Early Uptake of the Acute Hospital Care at Home Waiver
Authors: David M. Levine, Linda V. DeCherrie, Albert L. Siu, Bruce Leff
Journal: Annals of Internal Medicine (2021)

LettersDecember 2021Early Uptake of the Acute Hospital Care at Home WaiverDavid M. Levine, MD, MPH, MA, Linda V. DeCherrie, MD, Albert L. Siu, MD, MSPH, Bruce Leff, MDDavid M. Levine, MD, MPH, MABrigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, Linda V. DeCherrie, MDIcahn School of Medicine at Mount Sinai, New York, New York, Albert L. Siu, MD, MSPHIcahn School of Medicine at Mount Sinai, New York, New York, Bruce Leff, MDJohns Hopkins University School of Medicine, Baltimore, MarylandAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M21-2516 Annals Author Insight Video - David M. Levine, MD, MPH, MA, and Bruce Leff, MD In this video, David M. Levine, MD, MPH, MA, and Bruce Leff, MD, offer additional insight into the article, "Early Uptake of the Acute Hospital Care at Home Waiver." (Duration 3:49) SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Background: Hospital at home (HaH) provides acute hospital-level care in a patient's home as a substitute for traditional inpatient hospital care. The HaH model has been the subject of multiple randomized controlled trials and systematic reviews and has been shown to provide safe, high-quality, patient-centered care (1–4). Despite a robust evidence base, dissemination of HaH has been limited. One important barrier to scaling HaH has been the lack of a payment mechanism in traditional fee-for-service Medicare.To help meet the challenges of delivering health care services in the midst of the COVID-19 pandemic, the Centers for Medicare & Medicaid Services ...References1. Leff B, Burton L, Mader SL, et al. Hospital at home: feasibility and outcomes of a program to provide hospital-level care at home for acutely ill older patients. Ann Intern Med. 2005;143:798-808. [PMID: 16330791] LinkGoogle Scholar2. Levine DM, Ouchi K, Blanchfield B, et al. Hospital-level care at home for acutely ill adults: a randomized controlled trial. Ann Intern Med. 2020;172:77-85. [PMID: 31842232] doi:10.7326/M19-0600 LinkGoogle Scholar3. Federman AD, Soones T, DeCherrie LV, et al. Association of a bundled hospital-at-home and 30-day postacute transitional care program with clinical outcomes and patient experiences. JAMA Intern Med. 2018;178:1033-40. [PMID: 29946693] doi:10.1001/jamainternmed.2018.2562 CrossrefMedlineGoogle Scholar4. Levine DM, Pian J, Mahendrakumar K, et al. Hospital-level care at home for acutely ill adults: a qualitative evaluation of a randomized controlled trial. J Gen Intern Med. 2021;36:1965-73. [PMID: 33479931] doi:10.1007/s11606-020-06416-7 CrossrefMedlineGoogle Scholar5. Levine DM, Desai MP, Ross J, et al. Rural perceptions of acute care at home: a qualitative analysis. J Rural Health. 2021;37:353-61. [PMID: 33438811] doi:10.1111/jrh.12551 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Brigham and Women's Hospital and Harvard Medical School, Boston, MassachusettsIcahn School of Medicine at Mount Sinai, New York, New YorkJohns Hopkins University School of Medicine, Baltimore, MarylandNote: Dr. Levine had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.Financial Support: By the John A. Hartford Foundation.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M21-2516.Reproducible Research Statement: Study protocol, statistical code, and data set: Available from Dr. Levine (e-mail, [email protected]harvard.edu).Corresponding Author: David M. Levine, MD, MPH, MA, Division of General Internal Medicine and Primary Care, Harvard Medical School, Brigham and Women's Hospital, 1620 Tremont Street, 3rd Floor, Boston, MA 02120; e-mail, [email protected]harvard.edu.This article was published at Annals.org on 26 October 2021. PreviousarticleNextarticle Advertisement Annals Author Insight Video - David M. Levine, MD, MPH, MA, and Bruce Leff, MD In this video, David M. Levine, MD, MPH, MA, and Bruce Leff, MD, offer additional insight into the article, "Early Uptake of the Acute Hospital Care at Home Waiver." (Duration 3:49) FiguresReferencesRelatedDetails Metrics Cited byAcute home-based care for patients with cancer to avoid, substitute, and follow emergency department visits: a conceptual framework using Porter's Five ForcesRemote vs In-home Physician Visits for Hospital-Level Care at HomeMedical Training in Home Care Medicine: The Time is NowHome-Based Care Reimagined: A Full-Fledged Health Care Delivery Ecosystem Without WallsA research agenda for hospital at homeHospital at Home: Setting a Regulatory Course to Ensure Safe, High-Quality CareTechnology-enabled Hospital at Home: Innovation for Acute Care at Home December 2021Volume 174, Issue 12Page: 1772-1774KeywordsCOVID-19Hospital medicineMedicarePrevention, policy, and public health ePublished: 26 October 2021 Issue Published: December 2021 Copyright & PermissionsCopyright © 2021 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...