Hospital-at-home

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

Alex D. Federman, MD, MPH; Tacara Soones, MD, MPH; Linda V. DeCherrie, MD; et al

Invited Commentary: Hospital-at-Home Care Programs—Is the Hospital of the Future at Home?; Joshua M. Liao, MD, MSc; Amol Navathe, MD, PhD; Matthew J. Press, MD, MSc

Alex D. Federman, MD, MPH¹; Tacara Soones, MD, MPH²; Linda V. DeCherrie, MD^1,3; et alBruce Leff, MD⁴; Albert L. Siu, MD, MSPH^3,5

Author Affiliations Article Information

JAMA Intern Med. Published online June 25, 2018. doi:10.1001/jamainternmed.2018.2562

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Association of a Bundled Hospital-at-Home Program With Clinical Outcomes and Patient Experiences

Key Points

Question  What is the association of providing hospital-at-home care bundled with a 30-day postacute period of home-based transitional care with clinical outcomes and patients’ experiences compared with traditional inpatient care?

Findings  This case-control study with 507 participants found that compared with patients receiving inpatient care, patients receiving hospital-at-home care had shorter length of stay; lower rates of 30-day hospital readmission, emergency department visits, and skilled nursing facility admissions; and better ratings of care. There were no differences in the rates of adverse events.

Meaning  Hospital-at-home care bundled with a 30-day episode of postacute transitional care may be a safe and effective alternative to inpatient care for some patients./.../