Program at home

A veterans affairs healthcare program to deliver hospital care in the home

Scott L. Mader, Marijo C. Medcraft, Carol Joseph, Kay L. Jenkins, Nancy Benton, Kathleen Chapman, Maggie A. Donius, Carol Baird, Richard Harper, Yasmin Ansari, Jim A. Jackson, William Schutzer

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

The Portland Veterans Affairs Medical Center (PVAMC) participated in a research-based National Demonstration and Evaluation Study of Hospital at Home Care for Elderly Patients. PVAMC continued hospital at home care in a modified form based on the results of that research phase and feedback from patients, families, and staff. The modified clinical program (referred to as Program @ Home) provided care for the same diagnoses (exacerbation of congestive heart failure, exacerbation of chronic obstructive pulmonary disease, community-acquired pneumonia, cellulitis) but differed from the research-based demonstration project in that it accepted patients of all ages, accepted early-discharge patients from the hospital, and provided a less-intensive physician and nursing model. In the first 42 months, 290 patients were admitted; 23% came from the emergency room, 54% were early hospital discharge, and the remainder came from an outpatient clinic or home care. Average length of stay was 3.2 days, and 37% were younger than 65. The results describe how a home hospital program has been integrated into the clinical care offerings of a managed care health system and how it supports inpatient, primary, emergency, and home care programs.

Original languageEnglish (US)
Pages (from-to)2317-2322
Number of pages6
JournalJournal of the American Geriatrics Society
Volume56
Issue number12
DOIs
StatePublished - Dec 2008

Fingerprint

Veterans
Home Care Services
Delivery of Health Care
Research
Nursing Models
Cellulitis
Patient Discharge
Managed Care Programs
Emergency Medical Services
Ambulatory Care
Ambulatory Care Facilities
Chronic Obstructive Pulmonary Disease
Hospital Emergency Service
Inpatients
Length of Stay
Primary Health Care
Pneumonia
Heart Failure
Physicians
Health

Keywords

  • Acute medical illness
  • Department of Veterans Affairs
  • Elderly
  • Home hospital

ASJC Scopus subject areas

  • Geriatrics and Gerontology

Cite this

Mader, S. L., Medcraft, M. C., Joseph, C., Jenkins, K. L., Benton, N., Chapman, K., ... Schutzer, W. (2008). Program at home: A veterans affairs healthcare program to deliver hospital care in the home. Journal of the American Geriatrics Society, 56(12), 2317-2322. https://doi.org/10.1111/j.1532-5415.2008.02006.x

Program at home : A veterans affairs healthcare program to deliver hospital care in the home. / Mader, Scott L.; Medcraft, Marijo C.; Joseph, Carol; Jenkins, Kay L.; Benton, Nancy; Chapman, Kathleen; Donius, Maggie A.; Baird, Carol; Harper, Richard; Ansari, Yasmin; Jackson, Jim A.; Schutzer, William.

In: Journal of the American Geriatrics Society, Vol. 56, No. 12, 12.2008, p. 2317-2322.

Research output: Contribution to journalArticle

Mader, SL, Medcraft, MC, Joseph, C, Jenkins, KL, Benton, N, Chapman, K, Donius, MA, Baird, C, Harper, R, Ansari, Y, Jackson, JA & Schutzer, W 2008, 'Program at home: A veterans affairs healthcare program to deliver hospital care in the home', Journal of the American Geriatrics Society, vol. 56, no. 12, pp. 2317-2322. https://doi.org/10.1111/j.1532-5415.2008.02006.x
Mader, Scott L. ; Medcraft, Marijo C. ; Joseph, Carol ; Jenkins, Kay L. ; Benton, Nancy ; Chapman, Kathleen ; Donius, Maggie A. ; Baird, Carol ; Harper, Richard ; Ansari, Yasmin ; Jackson, Jim A. ; Schutzer, William. / Program at home : A veterans affairs healthcare program to deliver hospital care in the home. In: Journal of the American Geriatrics Society. 2008 ; Vol. 56, No. 12. pp. 2317-2322.
@article{a7b23eb22310404e9e3e83a80bf1fcec,
title = "Program at home: A veterans affairs healthcare program to deliver hospital care in the home",
abstract = "The Portland Veterans Affairs Medical Center (PVAMC) participated in a research-based National Demonstration and Evaluation Study of Hospital at Home Care for Elderly Patients. PVAMC continued hospital at home care in a modified form based on the results of that research phase and feedback from patients, families, and staff. The modified clinical program (referred to as Program @ Home) provided care for the same diagnoses (exacerbation of congestive heart failure, exacerbation of chronic obstructive pulmonary disease, community-acquired pneumonia, cellulitis) but differed from the research-based demonstration project in that it accepted patients of all ages, accepted early-discharge patients from the hospital, and provided a less-intensive physician and nursing model. In the first 42 months, 290 patients were admitted; 23{\%} came from the emergency room, 54{\%} were early hospital discharge, and the remainder came from an outpatient clinic or home care. Average length of stay was 3.2 days, and 37{\%} were younger than 65. The results describe how a home hospital program has been integrated into the clinical care offerings of a managed care health system and how it supports inpatient, primary, emergency, and home care programs.",
keywords = "Acute medical illness, Department of Veterans Affairs, Elderly, Home hospital",
author = "Mader, {Scott L.} and Medcraft, {Marijo C.} and Carol Joseph and Jenkins, {Kay L.} and Nancy Benton and Kathleen Chapman and Donius, {Maggie A.} and Carol Baird and Richard Harper and Yasmin Ansari and Jackson, {Jim A.} and William Schutzer",
year = "2008",
month = "12",
doi = "10.1111/j.1532-5415.2008.02006.x",
language = "English (US)",
volume = "56",
pages = "2317--2322",
journal = "Journal of the American Geriatrics Society",
issn = "0002-8614",
publisher = "Wiley-Blackwell",
number = "12",

