Costs for 'hospital at home' patients were 19 percent lower, with equal or better outcomes compared to similar inpatients.
Hospitals are the standard acute care venues in the United States, but hospital care is expensive and can pose health threats for older people. Albuquerque, New Mexico-based Presbyterian Healthcare Services adapted the Hospital at Home® model developed by the Johns Hopkins University Schools of Medicine and Public Health to provide acute hospital-level care within patients' homes. Patients show comparable or better clinical outcomes compared with similar inpatients, and they show higher satisfaction levels. Available to Medicare Advantage and Medicaid patients with common acute care diagnoses, this program achieved savings of 19 percent over costs for similar inpatients. These savings were predominantly derived from lower average length-of-stay and use of fewer lab and diagnostic tests compared with similar patients in hospital acute care. Hospital at Home advances the Triple Aim of clinical quality, affordability, and exceptional patient experience.
Home Healthcare Division of Presbyterian Healthcare Services, in Albuquerque, New Mexico, USA. lcryer@phs.org
Lesley
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Cryer
Scott B
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Shannon
Melanie
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Van Amsterdam
Bruce
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Leff
D000368:Aged; D000369:Aged, 80 and over; D017046:Cost Savings / Q000191:economics / Q000639:trends*; D005260:Female; D006699:Home Care Services / Q000191:economics*; D006801:Humans; D007297:Inpatients; D008297:Male; D017146:Models, Organizational; D009516:New Mexico; D017063:Outcome Assessment, Health Care