Since early pilot tests of the hospital-at-home model in the United States more than 20 years ago, the promise of treating patients where they live instead of hospitalizing them has tantalized health care providers.
Inside Mount Sinai’s Hospital-at-Home Program
It led to fewer readmissions and complications.
May 10, 2019
Summary.
The hospital-at-home health care delivery model treats patients where they live instead of hospitalizing them. These programs, which care for patients with acute illnesses such as pneumonia, cellulitis, and exacerbations of congestive heart failure and chronic obstructive pulmonary disease, are among the most studied innovations in health care. That research has shown varying but clearly positive impacts on mortality, clinical outcomes, readmission rates, and cost. But setting up and running hospital-at-home initiatives is complex. This article details Mt. Sinai’s program and addresses key challenges organizations encounter, in particular regulatory barriers and reimbursement.
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