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Successful program design depends upon understanding the needs at priorities of hospital at home stakeholders. Use the tools below to design your stakeholder engagement strategy.

Implementation Guide: Mount Sinai Hospitalization at Home and Rehabilitation at Home

Last Updated: December 1, 2020

Comprehensive guidance on hospital at home program startup including staffing, operations, clinical care model, ancillary services, and quality and safety. Icahn School of Medicine at Mount Sinai, 2018.

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CMS Waiver Application: For Experienced Hospitals

Recorded: January 19, 2021

Waiver request application for hospitals that had delivered hospital at home services to at least 25 patients prior to applying for the waiver. CMS, December 2020.

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5 Key Principles for Hospital at Home Program Design

Last Updated: January 24, 2021

Foundational principles for designing or growing the program.

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Webinar: Building Support for Your Hospital at Home Program – Issues in Strategic Engagement

Last Updated: March 19, 2021

Hospital at Home Users Group™ presentation on how to make the case for hospital at home within your organization, and engage key stakeholders in the design of the service. 1/19/21 recording and slides are available.

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Implementing Acute Delivery at Home: A Tip Sheet

April 2021

This publication from the Department of Health and Human Services ASPR Technical Resources, Assistance Center, and Information Exchange, summarizes the development of a hospital at home program briefly, with a special focus on organizational readiness and implementation strategies.

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Building a Hospital at Home Program from the Ground Up (UMass Memorial Health)

Last Updated: December 1, 2021

Reflecting on the last year since the announcement of the CMS Hospital at Home waiver, leaders from UMass Memorial Health shared what it took to build and scale their own program — in less than six months’ time. Today, UMass Memorial provides safe and effective care to high acuity inpatients at home, something that has allowed them to preserve hospital capacity while offering a better patient experience. Learn from program leaders about how they assembled a team, designed new clinical pathways, and operationalized this new care model to provide high-quality, hospital-level care within the home.

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Health Equity and Care at Home (Current Health)

Last Updated: June 8, 2022

In this webinar, speakers discuss how to ensure your program takes an equitable approach to extending care into the home.
Tracey Baker and Jessie Lever-Taylor of Current Health present the equity challenges facing care-at-home teams, offer guiding principles, and cover examples from a variety of use cases, including Hospital at Home, decentralized clinical trials, and chronic care management. Special guest Melissa Lutz also shares how Health First has prioritized equity within their Hospital at Home program.

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Home-based Acute Care for Older Adults: Guide for Getting Started

Last Updated: June 23, 2022

This helpful guide describes the process for designing and implementing home-based clinical acute care models for older adults. Developed by West Health Institute in collaboration with the Institute for Healthcare Improvement, it was designed for organizations in the early stages of program development.

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Webinar: Efficient, Effective, Excellent: Issues in Hospital at Home Logistics and Operations

Recorded February 9, 2021

Drawing from examples at Huntsman in Utah and in other locales, this webinar will examine best practices for ensuring that hospital at home programs can organize and manage the service and staffing needed to deliver high quality acute care. Presentation recording and slides by the Hospital at Home Users Group™.

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Webinar: On Time, Every Time: Delivering Hospital at Home Ancillary Services

Recorded February 16, 2021

Delivering a variety of ancillary services is a key requirement of the CMS Acute Hospital Care at Home waiver program, and new and existing programs must ensure that a whole range of services — from labs and imaging to food and durable medical equipment — are available when hospital at home patients need them. Presentation recording and slides by the Hospital at Home Users Group™.

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Policies Checklist for the Hospital at Home Program

Last Updated: March 5, 2021

Sample list of hospital policies to review and adapt for the hospital at home program.

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Sample Patient Non-Medical Transport Consent Waiver [Beebe Health]

Last Updated: April 18, 2022

Sample consent waiver for hospital at home patients to sign off on using non-medical transport, ie. for family or friends to drive the patient to and from the hospital instead of an ambulance. Courtesy of Beebe Healthcare.

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Sample Protocol for Death of HaH DNR/DNI Patient [UMass Memorial Health]

Last Updated: May 13, 2022

Sample protocol for the death of Hospital at Home patient who is of “Do Not Resuscitate” or “Do Not Intubate” Status at home. Courtesy of UMass Memorial Health.

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