Clinical Scorecard: Strategies for Developing Hospital-at-Home Programs: A Thematic Analysis from a Nationwide Community Workshop Series in Canada

At a Glance

Key Highlights

• HaH models can reduce hospital overcrowding and improve patient outcomes.
• Patients receiving HaH care often experience shorter treatment durations and lower readmission rates.
• International evidence on HaH is growing but concentrated in the US and UK.
• HaH programs are generally well accepted by patients and considered cost-effective.
• Implementation of HaH is influenced by local policy, funding, and workforce structures.

Guideline-Based Recommendations

Diagnosis

• Assess patient eligibility for HaH based on clinical needs and preferences.

Management

• Utilize an extended nursing care model with daily home visits and physician oversight.

Monitoring & Follow-up

• Implement remote monitoring technologies to track patient health status.

Risks

• Consider potential challenges in care coordination and resource allocation.

Patient & Prescribing Data

Patients with chronic diseases or acute conditions suitable for home management.

HaH programs provide hospital-level treatments and monitoring in a home setting.

Clinical Best Practices

• Tailor HaH models to local healthcare landscapes and insurance practices.
• Ensure robust communication between patients, caregivers, and healthcare providers.
• Incorporate patient and caregiver feedback into HaH program design.

Related Resources & Content

• Hospital at Home in the USA: Current Status and Future Prospects
• Patients’ and Caregivers’ Perceptions of Hospital-at-Home Service
• Inpatient-Level Care at Home Delivered by Virtual Wards