June 7, 2022 – Yale New Haven Health launched a program to provide high-acuity, hospital-level care to patients in their homes. The Home Hospital program will serve Medicare patients meeting certain clinical and social stability criteria who live within 25 miles of Yale New Haven and Bridgeport hospitals. Yale New Haven Health is partnering with a private company, Medically Home, to provide the program, which is expected to expand to other YNHHS hospitals in the future.
The Home Hospital program will provide acute care to patients who would otherwise need to be in the hospital. Patients will be in the program for two to six days, on average, then transition back into the care of their primary care physician. Through a combination of in-person visits and telehealth technology, the program will bring a range of hospital services to the homes of patients with heart failure, pneumonia, chronic obstructive pulmonary disease, cellulitis, and other conditions.
Each patient will receive a physician video visit once a day through a Wi-Fi-enabled tablet, in-person visits from a nurse twice a day, plus additional nurse home visits as needed. Other healthcare professionals will provide in-home infusion therapy; physical, occupational and speech therapy; phlebotomy; mobile diagnostic services such as X-rays and echocardiograms; behavioral health care; and nutrition services. Stat lab, imaging and IV services will be available for urgent situations.
A Home Hospital “mission control,” staffed by nursing and physicians, will remotely monitor all program patients and are available 24/7 to handle patient and family member questions or concerns. In addition, each patient will have a personal emergency response device.
The number of home hospital programs has grown dramatically nationwide since 2020, when the COVID-19 pandemic prompted the federal Centers for Medicare and Medicaid Services to launch its Acute Hospital Care at Home waiver program. That program was designed to give hospitals greater flexibility to care for patients in their homes, freeing up hospital beds for COVID-19 patients.
Home hospital programs can also help reduce overall hospital overcrowding. YNHHS’ hospitals, like many others nationwide, are facing significant capacity issues as they treat more and sicker patients who delayed care during the pandemic’s height.