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
C2 - 19093932
AN - SCOPUS:57149137503
SN - 0002-8614
VL - 56
SP - 2317
EP - 2322
JO - Journal of the American Geriatrics Society
JF - Journal of the American Geriatrics Society
IS - 12
ER -