Some people aren’t comfortable with this level of activity in their homes. What are the main benefits of this model?įor patients, being able to recover at home is generally a huge satisfier, but it’s not for everyone. Our metric is to try to get them back to their PCP within seven days, and we’ve been very successful with that piece of it. Depending on the patient’s status, they might be referred into a traditional home care episode or into outpatient care. They can make medication changes and add treatments during the virtual visits, and do hemodynamic monitoring during and following the acute care stage in the model. Our hospitalist team oversees patients on a daily basis using virtual rounding technology. Nurses are usually the primary provider in the home, and they may see the patient two to three times a day depending on treatment requirements and patient status. Then the RCC will work with our support teams, including our home health team, home medical equipment team, and home infusion pharmacy, to get the right staff, products, and services set up to transition that patient home and begin care within two hours of their arrival.Ī typical episode of acute care in the home lasts for three to five days. If the physician determines that the patient is eligible for in-home care, the RCC performs what we call a health and home assessment survey to determine whether everything else is in place to safely admit the patient into the program. If they have a qualifying condition and meet certain insurance criteria, including inpatient admission standards, then our recovery care coordinator-or RCC-will start to work directly with physicians on the next steps of care. Typically a patient presents to the emergency department at the hospital with some kind of change in their health status. Could you talk a little bit more about your current care model for hospital-at-home? With access to more advanced technology and increasing reimbursement benefits, we’ve been able to offer home care for patients with more severe illnesses in a way that supports our enterprise initiatives around helping patients heal better. Or they might have a condition such as sepsis or cellulitis that requires an IV to help stabilize. Our program often treats patients who are experiencing an exacerbation of a chronic illness such as heart failure, COPD, or pneumonia. Our enterprise is really focused on healing at home, which is where most people would like to recover, and our hospital-at-home program is an extension of that value. Why did your organization decide to invest in a hospital-at-home program? To learn more about this care model, we sat down with Cynthia Vunovich, MSM, BSN, RN, and Vice President of Clinical Integration & Performance Improvement at Allegheny Health Network Healthcare Home. Hospital-at-home programs, which allow patients to receive acute care in their homes rather than in a hospital, have been shown to boost patient satisfaction, improve outcomes, and reduce costs. As hospital leaders continue to adjust care delivery models to provide the right care at the right time across their patient population, many are looking toward the hospital-at-home model as a promising approach.
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