ArticleJournal of the American Geriatrics Society2019
Hospital at Home-Plus: A Platform of Facility-Based Care.
Article in Journal of the American Geriatrics Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- How is community based 'out-of-hours' care provided to patients with advanced illness near the end of life: A systematic review of care provision.Palliative medicine · 2023Pooled it
- Outcomes Associated With Hospital at Home vs Traditional Inpatient Stay.JAMA network open · 2026Article
- Rehab and Death: Improving End-Of-Life Care for Medicare Skilled Nursing Facility Beneficiaries.Journal of the American Geriatrics Society · 2026Article
- Rapid scale-up of hospital-at-home services during wartime: lessons learned from the Sheba Medical Center experience.Frontiers in medicine · 2026Article
- Intrathecal pump refills at home or at the hospital: Protocol for a randomized controlled crossover trial-The IMPROVE study.PloS one · 2026Article
- Importance of early consideration of scaling and sustainability for aging-related care models: Case study of Hospital at Home.Journal of the American Geriatrics Society · 2024Article
- The mobile seniors' clinic - an innovative transition of care for frail older adults.BMC geriatrics · 2024Article
- Knowledge, attitudes, and perceptions of residents towards Hospital-at-Home (HaH) and its role in residency training.BMC medical education · 2024Article
- The value of admission avoidance: cost-consequence analysis of one-year activity in a consolidated service.Cost effectiveness and resource allocation : C/E · 2024Article
- An integrated understanding of the impact of hospital at home: a mixed-methods study to articulate and test a programme theory.BMC health services research · 2024Review
- Using phenotypic data from the Electronic Health Record (EHR) to predict discharge.BMC geriatrics · 2023Observational
- Implementation of a virtual and in-person hybrid hospital-at-home model in two geographically separate regions utilizing a single command center: a descriptive cohort study.BMC health services research · 2023Article
- Digital health as an enabler for hospital@home: A rising trend or just a vision?Frontiers in public health · 2023Review
- Geriatric home-based rehabilitation in Australia: Preliminary data from an inpatient bed-substitution model.Journal of the American Geriatrics Society · 2022Article
- A research agenda for hospital at home.Journal of the American Geriatrics Society · 2022Article
- Adapting a Hospital-at-Home Care Model to Respond to New York City's COVID-19 Crisis.Journal of the American Geriatrics Society · 2020Article
- "What Would It Take to Transform Post-Acute Care?" 2019 Conference Proceedings on Re-envisioning Post-Acute Care.Journal of the American Medical Directors Association · 2020Article
- Implementation of Post-Acute Rehabilitation at Home: A Skilled Nursing Facility-Substitutive Model.Journal of the American Geriatrics Society · 2020Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
objectivesTo describe the evolution of a hospital at home (HaH) program to a HaH with a 30-day posthospitalization transition period (HaH-Plus) and results of a retrospective review of cases.
designAfter launching HaH-Plus, we used the same interdisciplinary clinical team to provide acute home-based care for a broader range of home-based acute-level services than originally conceived in the Hospital at Home model. These included a palliative care unit at home (PCUaH), an observation unit at home (OUaH), a post-acute care rehabilitation at home (RaH), and a program for the hospital averse - those patients needing to be in the hospital but who refuse.
settingUrban health system.
participantsIndividuals 18 years or older residing in specified catchment area with Medicare fee-for-service or accepted Medicare/Medicaid Advantage plans requiring facility-based care.
interventionProvision of facility-based acute-level care at home to 685 participants. MEASUREMENTS: Length of stay, readmission, and mortality.
resultsHaH-Plus cared for 685 individuals. The PCUaH had the oldest participants (mean age 87), and all groups were predominantly female and dually eligible for Medicare and Medicaid. Diagnoses and length of stay were similar in all groups except that those in RaH had a larger group of diagnoses, than those accepted in to HaH-Plus and those in OUaH had a shorter stay. Rate of readmission was highest for RaH (19%). Mortality during the active treatment episode was highest for PCUaH and hospital averse as compared to HaH-Plus, OUaH and RaH.
conclusionProviding a broader range of facility-based care in the home has significant advantages for patients and increases the scalability of HaH. Developing a spectrum of services was possible by leveraging a robust, 24-hour HaH team. Community- and home-based care could become a greater part of the U.S. healthcare system if a platform of HaH services along with advances in technology and payment models were developed. J Am Geriatr Soc 67:596-602, 2019.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.