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The Science of Hospital at Home

Hospital at Home models have been subject to a wide range of rigorous research and testing.

Adashi EY, Cohen IG. Acute Hospital Care at Home in Medicare—Will a Pandemic Policy Be Sustained? JAMA Health Forum. 2022;3(8):e222564. doi:10.1001/jamahealthforum.2022.2564

Ritchie, Christine, and Bruce Leff. “Home-Based Care Reimagined: A Full-Fledged Health Care Delivery Ecosystem Without Walls.” Health Affairs, vol. 41, no. 5, 2022, pp. 689–695.,

Siu AL, Zhao D, Bollens-Lund E, et al. Health Equity in Hospital at Home: Outcomes for Economically Disadvantaged and Non-Disadvantaged Patients. J Am Geriatr Soc. In press.

Kumar J., Tardif-Douglin M., Powell T., Kennedy J. The Potential Of The Home Hospital Model To Transform Acute Care Delivery, Health Affairs Forefront, 2022 Jan 25. DOI: 10.1377/forefront.20220124.298372.

DeCherrie LV, Leff B, Levine DM, Siu A. Hospital at Home: Setting a Regulatory Course to Ensure Safe, High-Quality Care. Jt Comm J Qual Patient Saf. 2021 Dec 22:S1553-7250(21)00320-2. doi: 10.1016/j.jcjq.2021.12.003. Epub ahead of print. PMID: 35058159.

Clarke, Douglas V., et al. “Acute Hospital Care at Home: The CMS Waiver Experience.” NEJM Catalyst Innovations in Care Delivery, NEJM Group. 2021 Dec 7:

Hospital at Home Annual Meeting Posters
These are the posters presented at the 2021 Hospital at Home Users Group virtual Annual Meeting, on October 28, 2021.

Bibliography for 2021 HaH Users Group Annual Meeting Literature Review presented by Al Siu, MD, MSPH

Levine DM, Mitchell H, Rosario N, Boxer RB, Morris CA, Britton KA, Schnipper JL. Acute Care at Home During the COVID-19 Pandemic Surge in Boston. J Gen Intern Med. 2021 Aug 6:1–3. doi: 10.1007/s11606-021-07052-5. Epub ahead of print.

Ouchi K, Liu S, Tonellato D, Keschner YG, Kennedy M, Levine DM. Home hospital as a disposition for older adults from the emergency department: Benefits and opportunities. J Am Coll Emerg Physicians Open. 2021 Jul 21;2(4):e12517. doi: 10.1002/emp2.12517.

Levine DM, Paz M, Burke K, Schnipper JL. Predictors and Reasons Why Patients Decline to Participate in Home Hospital: a Mixed Methods Analysis of a Randomized Controlled Trial. J GEN INTERN MED. Published online May 5, 2021. doi:10.1007/s11606-021-06833-2

Bryan AF, Levine DM, Tsai TC. Home Hospital for Surgery [published online ahead of print, 2021 Apr 28]. JAMA Surg. 2021;10.1001/jamasurg.2021.0597. doi:10.1001/jamasurg.2021.0597

DeCherrie, LV, Wardlow L, Ornstein, KA, Crowley, C, Lubetsky, S, Stuck, AR, Siu, AL MD, Hospital at Home services: An inventory of fee‐for‐service payments to inform Medicare reimbursement. J Am Geriatr Soc 2021. Published online April 2, 2021. DOI: 10.1111/jgs.17140.

Ross H, Dritz R, Morano B, Lubetsky S, Saenger P, Seligman A, &  Ornstein KA. The unique role of the social worker within the Hospital at Home care delivery team, Social Work in Health Care 2021, Published online March 1, 2021. DOI:10.1080/00981389.2021.1894308

Augustine MR, Davenport C, Ornstein KA, Cuan M, Saenger P, Lubetsky S, Federman A, DeCherrie LV, Leff B, Siu AL. Implementation of Post-Acute Rehabilitation at Home: A Skilled Nursing Facility-Substitutive Model. J Am Geriatr Soc. 2020 Jul;68(7):1584-1593. doi: 10.1111/jgs.16474. Epub 2020 Apr 28. PMID: 32343401.

