Background: “Hospital at Home” (HaH) models of care have existed for over 20 years in the U.S. Recent demand for healthcare value, advances in relevant technologies, and the ongoing global pandemic have driven renewed attention to HaH models, including from the Center for Medicare and Medicaid Services (CMS), and have spawned several pilots within the […]

Background: Individuals experiencing homelessness have increased disease burden and healthcare needs compared to the general population. Homelessness is correlated with poor health outcomes and higher early mortality rates. Despite increased health care needs, individuals experiencing homelessness have more barriers and therefore less exposure to ambulatory care with consequently higher rates of acute hospital care. Unhoused […]

Background: Constraints on resources require healthcare systems to implement alternative and innovative means for delivering care. The COVID-19 pandemic amplified this issue throughout the world, leading to shortages of ventilators, hospital beds, and healthcare personnel. We report the results of an Acute Care at Home (ACH) program’s response to COVID-19, providing in-home hospital-level care to […]

Background: Hospital-at-Home (HaH) is a safe and effective alternative to high-cost, traditional hospitalization in patients with a range of medical conditions, such as non-severe community-acquired pneumonia (CAP). The COVID-19 pandemic created a unique situation with favorable policy changes, hospital resource constraints, and a clearly defined patient population that helped to increase HaH program deployment and […]

Background: Hospital at home (HaH) programs have provided critical inpatient-level care to acutely ill patients throughout the COVID-19 pandemic.1 Despite the documented benefits2-5, referral rates for HaH often mirror capacity demands. The pattern reflects implementation barriers including the tendency to default to usual care and time constraints.6 Continued success of HaH hinges on the question […]

Background: The ongoing global COVID-19 pandemic has stressed patients, hospital systems, and society and, while treatment modalities are continuously evolving. A phase 3 clinical trial of monoclonal antibody infusion in appropriate patients with Casirivimab and Imbdevimab demonstrated a 70% reduction in hospitalization or all-cause death compared to placebo (ref 1). An emergency use authorization by […]

Background: Early introduction of palliative care for medically complex patients can improve patient-centered outcomes. Yet, little is known about how to address these issues as patients are cared for by multiple teams in multiple care settings between hospital, home health care and primary care. Here we highlight clinician perspectives about introducing palliative care in the […]

Background: Since early 2020, the entire world has been enveloped within the COVID-19 pandemic. As research surrounding healthcare processes during the pandemic has surged, little has been studied regarding the pandemic’s impact on home-healthcare agencies (HHA). Previous research during the 2009 H1N1 pandemic found varied pandemic preparedness among HHAs. Therefore, this study aims to understand […]