Lessons from a Large National "Hospital at Home" Program,

Hospital at Home (HAH) is a potential solution to the increasing demand for hospital beds, but concerns remain about its scalability. This study examines safety, effectiveness, and patient satisfaction in a large-scale HAH program.

This retrospective cohort study utilized data from Clalit Health Services (CHS). The study population included all patients participating in the HAH program during 2022 who were discharged with a primary diagnosis of pneumonia, congestive heart failure, urinary tract infection, or cellulitis. These individuals were matched with patients admitted to general medical wards, and logistic regression analysis was performed to evaluate the association between admission type and outcomes. The primary safety endpoint was all-cause mortality at 30 days, while the primary effectiveness endpoint was rehospitalization within 30 days. Patient experience was measured using a telephone questionnaire.