Background: Academic medical centers and other quaternary hospitals struggle with capacity challenges that manifest in longer ED wait times, delayed or cancelled elective surgical procedures, and delayed transfers from community hospitals[1]. The Hospital at Home model is an obvious and elegant solution to increase capacity[2], but its nationwide implementation has been limited due to lack [...]

Background: The COVID-19 omicron variant pandemic has created a community outbreak and the need for tele-consultation with hospital-at-home care has surged, especially in the rural area, like Taitung. There were some innovated telemedicine pilot programs developed in Taitung over the past 4 years in Taiwan. Purpose: This study examines the key success factors driving teleconsultation [...]

Background: Hospital at Home programs originated as pilot initiatives on a national scale, gaining momentum during the COVID-19 pandemic. The need for reevaluating healthcare delivery systems became pronounced during this period. Kent Hospital in Rhode Island collaborated with key stakeholders, including Blue Cross Blue Shield of Rhode Island, United Health Care, and CMS, to bring [...]

Background: Healthcare systems face challenges to meet the needs of a complex aging patient population, and simultaneously at risk of clinician burnout and loss of talent. Advancements in technology for clinical use have extended the reach of clinicians into patient homes, improving operational efficiency of Acute Care at Home programs, as well as patient and [...]

Background: In 2020 due to the COVID-19 pandemic, the Centers for Medicare & Medicaid Services approved the Acute Hospital Care at Home Waiver allowing hospitals to be reimbursed for hospital-level care for patients in their own home. Almost 300 hospitals across 37 states have been approved to launch their own Hospital at Home (HaH) programs. [...]

Case Presentation: A 63-year-old man with polycystic kidney disease and bilateral renal masses was seen in our dedicated Pre-Operative clinic before a bilateral nephrectomy for renal cell carcinoma. In preparation for this surgery his nephrologist had placed a referral for community hemodialysis. However, regional wait times for community dialysis chairs averaged 2-3 months necessitating prolonged [...]