Key result
Hospital-at-home care bundled with 30-day transitional care was associated with lower 30-day readmissions compared to inpatient care (8.6% vs 15.6%; difference -7.0%; P<.001).
Why the study?
Does Hospital-at-home care bundled with a 30-day postacute transitional care episode improve clinical outcomes and patient experiences in adults with acute medical illness requiring inpatient-level care?
Population
507 adults 18 years or older with fee-for-service Medicare and acute medical illness requiring…
Comparison
Hospital-at-home care bundled with a 30-day… vs Traditional inpatient care
Design
Case-control
Follow-up
30 days postdischarge
Authors
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Supports consideration of hospital-at-home with transitional care; leaves open confirmation via randomized trials before broader adoption.
Case-Control (n=507)
Yes
Does Hospital-at-home care bundled with a 30-day postacute transitional care episode improve clinical outcomes and patient experiences in adults with acute medical illness requiring inpatient-level care?
Effect estimate: difference -7.0% (95% CI -12.9% to -1.1%)
Absolute Event Rate: 8.6% vs 15.6%
Absolute Risk Reduction: 7%
p-value: p=<.001
Hospital-at-home care bundled with a 30-day transitional care episode significantly reduces length of stay, readmissions, and SNF admissions while improving patient experience compared to traditional inpatient care.
Federman et al. (2018) conducted a case-control in acute medical illness requiring inpatient-level care (n=507). Hospital-at-home (HaH) care bundled with a 30-day postacute transitional care episode vs. inpatient care was evaluated on all-cause 30-day hospital readmissions (difference -7.0%, 95% CI -12.9% to -1.1%, p=<.001). Hospital-at-home care bundled with 30-day transitional care was associated with lower 30-day readmissions compared to inpatient care (8.6% vs 15.6%; difference -7.0%; P<.001).
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