Enter your Email address:
Wolters Kluwer Health may email you for journal alerts and information, but is committed
to maintaining your privacy and will not share your personal information without
You currently have no recent searches
Acute care in the home setting lowered costs and improved patient satisfaction.
Hospital at Home, a concept created by investigators at the Johns Hopkins University Schools of Medicine and Public Health, has as its essential feature what the name suggests: patients with certain conditions serious enough to warrant hospital admission have the option of being treated by physicians and nurses in their homes. Presbyterian Healthcare Services (PHS), New Mexico's largest provider of care, adopted the program in 2008 because of the demands of serving an aging population with an increasing prevalence of chronic disease and a corresponding increase in use of health care services. A new study recently compared results in 323 geriatric PHS patients treated during 2009 and 2010 in the Hospital at Home program with those in a control group of 1,048 patients who were admitted to a PHS hospital.
The mean length of a Hospital at Home “stay” was 3.3 days, compared with 4.5 days among inpatients. Although PHS's five best-practice core quality metrics were met at rates of 91% to 99% among inpatients, all five metrics were met at a rate of 100% among patients treated in their homes. Patients cared for at home had lower rates of falls (0% versus 0.8%), and readmission to the hospital occurred at similar rates: 10.8% among Hospital at Home patients and 10.5% among inpatients. The rate of death during rehospitalization was also lower in the home-care group (0.93%) than in the patients originally treated in the hospital (3.4%). (Eight patients [2.5%] treated at home were transferred to the hospital, primarily because their conditions worsened.)
Overall patient satisfaction, too, was greater in patients treated in the Hospital at Home program than in control patients, and the mean cost, excluding physician cost, was 19% lower in patients cared for at home.—David Carter
© 2012 Lippincott Williams & Wilkins, Inc.
Colleague's E-mail is Invalid
Your Name: (optional)
Separate multiple e-mails with a (;).
Thought you might appreciate this item(s) I saw at AJN The American Journal of Nursing.
Send a copy to your email
Your message has been successfully sent to your colleague.
Some error has occurred while processing your request. Please try after some time.
An Existing Folder
A New Folder
The item(s) has been successfully added to "".
Login with your LWW Journals username and password.
Username or Email:
Enter and submit the email address you registered with. An email with instructions to reset your password will be sent to that address.
Link to reset your password has been sent to specified email address.
What does "Remember me" mean?
By checking this box, you'll stay logged in until you logout. You'll get easier access to your articles, collections,
media, and all your other content, even if you close your browser or shut down your
To protect your most sensitive data and activities (like changing your password),
we'll ask you to re-enter your password when you access these services.
What if I'm on a computer that I share with others?
If you're using a public computer or you share this computer with others, we recommend
that you uncheck the "Remember me" box.
Save my selection