Hospital-at-Home: Multistakeholder Considerations for Program Dissemination and Scale

Milbank Q. 2022 Sep;100(3):673-701. doi: 10.1111/1468-0009.12586. Epub 2022 Sep 23.

Abstract

Policy Points Hospital-at-Home (HaH) is a home-based alternative for acute care that has expanded significantly under COVID-19 regulatory flexibilities. The post-pandemic policy agenda for HaH will require consideration of multistakeholder perspectives, including patient, caregiver, provider, clinical operations, technology, equity, legal, quality, and payer. Key policy challenges include reaching a consensus on program standards, clarifying caregivers' issues, creating sustainable reimbursement mechanisms, and mitigating potential equity concerns. Key policy prescriptions include creating a national surveillance system for quality and safety, clarifying legal standards for care in the home, and deploying payment reforms through value-based models.

MeSH terms

  • COVID-19* / epidemiology
  • Caregivers
  • Hospitals
  • Humans
  • Reimbursement Mechanisms