Virtual Acute Care at Home cuts Length of Hospital Stay

Virtual Acute Care at Home cuts Length of Hospital Stay

New research shows that patients with acute illnesses who received virtual and at-home care with remote patient monitoring and as-needed in-person urgent care visits had shorter hospital stays than patients who received standard inpatient hospital care.For the study, researchers assessed the Safer@Home care model launched at the Los Angeles General Medical Center in September 2022. The care model is an expanded version of a virtual and at-home acute care model launched in 2020 for COVID-19 pneumonia patients requiring oxygen. The Safer@Home model cares for a wider array of acute conditions, including heart failure exacerbation, bacterial pneumonia and diabetic foot infection.The Safer@Home model is similar to the hospital-at-home care model popularized by the federal Acute Hospital Care at Home (AHCAH) waiver, which allows hospitals to forgo certain Medicare conditions of participation to provide acute, hospital-level care at home.

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The researchers evaluated patient outcomes of the Safer@Home program from its launch on Sept. 1, 2022, through Aug. 31, 2023. They compared data for 876 Safer@Home patients with data for 1,590 matched controls, that is, patients with similar diagnoses who received standard inpatient care during the study period.As a result of these challenges, the Los Angeles County Department of Health Services has been unable to implement AHCAH programs, the study authors noted. Instead, it created the Safer@Home model, in which eligible patients are discharged to their homes and cared for via virtual clinical and remote patient monitoring services, oral or inhalational therapy, and return urgent care visits when in-person care is needed. The model does not involve at-home care personnel.


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