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Case study: urgent community response, virtual ward and care home teams work together to enable people to stay at home
The Hospital at Home team in Chesire West provides an integrated urgent community response service (UCR) and a frailty virtual ward for people living in care homes, which has significantly reduced emergency department attendances and hospital admissions.
Patients and the public need to be actively involved in the development and spread of new “hospital at home” models of care including virtual wards, says Tessa Richards.
Remote patient monitoring (RPM) has shown promise in aiding safe and efficient remote care for chronic conditions; however, its use remains more limited within the hospital at home (HaH) model of care despite a significant opportunity to increase patient eligibility, improve safety, and decrease costs.
In a time of strained capacity, the “hospital at home” movement is figuring out how to create an inpatient level of care anywhere.
A proposed home-recovery surgical care model in which AI-driven activity-monitoring systems are used to support surgeon decisions, help patients recover safely in their homes, and reduce post-acute rehabilitation costs for the health care system.
The pandemic has highlighted an ongoing need to create a distributed health care delivery ecosystem centered in patients’ homes and the community. This age-friendly ecosystem would initially focus on high-need patients, expand access, improve equity, and be of high value. It would integrate episodic and longitudinal care and expand to serve broader populations as it matures. We briefly describe the evidence base for home-based care models that constitute this ecosystem, define the guiding principles underlying it, and discuss what will be required to build out and scale it.
Hospital at home (HaH) provides hospital-level care at home as a substitute for traditional hospital care. Interest in HaH is increasing markedly. While multiple studies of HaH have demonstrated that HaH provides safe, high-quality, cost-effective care, there remain many unanswered research questions. The objective of this study is to develop a research agenda to guide future HaH-related research.
Factors to Consider in the Use of Vital Signs Wearables to Minimize Contact With Stable COVID-19 Patients: Experience of Its Implementation During the Pandemic
This article focuses on an overview of factors to consider in implementing a vital signs wearable solution during pandemic.
The Covid-19 pandemic has made it clear that we need a robust digital healthcare system that extends from the doctor's office into the home. While care-at-home programs aren't new, the tools and technology to accelerate adoption have finally arrived. In some models, provider visits have replaced physician rounds, diagnostic testing is procured by mobile labs and imaging services and vitals monitoring takes place via remote patient engagement.
Cancer patients who receive hospital-at-home care are less likely to experience unplanned hospitalizations, new research suggests. Those individuals likewise account for lower health care costs.
Telemedicine-assisted care of an older patient with COVID-19 and dementia: bridging the gap between hospital and home
Hospital at Home (HaH) has been proposed as a solution to relieve pressure on hospital beds during the COVID-19 pandemic; however, caregivers' feelings of inadequacy and concerns on the need for tighter clinical monitoring might lead to unnecessary and potentially harmful hospital admissions in frail older patients with mild or atypical COVID-19.
Evaluation of Oncology Hospital at Home: Unplanned Health Care Utilization and Costs in the Huntsman at Home Real-World Trial
With COVID-19 increasing capacity challenges in hospitals while also making patients wary of entering, U.S. Centers for Medicare & Medicaid Services (CMS) continues to expand its hospital-at-home waiver program, designed to give hospitals regulatory flexibilities to treat certain patients within their own homes.
Objective: To describe uptake of hospital in the home (HIH) by major Australian hospitals and the characteristics of patients and their HIH admissions; to assess change in HIH admission numbers relative to total hospital activity.
hospital-level care in a patient's home may reduce cost, health care use, and
readmissions while improving patient experience, although evidence from randomized
controlled trials in the United States is lacking.
“[Studies have shown that] at six months after treatment, 50 people treated in hospital at home, one more [patient] is alive than they would have been if they had all been treated in the hospital,” Dr. Bruce Leff
Linda V. DeCherrie, one of #WHAHC 2019 speakers, and her colleague, give insights into the structure and challenges in the Mount Sinai`s Hospital at Home program.
One in four hospital beds is occupied by someone with dementia - and 20% of these admissions were due to preventable causes. The ultimate aim is to create "healthy homes" for people with dementia to live in using the technology.
Intravenous antibiotics treatment for children at home as effective as hospital treatment, study finds
research team says this is the first trial worldwide in children that has
compared IV antibiotic treatment at home to hospital.
The research team says this is the first trial worldwide in children that has compared IV antibiotic treatment at home to hospital.
Health care is moving
from traditional brick and mortar stores to health clinics and hospital at
home. The industry must ensure a safe transition —and as quickly as
possible—to enable a shift to outcome-based care and more effective treatment.
Hospital at Home model is definitely part of the future!