scholarly journals Characteristics and outcomes of patients receiving Hospital at Home Services in the South West of Sydney

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Anthony Hecimovic ◽  
Vesna Matijasevic ◽  
Steven A. Frost
Keyword(s):  
Average Length ◽  
Hospital Setting ◽  
Local Health ◽  
The South ◽  
Subacute Care ◽  
Hospital At Home ◽  
Care Costs ◽  
Improve Patient ◽  
Drain Management ◽  
At Home

Abstract Background Hospital at home (HaH) provides acute or subacute care in a patient’s home, that normally would require a hospital stay. HaH has consistently been shown to improve patient outcomes and reduce health care costs. The characteristics and outcomes of patients receiving HaH care across the South Western Sydney Local Health District (SWSLHD) has not been well described. This project aimed to describe the characteristics and outcomes of HaH services across the SWSLHD. Methods The characteristics of patients referred to HaH between January 2017 and December 2019, the indications for HaH, and representation rates to hospital emergency department (ED) will be presented. Results Between January 2017 and December 2019 there was 7118 referrals to the local health district’s (LHD) HaH services, among 6083 patients (3094 females, 51%), median age 56 years (Interquartile range (IQR), 40–69). The majority of indications for HaH were for intravenous venous (IV) medications (78%, n = 5552), followed by post-operative drain management (11%, n = 789), rehab in the home (RiTH) (5%, n = 334), bridging anticoagulant therapy (4%, n = 261), and intraperitoneal medications (1%, n = 100). The requirement for presentation to an ED for care, while receiving HaH only occurred on 172 (2%) of occasions. The average length of HaH treatment was 7-days (IQR 4–16). Rates of presentation to ED for HaH patients have decreased since 2017, 3.4% (95% CI 2.7–4.2%), 2018 2.1% (95% CI 1.5–2.8%), and 2019 1.8% (95% CI 1.3–2.4%), p-value for trend < 0.001. Conclusion Hospital at Home is well established, diverse, and safe clinical service to shorten, or avoid hospitalisation, for many patients. Importantly, avoidance of hospitalisation can avoid many risks that are associated with being cared for in the hospital setting.

scholarly journals Characteristics and Outcomes of Patients Receiving Hospital in the Home Services in South West of Sydney.

2020 ◽  
Author(s):  
Anthony Hecimovic ◽  
Vesna Matijasevic ◽  
Steven Alfred Frost
Keyword(s):  
Patient Outcomes ◽  
Anticoagulant Therapy ◽  
Average Length ◽  
Hospital Setting ◽  
Local Health ◽  
Hospital Emergency ◽  
Subacute Care ◽  
Care Costs ◽  
Improve Patient ◽  
Drain Management

Abstract BackgroundHospital in the home (HiTH) provides acute or subacute care in a patient’s home, that normally would require a hospital stay. HiTH has consistently been shown to improve patient outcomes and reduce health care costs. The characteristics and outcomes of patients receiving HiTH care in the South Western Sydney Local Health District (SWSLHD) has not been well described.AimThis project aimed to describe the characteristics and outcomes of HiTH services across the SWSLHD. MethodsThe characteristics of patients referred to HiTH between January 2017 and December 2019, the indications for HiTH, and representation rates to hospital emergency department (ED) will be presented.FindingsBetween January 2017 and December 2019 there was 7,118 referrals to the LHDs HiTH services, among 6,083 patients (3,094 females, 51%), median age 56 years (IQR, 40 - 69). The majority of indications for HiTH were for IV medications (78%, n = 5,552), followed by post-operative drain management (11%, n = 789), rehab in the home (5%, n = 334), bridging anticoagulant therapy (4%, n = 261), and intraperitoneal medications (1%, n = 100). The requirement for presentation to an ED for care, while receiving HiTH only occurred on 172 (2%) of occasions. The average length of HiTH treatment was 7-days (IQR 4 - 16). Rates of presentation to ED for HiTH patients has decreased since 2017, 3.4% (95% CI 2.7 – 4.2%), 2018 2.1% (95% CI 1.5 – 2.8%), and 2019 1.8% (95% CI 1.3 – 2.4 %), p for trend < 0.001.DiscussionHospital in the Home Services across the SWSLHD are predominately for administration of IV medications, but include management of post-operative drains, bridging of anticoagulant therapy, and rehab in the home. Importantly, only a very small proportion (3%) of HiTH episodes will results in an unplanned presentation to the ED.ConclusionHospital in the Home is well established, diverse, and safe clinical service to shorten or avoid hospitalisation for many patients. Importantly, avoidance of hospitalisation can avoid many risks that are associated with being cared for in the hospital setting.

