At-Home Monitoring Creates Virtual Hospital for UCI Health

Outside of its hospital and clinic walls and at the height of the pandemic, University of California Irvine Health (UCI Health) began caring for patients in their homes with technology, diagnostic devices, and a drive to deliver a better patient experience. The public health care system and academic medical center, which operates a 459-bed acute care hospital serving a region of nearly four million people in Orange County, went beyond providing patients with the ability to talk with clinicians via phone and video at home or work and took it to the next level of telehealth: remote patient monitoring.

Under this program, UCI Health patients with such conditions as COVID-19, pneumonia, or chronic obstructive pulmonary disease who are improving can sometimes leave the hospital early if their vitals and symptoms are monitored continuously as they recover at home. Susanna Rustad, UCI Health’s chief procurement officer and executive director of virtual care, and Khurram Mir, senior program manager, spoke with me recently about the ins and outs of this program and their plans to expand this work and establish full-fledged hospital care at home. Such a hospital would provide remote patient monitoring, around-the-clock care, visits by clinicians and care teams, and delivery of medications and meals. This interview was condensed and edited for clarity.