Remote patient monitoring has been implemented over the last few years in select use cases with varied success based on the level of patient and provider team engagement. A new model that is gaining widespread adoption is Hospital at Home, developed by Bruce Leff, professor of medicine at Johns Hopkins. Hospital at Home provides remote monitoring and support for acute care patients after discharge. Providers implementing the model include Presbyterian Healthcare Services in New Mexico, Kaiser Permanente in California, Atrius Health in Massachusetts and 11 Veterans Affairs hospitals.
The Hospital at Home program involves an initial home visit to set up the hospital equipment. The initial visit is then followed by three days of intensive medical services with in-home nurse visits of 1-3 times per day and a physician visit once a day. This is then followed by 30 days of transitional care. The results so far include higher patient satisfaction, reduced cost, and fewer complications.
Such care at home both reduces stress and is reassuring to the patient, family, and caregivers.
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