Hospital at Home

Leff, Bruce

doi:10.1007/978-3-319-16068-9_14

Cited by 9 publications

(5 citation statements)

References 26 publications

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“…HHC may also improve population health outcomes by reducing mortality rates. In 2012, a meta-analysis of RCTs found that care provided in HHC programs was associated with a 38% reduction in mortality at 6 months compared with hospital-based treatment (Leff, 2015). However, a retrospective cohort study of veterans in Hawaii found no statistically significant difference in mortality for those treated at home (Cai et al, 2017).…”

Section: Population Health Outcomesmentioning

confidence: 99%

“…In Australia, where home-based hospital care is reimbursed by the government, HHC accounts for 5% of all acute bed days (Leff, 2015). Evaluations of existing HHC models, both in the United States and abroad, inform our current understanding of how delivery of hospital care at home affects patient outcomes, patient experience, and costs, though this essay focuses on studies conducted in the United States.…”

Section: Introductionmentioning

confidence: 99%

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Acute Care Reimagined: Home Hospital Care Can Support the Triple Aim and Reduce Health Disparities

Johnson

2021

Journal of Healthcare Management

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EXECUTIVE SUMMARY Home hospital care (HHC) is a new and exciting concept that holds the promise of achieving all three components of the Triple Aim and reducing health disparities. As an innovative care delivery model, HHC substitutes traditional inpatient hospital care with hospital care at home for older patients with certain conditions. Studies have shown evidence of reduced cost of care, improved patient satisfaction, and enhanced quality and safety of care for patients treated through this model. The steady growth in Medicare Advantage enrollment and the expansion in 2020 of the Centers for Medicare & Medicaid Services (CMS) Hospitals Without Walls program to include acute hospital care at home creates an opportunity for hospitals to implement such programs and be financially rewarded for reducing costs. Capacity constraints exacerbated by the COVID-19 pandemic suggest that now is the ideal time for healthcare leaders to test and advance the concept of HHC in their communities.

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Section: Population Health Outcomesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Acute Care Reimagined: Home Hospital Care Can Support the Triple Aim and Reduce Health Disparities

Johnson

2021

Journal of Healthcare Management

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“…3 Related Literature HHC visions are facing unprecedented pressure because of changing demographics, administrative requirements, resource constraints, workforce shortages, growing needs of the population and increased demand for HHC innovation. Advances in the development of smart hospital-grade technologies allow HHC providers to perform medical services that were previously available only in hospitals [9].…”

Section: Relationship To Applied Artificial Intelligence Systemsmentioning

confidence: 99%

Multi-agent System Architecture for Distributed Home Health Care Information Systems

Alves

Rocha

Pereira

et al. 2021

IFIP Advances in Information and Communication Technology

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In recent years, the aging population has increased. The intervention of home health care (HHC) has been an asset, however, needs technological innovation for the high level of complexity and requirements. Innovation in the HHC system is crucial, since management still occurs manually using classical methods, usually centralized and static. The mapping of real HHC problems, enables an application model of a distributed intelligent system, considering the operational planning needs, promoting an ecosystem of digital and sustainable technologies. This work aims to specify a versatile and flexible architecture for allocation, routing, and scheduling tasks in distributed HHC. It considers multi-agent systems technology to guarantee the fast response to condition changes in existing planning, merged with optimization algorithms that allow achieving optimal solutions. Collaboratively, the information digitization for real-time monitoring will coordinate a socialized solution using different tools and techniques, ensuring robustness and dynamic responsiveness in a domain with emerging needs.

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“…Consideramos que evaluar estas características es un componente central para conseguir una provisión eficiente de APS domiciliaria. Además, este tipo de atención es una estrategia prometedora para la contención de costos 28 ; por lo tanto, los sistemas de salud locales, nacionales y regionales deben apropiarse del proceso de escalonamiento de estrategias de atención innovadoras exitosas 5,29 .…”

Section: Discusión (Conclusiones Y Recomendaciones)unclassified

Descripción de un servicio de visitas domiciliarias a pacientes adultos mayores confinados en sus hogares y análisis de los determinantes de su utilización.

Dueñas-Espín,

Armijos-Acurio,

Quishpe-Narváez

et al. 2021

Rev Fac Cien Med (Quito)

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Introducción: Desarrollamos un servicio de visitas domiciliarias a pacientes confinados en sus hogares en un establecimiento de salud en Quito-Ecuador. Objetivos: (i) describir el proceso de atención en el servicio de visitas domiciliarias y evaluar su ajuste al modelo de atención primaria en salud, (ii) describir el flujo de procesos del servicio como una propuesta para replicar en otros ámbitos, (iii) identificar los determinantes de alta utilización del servicio; y (iv) validar un sistema de puntuación que incluya a esos determinantes como predictores de su uso. Sujetos y métodos: Estudio observacional longitudinal retrospectivo y desarrollo de un score. Se analizaron las características sociodemográficas y clínicas de los pacientes en la primera visita y contando el número de visitas domiciliarias por paciente 18 meses después. Mediante modelos de regresión binomial negativa se identificaron los determinantes de utilización de vivitas domiciliarias, cuyos β-coeficientes ajustados y transformados en score, fueron validados internamente mediante el cálculo del área bajo la curva. Resultados: 120 pacientes recibieron 285 vistas domiciliarias después de 18 meses, 70% fueron mujeres con una media de edad de 83 años. Nueve pacientes recibieron 75 visitas domiciliarias. Edad, estado civil, multimorbilidad-polifarmacia y la realización inicial de procedimientos clínicos fueron determinantes independientes de ≥4 visitas domiciliarias por año. El área bajo la curva fue de 0.80 (IC 95%=0.78 a 0.82). Discusión y conclusión: Nuestro servicio de visitas domiciliarias a pacientes confinados se ajusta al modelo de atención primaria de salud. El flujograma podría adoptarse/adaptarse en contextos similares. Edad, estado civil, multimorbilidad-polifarmacia y requerimiento de procedimientos clínicos predijeron, de manera fiable, la utilización del servicio.

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Hospital at Home

Cited by 9 publications

References 26 publications

Acute Care Reimagined: Home Hospital Care Can Support the Triple Aim and Reduce Health Disparities

Acute Care Reimagined: Home Hospital Care Can Support the Triple Aim and Reduce Health Disparities

Multi-agent System Architecture for Distributed Home Health Care Information Systems

Descripción de un servicio de visitas domiciliarias a pacientes adultos mayores confinados en sus hogares y análisis de los determinantes de su utilización.

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