After pilot work on the care model was completed at Johns Hopkins, a National Demonstration and Evaluation Study of the Hospital at Home care model, coordinated by Johns Hopkins investigators, and funded by the John A. Hartford Foundation, was performed in several Medicare managed care organizations and a Veterans Administration medical center.
The study, a prospective quasi-experiment, was conducted from October 2000 through September 2002. The results of the study demonstrated that Hospital at Home care was feasible and efficacious. Overall, 60% of acutely ill older persons who were medically eligible and offered Hospital at Home opted for it. Patients received timely hospital-level care at home that met quality standards. Compared with patients treated in the acute hospital, those treated in the Hospital at Home intervention suffered fewer important clinical complications including sedative medication use, chemical restraints, and incident delirium. Patient and family member satisfaction was higher in Hospital at Home. In addition, the average amount paid for patients in Hospital at Home was lower than those in the acute hospital setting.
care model was completed at Johns Hopkins, a National Demonstration and Evaluation Study of the Hospital at Home care model, coordinated by Johns Hopkins investigators, and funded by the John A. Hartford Foundation, was performed in several Medicare managed care organizations and a Veterans Administration medical center.
