The purpose of this study is to examine the implementation, intervention effectiveness, and dissemination of a digital acute care delivery model for improving selected health outcomes in the Hospital at Home population.
The investigators will conduct a mixed-methods quasi-experimental research study that will explore the effectiveness of the Hospital at home programs using qualitative interviews and quantitative data as a means to also conduct a process evaluation related to the implementation and efficacy of Hospital at Home programs. The purpose of this pragmatic study is to inform scalability beyond the initial site for implementation within a large healthcare system with a diverse patient population located in various communities, including rural and urban locations.
Study Type
OBSERVATIONAL
Enrollment
9,654
Patients will need to meet screening and inclusion criteria at time of enrollment. As a pragmatic study, researchers will not determine criteria or management of care aspects for patients.
Patients will be cared for in the inpatient setting for management of diseases that meet screening and inclusion criteria at time of enrollment for hospital at home. As a pragmatic study, researchers will not determine criteria or management of care aspects for patients.
OSF HealthCare
Peoria, Illinois, United States
Composite of all-cause mortality for patients admitted to digital hospital
Total number of deaths over total number of patients admitted to the digital hospital.
Time frame: Up to 30 days, (date of death from any cause, whichever came first, assessed up to 30 days)
30-day readmission rate
Number of 30-day readmissions as defined by Organization using preset criteria
Time frame: Up to 30 days (date of readmission from any cause, whichever came first, assessed up to 30 days)
Patient Satisfaction at discharge
1-item measure: I would recommend this \[insert program name\] to others, assessed at discharge name\] to others.
Time frame: up to 1 week
Patient Perception of Digital Care at discharge
Results of Digital Care - Likert Scale (very satisfied to very dissatisfied)
Time frame: up to 1 week
Escalations (for management and treatment of early decompensation)
percentage of patients escalated over total hospital digital encounters
Time frame: up to 2 weeks
Unplanned readmission within 30-days of discharge
Number of 30-day readmissions over total number of discharges
Time frame: up to 30 days
Length of Stay
Day of admission to day of discharge, assessed up to 2 months
Time frame: assessed up to 2 weeks
Number of participants with Hospital Acquired Infections
Number of hospital acquired infections reported (CAUTI, CLABSI, etc.)
Time frame: assessed up to 1 week
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.