Hospital at Home

A new model of nursing involves providing hospital level care for patients transitioning to living at home. This model can improve the efficiency of hospitals and other facilities by lengthening the time between hospital stays and facilitating better medical outcomes. The recovery of any patient in the context of their own home will always feel better. The care plan can thus be carried out with minimum discomfort of the patient. And lack of malaise will always trump pharmaceuticals, or so many psychologists believe. Patients can therefore meet the demands of their illnesses and meet their healthcare challenges without having to encounter a fearful hospital experience and culture shock.
The patient eligible for Hospital at Home must have sufficient oxygen flow and non-ischemic chest pain or absence of chest pain. After meeting clinical criteria for eligibility, the Hospital at Home patient will part of a new and progressive service model for acute-care candidates. The resources such as oxygenation and infusion are mobilized, the service performed at the patient’s home, and the nurse provided for “outpatient” aftercare. Thus the patient receives the best in skilled postprocedural nursing, without the awkward and often uncomfortable (and frequently painful) transportation hiccups, to and fro.
The patients feel they have more control over their lives while in their homes, while a hospital is a sterile and unwelcoming environment that maximizes the unknown element of any serious medical procedure. The room in a hospital may have to be shared with another person the patient find threatening. Occupying a hospital bed in a room with a stranger can be overwhelming for a patient already uncertain about their outcome. The noise and intrusions of people such as nurses. physicians, housekeeping, technicians, phlebotomists, administrators, case managers, and records clerks, can be annoying. The coming and going of such people in their space can keep patients awake, disturb their slumber patterns, and fan anxiety.

Hospital at home involves skilled-nursing level care and aftercare attributes without high hospital costs. Hospital at home allows a patient to receive nursing facility level care, specialty treatments, and adjunct technical nursing services in the comfort of familiar surroundings. Often just the proximity to friends and family can assist patients in recovery and recuperation. Hospital-at-Home is rated highly by caregivers, nurses, patients, and family members. This factor alone should become a consideration when reviewing scenarios for medical procedures.

Medical centers across the country favor Hospital at Home (Hah!)as a way to ease the burden on limited-bed hospitals and medical costs the patients at the same time. Hospital-at-Home is a care model that can be adapted for metropolitan or suburban community recommendations. Usually these costs factor into the overall cost of any hospital stay. By shaving the expense of hospital level services with adjunct mobile providers, health management organizations can more feasibly recommend in-patient stays and facility admissions without the likelihood the procedures will be rejected on a basis of cost.

Not every patient adapts to services in a hospital environment. Privacy, communication, access to the physician and a case manager can complicate the overall scenario. Reducing the cost by up to one-third is one advantage of Hospital at Home. But in addition to cost concerns, a patient can regain the rights of residency and all the benefits it confers. Patients can use their home phone, computer, receive mail, host pets, and receive visitors any time of the day or night. Patients can enjoy all the benefits of their home surroundings while getting optimum care. These can be important advantages when a patient envisions a planned and necessary medical procedure.

    Many people are not comfortable in hospitals and grow nervous at the thought of staying in one

. The may have negligible confidence in the “system”. Distance, cost, and awkward transportation issues may make the whole idea of a hospital procedure, no matter how needed, become a horror. And many seniors are homebound and have limited access to hospitals and other needed. Given these problems, a decline may be envisioned by the physician recommending the procedure. But Hospital-At Home is likely to be sponsored by the HMO the patient belongs to, on a cost basis alone.

The complete package of services and the organization necessary may be beyond their grasp. But Hospital at Home allows for these vulnerabilities and assists many seniors and homebound others to gain their medical services without negative outcomes. And many patients rightly fear the contagion and infection that many medical professionals know is present. Hospital admission and continued skilled nursing can present many more problems than a patient is willing to deal with. But pre-treatment in a clinical setting and follow-up services after the performed medical service enables patients to receive vital and necessary treatment, and then recover in the comfort of their own home.
The modern world allows technical mobile access to treatment and lab services like phlebotomy, radiography, dialysis, and skilled nursing bedside care. Acute medical problems grow scary for the individual patient uncomfortable alone in a hospital bed, surrounded by strange noises, equipment, and people. Just the sound of their home and natural surroundings and resuming regular living patterns can ease patients back to recovery. The outcome of any hospital procedure or service will be improved for every patient. Additional follow up testing, such as EKG, PICC line placement or removal, X-rays, ultrasound or others, can be dealt with at home.

Evaluation of HaH candidacy starts with the Emergency Room staff. They will be trained to identify the patients that require inpatient services but may benefit better by being treated at home. The clinical eligibility criteria will be part of an attribute list developed by the Hospital at Home model. A team will be assigned to prepare the patient for Hospital at Home services and scheduled in conjunction with their medical procedure or treatment. The quality of the ultimate outcome can be radically improved on a per-patient basis. Less stress, fewer complications, reduction in the mortality rate, and more value for each element of care should contribute to the Hospital at Home model being used more and more. Satisfaction from use of the Hospital at Home model is had by the patient, by the caregivers, and by the HMO, and ideal result.

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