Hospital-at-Home: Multistakeholder Considerations for Program Dissemination and Scale

Kushal T. Kadakia; Celynne A. Balatbat; Albert L. Siu; I. Glenn Cohen; Consuelo H. Wilkins; Victor J. Dzau; A. N.A.E.Z.E.C. OFFODILE

doi:10.1111/1468-0009.12586

Hospital-at-Home: Multistakeholder Considerations for Program Dissemination and Scale

Kushal T. Kadakia, Celynne A. Balatbat, Albert L. Siu, I. Glenn Cohen, Consuelo H. Wilkins, Victor J. Dzau, A. N.A.E.Z.E.C. OFFODILE

Plastic Surgery

Research output: Contribution to journal › Comment/debate › peer-review

2 Scopus citations

Abstract

Policy Points Hospital-at-Home (HaH) is a home-based alternative for acute care that has expanded significantly under COVID-19 regulatory flexibilities. The post-pandemic policy agenda for HaH will require consideration of multistakeholder perspectives, including patient, caregiver, provider, clinical operations, technology, equity, legal, quality, and payer. Key policy challenges include reaching a consensus on program standards, clarifying caregivers’ issues, creating sustainable reimbursement mechanisms, and mitigating potential equity concerns. Key policy prescriptions include creating a national surveillance system for quality and safety, clarifying legal standards for care in the home, and deploying payment reforms through value-based models.

Original language	English (US)
Pages (from-to)	673-701
Number of pages	29
Journal	Milbank Quarterly
Volume	100
Issue number	3
DOIs	https://doi.org/10.1111/1468-0009.12586
State	Published - Sep 2022

ASJC Scopus subject areas

Health Policy
Public Health, Environmental and Occupational Health

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10.1111/1468-0009.12586

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abstract = "Policy Points Hospital-at-Home (HaH) is a home-based alternative for acute care that has expanded significantly under COVID-19 regulatory flexibilities. The post-pandemic policy agenda for HaH will require consideration of multistakeholder perspectives, including patient, caregiver, provider, clinical operations, technology, equity, legal, quality, and payer. Key policy challenges include reaching a consensus on program standards, clarifying caregivers{\textquoteright} issues, creating sustainable reimbursement mechanisms, and mitigating potential equity concerns. Key policy prescriptions include creating a national surveillance system for quality and safety, clarifying legal standards for care in the home, and deploying payment reforms through value-based models.",

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Hospital-at-Home: Multistakeholder Considerations for Program Dissemination and Scale

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ASJC Scopus subject areas

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