinois Medicaid MCOs. Medicaid applies only for trips starting within 6.5 miles of our Olympia Fields or Palatine bases; Indiana Medicaid is not accepted.
What service levels do you offer for hospital transports?
We provide ambulatory (sedan/SUV), wheelchair (ADA-compliant vans with hydraulic lifts), stretcher (gurney and Broda Traversa), and bariatric transport (specialized 300+ lb capacity). All transports include door-through-door assistance and patient monitoring.
Can you handle inter-facility transfers?
Yes. We provide non-emergency inter-facility transfers including hospital-to-SNF, hospital-to-rehab, hospital-to-hospital, and ED-to-home transports. Stretcher and wheelchair service available. All drivers are trained in patient handling and transfer protocols.
How do discharge coordinators contact your dispatch?
Facility partners receive a dedicated dispatch line with no hold queue. Your discharge coordinators call directly — no broker middleman. We also accept transport requests via secure fax and email for pre-scheduled discharges.
What documentation do you provide for each transport?
Every transport includes a trip confirmation with pickup/drop-off times, patient signature (where applicable), mileage, service level, and driver information. Monthly summary reports are provided for facility accounting and compliance departments.
Do you serve hospitals outside the Chicago area?
We serve hospitals across our 31-city coverage area spanning Chicagoland, the south suburbs, and Northwest Indiana. This includes community hospitals in Joliet, Aurora, Naperville, Hammond, Gary, and surrounding areas. Contact us to confirm coverage for your facility.
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