Kudos to the team at Mount Sinai for being pioneering, proactive, and deploying this Hospital at Home Model. The specifics of the model are as follows:
Federman A, Soones T, DeCherrie L, et al. Association of a bundled hospital-at-home and 30-day postacute transitional care program with clinical outcomes and aptient experiences [published online June 25, 2018]. JAMA Intern Med. doi:10.1001/jamainternmed.2018.2562.
Hospital at Home (HaH) and Observation Unit at Home (ObsaH) – How it Works
Most patients entering MACT arrive in the Emergency Department for treatment of an acute care situation. In general, patients eligible for care in a MACT program are sick enough to require hospitalization, but meet previously validated medical eligibility criteria to ensure that the program is safe and appropriate for them. Also, patients must live in a stable residence that meets their needs for safety, shelter, and basic utilities and reside within Manhattan.
If MACT concludes that a patient qualifies for admission, the proper category — Hospital at Home or Observation Unit at Home — is designated. Next, after the provider receives written consent from the patient or a family member, he or she writes an admission note, including specific instructions for infusion, and arranges for transportation to the patient’s home.
Back in the home, patients receive hospital-level care from a team of doctors, nurses, and other professionals. This care includes:
-Daily visits (or more often if needed) from a doctor or nurse practitioner.
-Home care nurses to check vital signs regularly and administer certain medications, including infusions.
-Lab services, IV medications, and other equipment or therapy brought directly to the home.
-On-call service 24 hours a day, seven days a week to respond to any urgent or immediate needs.
-A social worker to coordinate care and develop a follow-up plan.
Once discharged, the MACT team continues to be available to patients 24/7 for 30 days in case of any emergencies, health concerns, or other issues.
Bliss Health firmly believes that programs like this are not just “future ideas” but are practical, able to de deployed effectively and efficiently, and as the JAMA article being published shows, it has a real effect, in stopping re-admissions by 50% and reducing length of stay and expenses. I am sure there are other benefits like reduced anxiety of patient, reduced hospital borne infections, reduced burden on caregivers, and more.
Now imagine this program with the added benefit of secure one to one and multi party video conferencing. A LPN can come in for a check up and facilitate a full diagnostic exam between patient and remote physician including auscultation, video, ultrasound, EKG, and more.
These models are very real, and are not something of the future, they are the now. Bliss Health’s platform, and remote diagnostics, remote monitoring, and care management modules can make this program a reality for your organization. Be it Hospital at Home, ALF at Home, SNF at Home, Augmented Hospice programs, or other innovative models, Bliss Health has the platform that is simple to use, affordable, quick to deploy, and ready to make your VBC and APM work.