Home hospital as a disposition for older adults from the emergency department: Benefits and opportunities
Abstract The $1 trillion industry of acute hospital care in the United States is shifting from inside the walls of the hospital to patient homes. To tackle the limitations of current hospital care in the United States, on November 25, 2020, the Center for Medicare & Medicaid Services announced t...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-08-01
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| Series: | Journal of the American College of Emergency Physicians Open |
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| Online Access: | https://doi.org/10.1002/emp2.12517 |
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| author | Kei Ouchi Shan Liu Daniel Tonellato Yonatan G. Keschner Maura Kennedy David M. Levine |
| author_facet | Kei Ouchi Shan Liu Daniel Tonellato Yonatan G. Keschner Maura Kennedy David M. Levine |
| author_sort | Kei Ouchi |
| collection | DOAJ |
| description | Abstract The $1 trillion industry of acute hospital care in the United States is shifting from inside the walls of the hospital to patient homes. To tackle the limitations of current hospital care in the United States, on November 25, 2020, the Center for Medicare & Medicaid Services announced that the acute hospital care at home waiver would reimburse for “home hospital” services. A “home hospital” is the home‐based provision of acute services usually associated with the traditional inpatient hospital setting. Prior work suggests that home hospital care can reduce costs, maintain quality and safety, and improve patient experiences for select acutely ill adults who require hospital‐level care. However, most emergency physicians are unfamiliar with the evidence of benefits demonstrated by home hospital services, especially for older adults. Therefore, the lead author solicited narrative inputs on this topic from selected experts in emergency medicine and home hospital services with clinical experience, publications, and funding on home hospital care. Then we sought to identify information most relevant to the practice of emergency medicine. We outline the proven and potential benefits of home hospital services specific to older adults compared to traditional acute care hospitalization with a focus on the emergency department. |
| format | Article |
| id | doaj-art-66fb52bf7f7b4d3a8e00e6bf4470abd9 |
| institution | Kabale University |
| issn | 2688-1152 |
| language | English |
| publishDate | 2021-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of the American College of Emergency Physicians Open |
| spelling | doaj-art-66fb52bf7f7b4d3a8e00e6bf4470abd92025-08-20T03:34:48ZengElsevierJournal of the American College of Emergency Physicians Open2688-11522021-08-0124n/an/a10.1002/emp2.12517Home hospital as a disposition for older adults from the emergency department: Benefits and opportunitiesKei Ouchi0Shan Liu1Daniel Tonellato2Yonatan G. Keschner3Maura Kennedy4David M. Levine5Department of Emergency Medicine Brigham and Women's Hospital Boston Massachusetts USAHarvard Medical School Boston Massachusetts USADepartment of Emergency Medicine MedStar Georgetown University Hospital Washington District of Columbia USADepartment of Emergency Medicine Brigham and Women's Hospital Boston Massachusetts USAHarvard Medical School Boston Massachusetts USAHarvard Medical School Boston Massachusetts USAAbstract The $1 trillion industry of acute hospital care in the United States is shifting from inside the walls of the hospital to patient homes. To tackle the limitations of current hospital care in the United States, on November 25, 2020, the Center for Medicare & Medicaid Services announced that the acute hospital care at home waiver would reimburse for “home hospital” services. A “home hospital” is the home‐based provision of acute services usually associated with the traditional inpatient hospital setting. Prior work suggests that home hospital care can reduce costs, maintain quality and safety, and improve patient experiences for select acutely ill adults who require hospital‐level care. However, most emergency physicians are unfamiliar with the evidence of benefits demonstrated by home hospital services, especially for older adults. Therefore, the lead author solicited narrative inputs on this topic from selected experts in emergency medicine and home hospital services with clinical experience, publications, and funding on home hospital care. Then we sought to identify information most relevant to the practice of emergency medicine. We outline the proven and potential benefits of home hospital services specific to older adults compared to traditional acute care hospitalization with a focus on the emergency department.https://doi.org/10.1002/emp2.12517dispositionGeriatricshealthcare deliveryhome hospitalpalliative carepatient‐centered care |
| spellingShingle | Kei Ouchi Shan Liu Daniel Tonellato Yonatan G. Keschner Maura Kennedy David M. Levine Home hospital as a disposition for older adults from the emergency department: Benefits and opportunities Journal of the American College of Emergency Physicians Open disposition Geriatrics healthcare delivery home hospital palliative care patient‐centered care |
| title | Home hospital as a disposition for older adults from the emergency department: Benefits and opportunities |
| title_full | Home hospital as a disposition for older adults from the emergency department: Benefits and opportunities |
| title_fullStr | Home hospital as a disposition for older adults from the emergency department: Benefits and opportunities |
| title_full_unstemmed | Home hospital as a disposition for older adults from the emergency department: Benefits and opportunities |
| title_short | Home hospital as a disposition for older adults from the emergency department: Benefits and opportunities |
| title_sort | home hospital as a disposition for older adults from the emergency department benefits and opportunities |
| topic | disposition Geriatrics healthcare delivery home hospital palliative care patient‐centered care |
| url | https://doi.org/10.1002/emp2.12517 |
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