The National Hospital at Home Quality Registry
The Hospital at Home Users Group launched The National Hospital at Home Quality Registry (NHaHQR) in 2022, as an initiative of the Quality Indicators Council. NHaHQR is the first de-identified, patient-level dataset that seeks to capture information on patients enrolled in waiver and non-waiver Hospital at Home programs nationwide, dating back to November 2020.
The NHaHQR aims to collect standardized data on patients and outcomes to:
- Develop benchmarks
- Support future development of HaH quality indicators
- Support individual programs in developing reporting and evaluation processes
- Inform policy and reimbursement efforts, particularly for models not currently reimbursed
- Facilitate research to strengthen and expand HaH implementation
The dataset is fully de-identified, and participating health system names will not be shared. Data collection incorporates fields aligned with CMS reporting requirements and common payer metrics, with a goal of requesting structured electronic data.
KEY DATES
March 31, 2026:
Deadline for 2025 data
Fall 2026:
Benchmarking reports sent to participating programs
While the spring deadline has passed, sites are welcome to join the effort at any time. Fill out the interest form to get started or contact us for more details.
Why Participate?
Participating hospitals receive annual benchmarking reports to help:
- Assess program performance
- Identify areas for growth and improvement
- Demonstrate program value to internal and external stakeholders
- Move the policy and regulatory conversation forward with a national data set
There is no financial cost to participate. This initiative is supported by grant funding from The John A. Hartford Foundation. The Users Group remains a non-commercial, no-cost, open-source resource for programs delivering acute care in the home.
initiative snapshot
We are proud to share that 25 health systems and 94 hospitals are actively engaged in NHaHQR.
Our registry currently contains over 64,000 individual patients who were admitted to HaH programs from 2020-2025.
Frequently asked questions: interested programs
Please fill out the Interest Form and we will be in touch. The first step is for both parties to review and sign a Data Use Agreement.
NHaHQR involves annual data submissions from participating programs. Programs will submit the previous calendar year’s HaH data in March of the following year. For example, 2025 HaH data is submitted in March 2026.
At this time, we cannot disclose the health systems who are participating in NHaHQR.
Yes, non-waiver programs can still participate. NHaHQR is the first national registry that includes both waiver and non-waiver patients.
Yes, NHaHQR accepts incomplete datasets. If you do not collect the data, please fill the cells in with “Unknown.” If your health system does collect the data but does not wish to share it, please leave the column blank.
Please contact Gabrielle Schiller (gabrielle.schiller@mssm.edu) and Annabel Steiner (annabel.steiner@mssm.edu) with any questions.
Frequently asked questions: PARTICIPATING programs
Please anchor based on the admission date. If a patient is admitted in 2025 but discharged in 2026, please include them in your data set.
This definition is based on a patient’s physical location.
We are interested in the disposition at the end of the entire episode of care (include an escalation +/- return to HaH).
Please use the episode admission date. We account for length of stay in brick-and-mortar, HaH and entire episode in the registry.
If you do not collect the data, please fill the cells in with “Unknown.” If your health system does collect the data but does not wish to share it, please leave the column blank.
Please contact Gabrielle Schiller (gabrielle.schiller@mssm.edu) and Annabel Steiner (annabel.steiner@mssm.edu) with any questions.