}

TY - JOUR

T1 - Program at home

T2 - A veterans affairs healthcare program to deliver hospital care in the home

AU - Mader, Scott L.

AU - Medcraft, Marijo C.

AU - Joseph, Carol

AU - Jenkins, Kay L.

AU - Benton, Nancy

AU - Chapman, Kathleen

AU - Donius, Maggie A.

AU - Baird, Carol

AU - Harper, Richard

AU - Ansari, Yasmin

AU - Jackson, Jim A.

AU - Schutzer, William

PY - 2008/12

Y1 - 2008/12

N2 - The Portland Veterans Affairs Medical Center (PVAMC) participated in a research-based National Demonstration and Evaluation Study of Hospital at Home Care for Elderly Patients. PVAMC continued hospital at home care in a modified form based on the results of that research phase and feedback from patients, families, and staff. The modified clinical program (referred to as Program @ Home) provided care for the same diagnoses (exacerbation of congestive heart failure, exacerbation of chronic obstructive pulmonary disease, community-acquired pneumonia, cellulitis) but differed from the research-based demonstration project in that it accepted patients of all ages, accepted early-discharge patients from the hospital, and provided a less-intensive physician and nursing model. In the first 42 months, 290 patients were admitted; 23% came from the emergency room, 54% were early hospital discharge, and the remainder came from an outpatient clinic or home care. Average length of stay was 3.2 days, and 37% were younger than 65. The results describe how a home hospital program has been integrated into the clinical care offerings of a managed care health system and how it supports inpatient, primary, emergency, and home care programs.

AB - The Portland Veterans Affairs Medical Center (PVAMC) participated in a research-based National Demonstration and Evaluation Study of Hospital at Home Care for Elderly Patients. PVAMC continued hospital at home care in a modified form based on the results of that research phase and feedback from patients, families, and staff. The modified clinical program (referred to as Program @ Home) provided care for the same diagnoses (exacerbation of congestive heart failure, exacerbation of chronic obstructive pulmonary disease, community-acquired pneumonia, cellulitis) but differed from the research-based demonstration project in that it accepted patients of all ages, accepted early-discharge patients from the hospital, and provided a less-intensive physician and nursing model. In the first 42 months, 290 patients were admitted; 23% came from the emergency room, 54% were early hospital discharge, and the remainder came from an outpatient clinic or home care. Average length of stay was 3.2 days, and 37% were younger than 65. The results describe how a home hospital program has been integrated into the clinical care offerings of a managed care health system and how it supports inpatient, primary, emergency, and home care programs.

KW - Acute medical illness

KW - Department of Veterans Affairs

KW - Elderly

KW - Home hospital

UR - http://www.scopus.com/inward/record.url?scp=57149137503&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=57149137503&partnerID=8YFLogxK

U2 - 10.1111/j.1532-5415.2008.02006.x

DO - 10.1111/j.1532-5415.2008.02006.x

M3 - Article

VL - 56

SP - 2317

EP - 2322

JO - Journal of the American Geriatrics Society

JF - Journal of the American Geriatrics Society

SN - 0002-8614

IS - 12

ER -