Acute Care in the Home Setting: Hospital at Home



Could a large urban Health System be serious when it took out a one-page ad in the New York Times on July 22, 2015 with the headline “If our beds are filled, it means we’ve failed”? In fact, they were very serious and with their focus on population health management, patients are receiving most of their care outside of the traditional hospital setting. One such way they are accomplishing this is through a model of care developed to substitute hospital level care in the home. Hospital at Home (HaH) was developed at Johns Hopkins University in 1995 as a response to the evidence that hospitals may not be the ideal setting for many patients [17]. The hazards of hospitalizations, especially for the older adult, are well documented and can include falls, delirium, functional decline, and other hospital-acquired infections [10]. Additionally, poor transitions both within the hospital setting and at discharge can contribute to lengthier hospital stays, emergency department visits, and readmissions [5]. Home is a site of care that patients prefer and has been shown to be cost saving [13, 18, 19].


Hospital at Home Interdisciplinary team Acute care Post-acute care Home setting 


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© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Brookdale Department of Geriatrics and Palliative MedicineIcahn School of Medicine at Mount SinaiNew YorkUSA
  2. 2.Brookdale Department of Geriatrics and Palliative MedicineMount Sinai Health SystemNew YorkUSA
  3. 3.Brookdale Department of Geriatrics and Palliative Medicine, Department of Medicine – Division of Hospital MedicineMount Sinai HospitalNew YorkUSA
  4. 4.School of Social Welfare, The University at AlbanyAlbanyUSA
  5. 5.Brookdale Department of Geriatrics and Palliative MedicineMount Sinai HospitalNew YorkUSA

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