Technology-enabled Hospital at Home: Innovation for Acute Care at Home

被引:7
作者
Conley, Jared [1 ,2 ,3 ,4 ]
Snyder, Gregory D. [5 ,6 ,7 ,8 ]
Whitehead, David [2 ,4 ]
Levine, David M. [9 ,10 ,11 ,12 ]
机构
[1] Massachusetts Gen Hosp, Healthcare Transformat Lab, Boston, MA 02114 USA
[2] Massachusetts Gen Hosp, Emergency Med, Boston, MA USA
[3] Massachusetts Gen Hosp, Home Hosp, Boston, MA USA
[4] Harvard Med Sch, Emergency Med, Boston, MA USA
[5] Newton Wellesley Hosp, Adult Inpatient Med, Newton, MA USA
[6] Medically Home, Boston, MA USA
[7] Massachusetts Gen Hosp, Healthcare Transformat Lab, Residence, Boston, MA USA
[8] Tufts Univ, Sch Med, Boston, MA USA
[9] Brigham Home Hosp, Strategy & Innovat, Boston, MA USA
[10] Brigham & Womens Hosp, Div Gen Internal Med & Primary Care, Med, Boston, MA USA
[11] Harvard Med Sch, Med, Boston, MA USA
[12] Ariadne Labs, Boston, MA USA
来源
NEJM CATALYST INNOVATIONS IN CARE DELIVERY | 2022年 / 3卷 / 03期
关键词
OUTCOMES; PART;
D O I
10.1056/CAT.21.0402
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Since 2016, two hospital at home programs at Mass General Brigham have cared for more than 2,000 patients and have developed significant experience leveraging technology to improve clinical outcomes, operational efficiency, and the care experience for both patients and clinicians. These technologies have spanned from supporting remote visits and facilitating remote patient monitoring to enhancing clinical team coordination and supply chain management. Key lessons have been learned along these verticals, and there have been several important interoperability/integration and health equity implications, as the patient population and technology portfolio have expanded. Early experience points toward the use of these technologies in hospital at home as being safe and acceptable to patients and clinicians, as well as holding significant promise in enhancing clinical resource efficiency and coordination that will be critical to the scaling of acute care delivery in the home.
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页数:27
相关论文
共 26 条
[1]   Reduction of false alarms in the intensive care unit using an optimized machine learning based approach [J].
Au-Yeung, Wan-Tai M. ;
Sahani, Ashish K. ;
Isselbacher, Eric M. ;
Armoundas, Antonis A. .
NPJ DIGITAL MEDICINE, 2019, 2 (1)
[2]   The potential of artificial intelligence to improve patient safety: a scoping review [J].
Bates, David W. ;
Levine, David ;
Syrowatka, Ania ;
Kuznetsova, Masha ;
Craig, Kelly Jean Thomas ;
Rui, Angela ;
Jackson, Gretchen Purcell ;
Rhee, Kyu .
NPJ DIGITAL MEDICINE, 2021, 4 (01)
[3]  
Clarke DV., 2021, NEJM Catalyst December 7,, DOI [10.1056/CAT.21.0338, DOI 10.1056/CAT.21.0338]
[4]   Alternative Strategies to Inpatient Hospitalization for Acute Medical Conditions A Systematic Review [J].
Conley, Jared ;
O'Brien, Colin W. ;
Leff, Bruce A. ;
Bolen, Shari ;
Zulman, Donna .
JAMA INTERNAL MEDICINE, 2016, 176 (11) :1693-1702
[5]   INNOVATION PROFILE Costs For 'Hospital At Home' Patients Were 19 Percent Lower, With Equal Or Better Outcomes Compared To Similar Inpatients [J].
Cryer, Lesley ;
Shannon, Scott B. ;
Van Amsterdam, Melanie ;
Leff, Bruce .
HEALTH AFFAIRS, 2012, 31 (06) :1237-1243
[6]   Patient Characteristics Associated With Telemedicine Access for Primary and Specialty Ambulatory Care During the COVID-19 Pandemic [J].
Eberly, Lauren A. ;
Kallan, Michael J. ;
Julien, Howard M. ;
Haynes, Norrisa ;
Khatana, Sameed Ahmed M. ;
Nathan, Ashwin S. ;
Snider, Christopher ;
Chokshi, Neel P. ;
Eneanya, Nwamaka D. ;
Takvorian, Samuel U. ;
Anastos-Wallen, Rebecca ;
Chaiyachati, Krisda ;
Ambrose, Marietta ;
O'Quinn, Rupal ;
Seigerman, Matthew ;
Goldberg, Lee R. ;
Leri, Damien ;
Choi, Katherine ;
Gitelman, Yevginiy ;
Kolansky, Daniel M. ;
Cappola, Thomas P. ;
Ferrari, Victor A. ;
Hanson, C. William ;
Deleener, Mary Elizabeth ;
Adusumalli, Srinath .
JAMA NETWORK OPEN, 2020, 3 (12)
[7]   Association of a Bundled Hospital-at-Home and 30-Day Postacute Transitional Care Program With Clinical Outcomes and Patient Experiences [J].
Federman, Alex D. ;
Soones, Tacara ;
DeCherrie, Linda V. ;
Leff, Bruce ;
Siu, Albert L. .
JAMA INTERNAL MEDICINE, 2018, 178 (08) :1033-1040
[8]   A call to alarms: Current state and future directions in the battle against alarm fatigue [J].
Hravnak, Marilyn ;
Pellathy, Tiffany ;
Chen, Lujie ;
Dubrawski, Artur ;
Wertz, Anthony ;
Clermont, Gilles ;
Pinsky, Michael R. .
JOURNAL OF ELECTROCARDIOLOGY, 2018, 51 (06) :S44-S48
[9]   Cardiorespiratory instability before and after implementing an integrated monitoring system [J].
Hravnak, Marilyn ;
DeVita, Michael A. ;
Clontz, Amy ;
Edwards, Leslie ;
Valenta, Cynthia ;
Pinsky, Michael R. .
CRITICAL CARE MEDICINE, 2011, 39 (01) :65-72
[10]   Hospital at home: Feasibility and outcomes of a program to provide hospital-level care at home for acutely ill older patients [J].
Leff, B ;
Burton, L ;
Mader, SL ;
Naughton, B ;
Burl, J ;
Inouye, SK ;
Greenough, WB ;
Guido, S ;
Langston, C ;
Frick, KD ;
Steinwachs, D ;
Burton, JR .
ANNALS OF INTERNAL MEDICINE, 2005, 143 (11) :798-808