Levine DM, Pian J, Mahendrakumar K, Patel A, Saenz A, Schnipper JL. Hospital-Level Care at Home for Acutely Ill Adults: a Qualitative Evaluation of a Randomized Controlled Trial. J Gen Intern Med. 2021 Jan 21;. doi: 10.1007/s11606-020-06416-7. [Epub ahead of print] PubMed PMID: 33479931.

Levine DM, Desai MP, Ross J, Como N, Anne Gill E. Rural Perceptions of Acute Care at Home: A Qualitative Analysis. J Rural Health. 2021 Jan 13;. doi: 10.1111/jrh.12551. [Epub ahead of print] PubMed PMID: 33438811.

Saenger P, Federman AD, DeCherrie LV, et al. Choosing Inpatient vs Home Treatment: Why Patients Accept or Decline Hospital at Home [published online ahead of print, 2020 May 6]. J Am Geriatr Soc. 2020;10.1111/jgs.16486. doi:10.1111/jgs.16486

Li SX, Del Carmen MG, Thompson RW, et al. Evaluation of Acute Care Hospitalizations Preventable With Idealized Outpatient Care and Continuity of Care [published online ahead of print, 2020 Mar 10]. J Healthc Qual. 2020;10.1097/JHQ.0000000000000259. doi:10.1097/JHQ.0000000000000259

Guilcher SJT, Fernandes O, Raco V, et al. A developmental evaluation of an intraprofessional Pharmacy Communication Partnership (PROMPT) to improve transitions in care from hospital to community: A mixed-methods study. BMC Health Serv Res. 2020;20(1):99. Published 2020 Feb 10. doi:10.1186/s12913-020-4909-0

Safavi KC, Ricciardi R, Sheer D, et al. A Different Kind of Perioperative Surgical Home: Hospital at Home After Surgery. Ann Surg. 2020;271(2):227‐229. doi:10.1097/SLA.0000000000003417

Levine DM,Pu CT, Blanchfield B, et al. Hospital-Level Care at Home for Acutely Ill Adults: A Randomized Controlled Trial. Ann Intern Med. 2020;172(2):77‐85. doi:10.7326/M19-0600

Stoner NE, Schiavone P, Kinosian BP, et al. Preparing the Patient for Home Parenteral Nutrition and for a Successful Course of Therapy. Gastroenterol Clin North Am. 2019;48(4):471‐481. doi:10.1016/j.gtc.2019.08.002

Sheehan OC, Leff B, Ritchie CS, et al. A systematic literature review of the assessment of treatment burden experienced by patients and their caregivers. BMC Geriatr. 2019;19(1):262. Published 2019 Oct 11. doi:10.1186/s12877-019-1222-z

Federman AD, Soones T, DeCherrie LV, Leff B, Siu AL. Association of a Bundled Hospital-at-Home and 30-Day Postacute Transitional Care Program With Clinical Outcomes and Patient Experiences. JAMA Intern Med. 2018;178(8):1033‐1040. doi:10.1001/jamainternmed.2018.2562

Grinman MN, Human T, Shankel MJ, et al. Keeping Long-Term Care Patients Out of Hospital During Acute Medical Illness: Proposal for Common Elements of an Integrated Healthcare Delivery System for Long-Term Care. Healthc Q. 2019;22(2):40‐46. doi:10.12927/hcq.2019.25906

Valluru G, Yudin J, Kinosian BP, et al. Integrated Home- and Community-Based Services Improve Community Survival Among Independence at Home Medicare Beneficiaries Without Increasing Medicaid Costs. J Am Geriatr Soc. 2019;67(7):1495‐1501. doi:10.1111/jgs.15968

Pian J, Cannon B, Schnipper JL, Levine DM. Burnout Among Staff in a Home Hospital Pilot. J Clin Med Res. 2019;11(7):484‐488. doi:10.14740/jocmr3842

Okrainec K, Hahn-Goldberg S, Abrams HB, et al. Patients’ and caregivers’ perspectives on factors that influence understanding of and adherence to hospital discharge instructions: a qualitative study. CMAJ Open. 2019;7(3):E478‐E483. Published 2019 Jul 18. doi:10.9778/cmajo.20180208

Leff B, Aldridge MD, Ornstein KA, Reckrey JM, McKendrick, K. Where People Live in the Last Phase of Life: A Latent Class Analysis of Non-Nursing Home Residential Care Settings. Poster presented at: AcademyHealth Annual Research Meeting; June 2019; Washington, DC.

