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Hospital-at-Home as an Enterprise Operating Model: Capacity, Quality, Equity, Workforce, and Payment—a Narrative Review - The Healthcare Executive
Hospital-at-home (HaH) substitutes hospital-level acute care in a patient’s residence for a conventional inpatient stay. Evidence supports its safety and value for selected patients, but enterprise scale requires more than a virtual-care platform. This narrative review examines HaH as an operating model spanning capacity, patient selection, logistics, escalation, quality, equity, workforce, caregiver protection, and payment.
Medigy Insights
Hospital-at-home can help U.S. health systems expand capacity, but scaling it requires the same clinical, operational, and safety infrastructure as a hospital. For healthcare leaders, the priority is proving that home-based care genuinely substitutes for inpatient capacity while maintaining quality, equity, workforce safety, and financial sustainability.
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3 Strategies for Scaling Hospital at Home — from Leaders Who've Done It
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