The Growing Popularity of Hospital-at-Home Programs

The idea of receiving hospital-level care in the comfort of one’s home is becoming increasingly popular in the United States. A notable example is a recent case in Midlothian, Virginia, where an 81-year-old patient completed part of his hospital treatment at home, facilitated by VCU Medical Center's innovative program in Richmond.

Support for these programs has grown, especially during the pandemic, with Medicare backing them. However, their future hinges on legislative action, as advocates continue to push for a five-year extension to enable significant research and expand the adoption of this care model.

This forward-thinking approach involves a seamless transition from the hospital to home. Patients can enjoy services such as meal deliveries, nurse visits (both in-person and virtual), and medication delivery. Additionally, remote monitoring of vital signs and 24/7 access to clinicians via calls or texts make this a comprehensive, hospital-like experience right at home. One participant, a retired biochemistry professor, likened it to receiving hospital care, enhanced by the comforts of home.

Hospital-at-home programs are transforming healthcare across the U.S., serving tens of thousands by offering services like X-rays, IV treatments, and therapy sessions in home settings. The focus is on adults with conditions such as respiratory infections and heart failure. Notably, this practice, which originated in Australia and Europe in the 1990s, has seen adoption by over 350 hospitals in the U.S., including Mass General Brigham in Boston, which plans to transition 10% of inpatient care to home environments.

Julia Siegel Breton, co-medical director at VCU Health's Hospital at Home, notes that this program offers a personalized experience without the typical hustle of a hospital, enriched with the comforts of home life. Nonetheless, the continued growth of hospital-at-home care is dependent on gaining legislative support.