3 Strategies for Scaling Hospital at Home — From Leaders Who've Done It. A white house with a white picket fence with a red medical bag on the font of the house. 3 Strategies for Scaling Hospital at Home — from Leaders Who've Done It

New JAMA Network Open data on nearly 16,000 Medicare beneficiaries show hospital-at-home patients had dramatically lower in-hospital mortality (0.4% vs. 3.6%), fewer 30-day ED visits, lower ICU escalation and complication rates, and lower post-discharge costs — but leaders from Florida Health Sciences Center, Avera McKennan, and Ohio State emphasize that scaling depends less on the evidence and more on change management, letting clinical teams set program boundaries around the technology, and framing hospital at home explicitly as a capacity-building strategy.