5.7.3 - Virtual Hospital at Home

The ultimate expression of Virtual Care - Virtual Hospital @ Home

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The ultimate expression of Virtual Care - Virtual Hospital @ Home

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Hospital Need a New "Use Case"

“Shift in care settings” is more important than ever: Value-based care is coming, and hospital buildings need a new use

“All of my investment now is in outpatient—anything that is not beds. Our ability to create that network outside the hospital is huge.” - CEO of a healthcare system

“The focus of the past 10 years has been on preventing readmissions, and now in the next 10 years, the focus will be on preventing admissions.” - President of a health system

“Our mission is to provide health care to the community. If we can deliver care to the community in a better-quality manner that is less capital intensive, then that is better for our fiduciary commitment to the community.” - Population health executive of a health system

DI_Outpatient-and-virtual-care-shift.pdf3428.8KB

Hybrid Trials in Progress Post Pandemic

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Association of a Bundled Hospital-at-Home and 30-Day Postacute Transitional Care Program With Clinical Outcomes and Patient Experiences

Mount Sinai tested the model from 2014 to 2017 as part of a demonstration under the Center for Medicare and Medicaid Innovation.

The study included 295 hospital-at-home care patients and 212 control patients

Hospital-at-home patients had an 8.6% 30-day readmission rate, which was lower than the 15.6% readmission rate for the control group of acute-care hospital patients.

Hospital-at-home patients had a 5.8% 30-day emergency department revisit rate versus an 11.7% ED revisit rate among the control group

HaH care bundled with a 30-day post-acute transitional care episode was associated with better patient outcomes and ratings of care compared with inpatient hospitalization. This model warrants consideration for addition to Medicare's current portfolio of shared savings programs.

Hospital-Level Care at Home for Acutely Ill Adults

A Randomized Controlled Trial

Substitutive home hospitalization reduced cost, health care use, and readmissions while increasing physical activity compared with usual hospital care.

Additional Background: Sweeping Regulatory Changes to Help U.S. Healthcare System Address COVID-19 Patient Surge

INCREASE HOSPITAL CAPACITY -  CMS HOSPITALS WITHOUT WALLS

CMS is allowing healthcare systems and hospitals to provide services in locations beyond their existing walls to help address the urgent need to expand care capacity and to develop sites dedicated to COVID-19 treatment.

CMS Announces Comprehensive Strategy to Enhance Hospital Capacity Amid COVID-19 Surge

Acute Hospital Care at Home

This program was developed to support models of at-home hospital care throughout the country that have seen prior success in several leading hospital institutions and networks, and reported in academic journals, including a major study funded by a Healthcare Innovation Award from the Center for Medicare and Medicaid Innovation (CMMI).

Moving Health Home

Amazon Care, Intermountain, Ascension launch hospital-at-home healthcare alliance

Moving Health Home, will support and update healthcare policy changes to designate the home as a site of clinical service

UPMC, Advocate Aurora join hospital-at-home initiative backed by Amazon, Intermountain and Ascension

The coalition has attributed tech advancements including telehealth, remote monitoring, digital therapeutics and medical records sharing as driving factors behind its mission to make home care equivalent to healthcare services offered in facilities

Virtual Hospital going International

UAE to set up first virtual hospital in the Middle East

UAE’s ministry of health is working with one of the country’s top telecom operators to set up the region’s first virtual hospital