Evaluation of Oncology Hospital at Home: Unplanned Health Care Utilization and Costs in the Huntsman at Home Real-World Trial

2021 ◽  
pp. JCO.20.03609
Author(s):  
Kathi Mooney ◽  
Karen Titchener ◽  
Benjamin Haaland ◽  
Lorinda A. Coombs ◽  
Brock O'Neil ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Health Care Costs ◽  
Care Utilization ◽  
Patients With Cancer ◽  
Hospital Stays ◽  
Hospital At Home ◽  
Unplanned Hospitalizations ◽  
Care Costs ◽  
At Home

PURPOSE Patients with cancer experience high rates of morbidity and unplanned health care utilization and may benefit from new models of care. We evaluated an adult oncology hospital at home program's rate of unplanned hospitalizations and health care costs and secondarily, emergency department (ED) use, length of hospital stays, and intensive care unit (ICU) admissions during the 30 days after enrollment. METHODS We conducted a prospective, nonrandomized, real-world cohort comparison of 367 hospitalized patients with cancer—169 patients consecutively admitted after hospital discharge to Huntsman at Home (HH), a hospital-at-home program, compared with 198 usual care patients concurrently identified at hospital discharge. All patients met clinical criteria for HH admission, but those in usual care lived outside the HH service area. Primary outcomes were the number of unplanned hospitalizations and costs during the 30 days after enrollment. Secondary outcomes included length of hospital stays, ICU admissions, and ED visits during the 30 days after enrollment. RESULTS Groups were comparable except that more women received HH care. In propensity-weighted analyses, the odds of unplanned hospitalizations was reduced in the HH group by 55% (odds ratio, 0.45, 95% CI, 0.29 to 0.70; P < .001) and health care costs were 47% lower (mean cost ratio, 0.53; 95% CI, 0.39 to 0.72; P < .001) over the 30-day period. Secondary outcomes also favored HH. Total hospital stay days were reduced by 1.1 days ( P = .004) and ED visits were reduced by 45% (odds ratio, 0.55; 95% CI, 0.33 to 0.92; P = .022). There was no evidence of a difference in ICU admissions ( P = .972). CONCLUSION This oncology hospital at home program shows initial promise as a model for oncology care that may lower unplanned health care utilization and health care costs.

Implementing a hospital-at-home service to improve patient outcomes

2021 ◽  
Vol 30 (20) ◽  
pp. 1206-1207
Author(s):  
Joanne Hockley ◽  
Caroline Essenhigh
Keyword(s):  
Patient Outcomes ◽  
Home Service ◽  
Hospital At Home ◽  
Improve Patient ◽  
At Home

Asthma Education in the Student Laboratory

2012 ◽  
Vol 26 (1) ◽  
pp. 29-31 ◽  
Author(s):  
Tara B. Thurmon ◽  
Lorie L. Schwartz ◽  
Kelly P. Jervis
Keyword(s):  
Asthma Management ◽  
Hospital Setting ◽  
Community Setting ◽  
Respiratory Disorder ◽  
Skills Laboratory ◽  
Asthma Patients ◽  
Student Laboratory ◽  
Laboratory Experiences ◽  
Care Costs ◽  
Improve Patient

The Integrated Pharmacy Skills Laboratory (IPSL) at South University School of Pharmacy is dedicated to providing future pharmacists with the necessary knowledge and skills to care for asthma patients. Asthma is a chronic respiratory disorder that is characterized by airway inflammation, hyper responsive airways, and bronchoconstriction. It affects more than 30 million people and accounts for $30 billion in health care costs. Therefore, it is vital for our students to be educated in asthma management including medications and devices to improve patient outcomes. Students, as future pharmacist, learn to manage asthma patients in the community setting, the hospital setting, and the clinic setting through various laboratory experiences.

scholarly journals The experience of patients and family caregivers during Hospital-at-Home in France

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
H Rossinot ◽  
O Marquestaut ◽  
M De Stampa
Keyword(s):  
Health Care ◽  
Family Caregivers ◽  
Health Care Professionals ◽  
Health Care Services ◽  
University Hospitals ◽  
Subacute Care ◽  
Care Services ◽  
Hospital At Home ◽  
Zarit Burden Inventory ◽  
At Home

