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Name of the program| Providence VA Medical Center Hospital In Home (HIH) Program

Health system| Providence VA Medical Center

When established| 2014

Core services| HIH is a short term in home program specifically targeting Veterans with acute or subacute medical issues related to: CHF, COPD, Pneumonia, Cellulitis, UTIs, Wound Care, and IV Antibiotics. Most patients will receive 10 home visits. Exceptions may be made for selected CHF patients and those requiring long term antibiotics, who could stay in the program up to 30 days.

Population served| All Veterans who meet guidelines or inclusion criteria

Area served| Rhode Island, Connecticut, and Massachusetts – all within a 30 mile radius of the Providence VA Medical Center

Outcomes or successes| Since July 2019, we have reduced the 30 day readmission rate from over 30% to 16%.

Unique feature| The HIH program is unique compared to typical visiting nurse home services because its goals are to reduce hospital admissions, reduce hospital readmissions, reduce cost of care, increase patient satisfaction, improve continuity of care, facilitate communication to VA providers, patient centric care, and shared decision making.

Leadership| Amy M. Putnam, MSN, APRN-BC is the Nurse Practitioner and Program Manager of the HIH Program.

Web site|

Media coverage| Providence Journal

Public resources| None

Contact information| 401-273-7100 x16108,

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