Hospital @ Home
Hospital At Home could produce dramatic savings for the Medicare program and private payers, mainly by eliminating the fixed costs associated with operating a brick-and-mortar hospital while delivering equivalent outcomes and fewer complications than traditional hospital care. In addition to such savings, at-home care may also help avoid shortages of beds in hospitals.
Patients experience better clinical outcomes: lower rates of mortality, better satisfaction of patient and family, less caregiver stress, lower average length of stay, fewer lab and diagnostic tests compared with similar patients in acute hospital care and exceptional patient engagement with the treatments.
Clinician Web Portal: Built from scratch for the H@H service, using State-Of-The-Art technology and Artificial Intelligent algorithms to generate alerts, track interactions, vital signs trends and relationships, video calls, educational materials and detailed patient reports.
Intuitive Patient Application: Mobile solution to be used in smart phones and tablets, providing access to vital signs widgets and charts, educational material and videos based on patients’ conditions and pathways, video calls with the caregivers and device management.
Best-in-Class Medical Devices: From portable patient monitors similar to ICU units, with touch screen and continuously monitoring to standard RPM devices connected as Blood Pressure Monitors, Glucometer, Oximeters, Spirometers, etc.
Dedicated Support: A team of specialist to provide continuous support with the use and management of the devices and applications and a high level of experience and knowledge on this complex service to help you setup the program all the way up.
Horus Hospital @ Home Service:
The Emergency Department and/or a Hospital Physician identify a patient with a diagnosis that requires hospitalization but is stable enough to be treated at home. A very well designed “Eligibility Criteria” procedure should be established to distinguish patients that will require intensive services and multiple visits from specialist and therefore should be treated at hospital.
A survey should be conducted, as part of the process, to verify and validate all needed conditions are met as climate controls (air conditioners, heater), running water, etc.
Specialized personnel on the program (the greeter) introduce the patient (and/or patient relatives) in the details of the service, taking care of the admission details, assigning a main physician, completing all program arrangements including transportation and providing all biometric and communication devices that will be used as part of the service.
The main physician assigned to the patient will define the treatments providing the caregivers the necessary information to visit the patient at home, including clinical staff, therapists, etc., to administer intravenous medications and fluids, provide nebulizer treatments, and conduct tests, including ultrasounds, X-rays, and electrocardiograms. The patient's vital signs are monitored electronically. Diagnostic studies and therapeutics that cannot be provided at home, such as computerized tomography, magnetic resonance imaging, or endoscopy, should be coordinated via brief visits to the acute hospital.
Physician visit the patient daily (preferable twice a day), either in person or via video and keep the coordination of the additional caregivers based on progress of the patient’s conditions. Using the RPM system, physician would be alerted of the decline of any important vital signs.
Once the patient is ready to return to activities of daily living, the main physician transfer care to the patient’s Primary Care Professional. Is recommended to maintain oversight of the patient, using RPM system, for at least 60 days, to avoid re-hospitalization and ensure patient is not suffering any adverse consequences. It is crucial during this period keeping the Primary Care Professional updated with any relevant information and alerts obtained from the RPM system and/or direct interactions with the patient.