Abstract Background Public health policies tend to generalize the use of Hospital-At-Home (HAH) to answer the growing will of patients to be treated or to die at home. HAH is a model of care that provides acute-level services in the patient’s home with the interventions of variety of health care professionals. Relatives participate also in the interventions by helping for sick patients at home, but we lack data on the care of patients and caregivers in HAH. The aim of this study was to make an inventory of the experiences of patients and family caregivers in HAH. Methods The research was qualitative using nineteen semi-directed interviews from nine patients and ten caregivers of one care unit of Greater Paris University Hospitals’ HAH, and the grounded theory was used to analyze the transcripts. Caregivers were also asked, after the interview, to fill in the Zarit Burden Inventory. Results HAH remained mostly unknown for patients and caregivers before the admission proposition and the outlook of being admitted in HAH was perceived as positive, for both of them. Caregivers had a versatile role throughout HAH, leading to situations of suffering, but also had sources of support. The return home was considered satisfactory by both caregivers and patients, related to the quality of care and increased morale despite HAH’s organizational constraints. We noted an impact of HAH on the relationship between the patient and the caregiver(s), but caused by multiple factors: the fact that the care takes places at home, its consequences but also the disease itself. Conclusions HAH strongly involved the patient’s caregiver(s) all along the process. HAH’s development necessitates to associate both patients and caregivers and to take into account their needs at every step. This study highlights the need to better assess the ability of the caregiver to cope with his or her relative in HAH with acute and subacute care at home. Key messages Health care services need to take into account family caregivers. Hospital at home services should be developped worldwide.

696 Hospital at home: descriptive study of patients with chronic heart failure (CrHF) attended at home

2006 ◽  
Vol 5 (1) ◽  
pp. 158-159
Author(s):  
J GUILLAMONT ◽  
A SOLE ◽  
S GONZALEZ ◽  
A PEREZITURRIAGA ◽  
C DAVILA ◽  
...  
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Descriptive Study ◽  
Hospital At Home ◽  
At Home

The unique role of the social worker within the Hospital at Home care delivery team

2021 ◽  
pp. 1-15
Author(s):  
Helena Ross ◽  
Ryan Dritz ◽  
Barbara Morano ◽  
Sara Lubetsky ◽  
Pamela Saenger ◽  
...  
Keyword(s):  
Home Care ◽  
Social Worker ◽  
Care Delivery ◽  
Unique Role ◽  
The Social ◽  
Hospital At Home ◽  
At Home

scholarly journals Exploring the Role of Family and School as Spaces for 1.5 Generation South Korean’s Adjustment and Identity Negotiation in New Zealand: A Qualitative Study

2020 ◽  
Vol 17 (12) ◽  
pp. 4408
Author(s):  
Su Yeon Roh ◽  
Ik Young Chang
Keyword(s):  
New Zealand ◽  
Identity Negotiation ◽  
Identity Status ◽  
Traditional Values ◽  
The South ◽  
1.5 Generation ◽  
South Korean ◽  
The Family ◽  
Home And School ◽  
At Home

To date, the majority of research on migrant identity negotiation and adjustment has primarily focused on adults. However, identity- and adjustment-related issues linked with global migration are not only related to those who have recently arrived, but are also relevant for their subsequent descendants. Consequently, there is increasing recognition by that as a particular group, the “1.5 generation” who were born in their home country but came to new countries in early childhood and were educated there. This research, therefore, investigates 1.5 generation South Koreans’ adjustment and identity status in New Zealand. More specifically, this study explores two vital social spaces—family and school—which play a pivotal role in modulating 1.5 generation’s identity and adjustment in New Zealand. Drawing upon in-depth interviewing with twenty-five 1.5 generation Korean-New Zealanders, this paper reveals that there are two different experiences at home and school; (1) the family is argued to serve as a key space where the South Korean 1.5 generation confirms and retains their ethnic identity through experiences and embodiments of South Korean traditional values, but (2) school is almost the only space where the South Korean 1.5 generation in New Zealand can acquire the cultural tools of mainstream society through interaction with English speaking local peers and adults. Within this space, the South Korean 1.5 generation experiences the transformation of an ethnic sense of identity which is strongly constructed at home via the family. Overall, the paper discusses that 1.5 generation South Koreans experience a complex and contradictory process in negotiating their identity and adjusting into New Zealand through different involvement at home and school.

scholarly journals The cost of vaginal birth at home, in a birth centre or in a hospital setting in New South Wales: A micro-costing study

2020 ◽  
Vol 33 (3) ◽  
pp. 286-293
Author(s):  
Vanessa L. Scarf ◽  
Serena Yu ◽  
Rosalie Viney ◽  
Laura Lavis ◽  
Hannah Dahlen ◽  
...  
Keyword(s):  
New South ◽  
New South Wales ◽  
Hospital Setting ◽  
Vaginal Birth ◽  
Birth Centre ◽  
South Wales ◽  
Costing Study ◽  
The Cost ◽  
At Home
Sign in / Sign up

Export Citation Format

Share Document