Saenger P, Davenport C, Catalan E, Lubetsky S, Motti D, Ornstein K, DeCherrie LV. Quality Improvement in Hospital at Home: An Interdisciplinary and Rapid Improvement Approach for a Novel Model. 2019 Annual Meeting, Society for General Internal Medicine. Washington, DC. May 8-11, 2019.

DeCherrie LV, Ornstein K et al. Hospital at Home Services: An Inventory to Inform Medicare Payment. Comparing Disposition and Bounce Backs Following Treatment for Pneumonia Between Hospital at Home and Traditional Hospitalization. Presidential Poster Session, 2019 Annual Scientific Meeting, American Geriatric Society. Portland, OR May 2-4, 2019.

Siu AL, Zimbroff RM, Federman AD, DeCherrie LV, Garrido M, Morano B, Lubetsky S, Catalan E, Leff B. The effect of adapting Hospital at Home to facilitate implementation and sustainment on program drift or voltage drop. BMC Health Serv Res. 2019 Apr 29; 19(1):264. doi: 10.1186/s12913-019-4063-8. PMID: 31035973

DeCherrie LV. Implementing and Scaling a HaH program in a Health System. World Hospital at Home Congress. Madrid, Spain. April 5-6, 2019.

Ornstein K, DeCherrie LV. Hospital at home and home-based primary care:  Finding synergy. World Hospital at Home Congress. Madrid, Spain. April 5-6, 2019.

Conley J, O’Brien CW, Leff BA, Bolen S, Zulman D. Alternative Strategies to Inpatient Hospitalization for Acute Medical Conditions: A Systematic Review. JAMA Intern Med. 2016;176(11):1693‐1702. doi:10.1001/jamainternmed.2016.5974

Brody AA, Arbaje AI, DeCherrie LV, Federman AD, Leff B, Siu AL. Starting Up a Hospital at Home Program: Facilitators and Barriers to Implementation. J Am Geriatr Soc. 2019;67(3):588‐595. doi:10.1111/jgs.15782

Siu A. Hospitalization at Home: Creating Options to Hospitalization. Grand Rounds, Brookdale Department of Medicine, Mount Sinai West. New York, NY. January 24, 2019.

Danielsson P, Leff B. Hospital at Home and Emergence of the Home Hospitalist. J Hosp Med. 2019;14(6):382‐384. doi:10.12788/jhm.3162

Lam K, Abrams HB, Matelski J, Okrainec K. Factors associated with attendance at primary care appointments after discharge from hospital: a retrospective cohort study. CMAJ Open. 2018;6(4):E587‐E593. Published 2018 Dec 3. doi:10.9778/cmajo.20180069

DeCherrie LV, Wajnberg A, Soones T, Escobar C, Catalan E, Lubetsky S, Leff B, Federman A, and Siu A. Hospital at Home-Plus: A Platform of Facility-Based Care. J Am Geriatr Soc. November 27, 2018. doi: 10.1111/jgs.15653. [Epub ahead of print] PMID: 30481382

Yao NA, Ritchie C, Cornwell T, Leff B. Use of Home-Based Medical Care and Disparities. J Am Geriatr Soc. 2018;66(9):1716‐1720. doi:10.1111/jgs.15444

Hirth RA, Zheng Q, Grabowski DC, Stevenson DG, Intrator O, Banaszak-Holl J. The Effects of Chains on the Measurement of Competition in the Nursing Home Industry. Med Care Res Rev. 2019;76(3):315‐336. doi:10.1177/1077558717701771

Mendu ML, Michaelidis CI, Chu PT, et al. Implementation of a skilled nursing facility readmission review process. BMJ Open Qual. 2018;7(3):e000245. Published 2018 Jul 25. doi:10.1136/bmjoq-2017-000245

Cai S, Grubbs A, Makineni R, Kinosian B, Phibbs CS, Intrator O. Evaluation of the Cincinnati Veterans Affairs Medical Center Hospital-in-Home Program. J Am Geriatr Soc. 2018;66(7):1392‐1398. doi:10.1111/jgs.15382

Thomas KS, Cote D, Makineni R, Intrator O. et al. Change in VA Community Living Centers 2004-2011: Shifting Long-Term Care to the Community. J Aging Soc Policy. 2018;30(2):93‐108. doi:10.1080/08959420.2017.1414538

Dang S, Olsan T, Intrator O, et al. Telehealth in Home-Based Primary Care: Factors and Challenges Associated With Integration Into Veteran Care. J Am Geriatr Soc. 2019;67(9):1928‐1933. doi:10.1111/jgs.16045

Levine DM, Pu CT, Blanchfield B, et al. Hospital-Level Care at Home for Acutely Ill Adults: a Pilot Randomized Controlled Trial. J Gen Intern Med. 2018;33(5):729‐736. doi:10.1007/s11606-018-4307-z

Karuza J, Gillespie SM, Olsan T, Intrator O, et al. National Structural Survey of Veterans Affairs Home-Based Primary Care Programs. J Am Geriatr Soc. 2017;65(12):2697‐2701. doi:10.1111/jgs.15126

Goldsmith A, Ticona L, Thompson RW, et al. Expedited Discharge from an Academic Emergency Department: A Pilot Program. J Emerg Med. 2017;53(6):919‐923. doi:10.1016/j.jemermed.2017.08.075

Cai S, Laurel PA, Makineni R, Marks ML. Evaluation of a hospital-in-home program implemented among veterans. Am J Manag Care. 2017;23(8):482‐487.

Lee G, Pickstone N, Facultad J, Titchener K. The future of community nursing: Hospital in the Home. Br J Community Nurs. 2017;22(4):174‐180. doi:10.12968/bjcn.2017.22.4.174

Tran K, Bell C, Abrams HB, et al. The Effect of Hospital Isolation Precautions on Patient Outcomes and Cost of Care: A Multi-Site, Retrospective, Propensity Score-Matched Cohort Study. J Gen Intern Med. 2017;32(3):262‐268. doi:10.1007/s11606-016-3862-4

Fryer AK, Friedberg MW, Thompson RW, Singer SJ. Patient perceptions of integrated care and their relationship to utilization of emergency, inpatient and outpatient services. Healthc (Amst). 2017;5(4):183‐193. doi:10.1016/j.hjdsi.2016.12.005

Wong HJ, Wang J, Grinman MN, Wu RC. Goals of care discussions among hospitalized long-term care residents: Predictors and associated outcomes of care. J Hosp Med. 2016;11(12):824‐831. doi:10.1002/jhm.2642

Sheehan OC, Ritchie CS, Fathi R, Garrigues SK, Saliba D, Leff B. Development of Quality Indicators to Address Abuse and Neglect in Home-Based Primary Care and Palliative Care. J Am Geriatr Soc. 2016;64(12):2577‐2584. doi:10.1111/jgs.14365

Mann E, Zepeda O, Soones T, Leff B, et al. Adverse drug events and medication problems in “Hospital at Home” patients. Home Health Care Serv Q. 2018;37(3):177‐186. doi:10.1080/01621424.2018.1454372

Szanton SL, Leff B, Wolff JL, Roberts L, Gitlin LN. Home-Based Care Program Reduces Disability And Promotes Aging In Place. Health Aff (Millwood). 2016;35(9):1558‐1563. doi:10.1377/hlthaff.2016.0140

Leff B, Soones T, DeCherrie LV. The Hospital at Home Program for Older Adults. JAMA Intern Med. 2016;176(11):1724‐1725. doi:10.1001/jamainternmed.2016.6307

Montalto M, Leff B. “Hospital in the home”: a lot’s in a name. Med J Aust. 2012;197(9):479‐480. doi:10.5694/mja12.11514

Hung WW, Ross JS, Boockvar KS, Siu AL. Association of chronic diseases and impairments with disability in older adults: a decade of change?. Med Care. 2012;50(6):501‐507. doi:10.1097/MLR.0b013e318245a0e0

Hung WW, Ross JS, Farber J, Siu AL. Evaluation of the Mobile Acute Care of the Elderly (MACE) service. JAMA Intern Med. 2013;173(11):990‐996. doi:10.1001/jamainternmed.2013.478

Hung WW, Ross JS, Boockvar KS, Siu AL. Recent trends in chronic disease, impairment and disability among older adults in the United States. BMC Geriatr. 2011;11:47. Published 2011 Aug 18. doi:10.1186/1471-2318-11-47

Leff B. Defining and disseminating the hospital-at-home model. CMAJ. 2009;180(2):156‐157. doi:10.1503/cmaj.081891

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