11 July 2023 - Hospital at Home: Guiding Principles for Establishing Virtual Acute Care Wards

Care coordination and communication: Remote patient monitoring in a home setting requires the involvement of a different set of people compared to in- hospital management, including active participation of patients and caregivers in their own care; coordination with paramedics and community services; and involvement of allied health professionals. [...] Data security and governance: Given the relative novelty of using digital tools to acquire, process, or analyze data to support the remote treatment of patients, establishment of data governance protocols and compliance with government regulations for the secure management and transmission of patient data is needed. [...] CONCLUSIONS The review of the available literature and our interviews with several hospital at home centres have revealed that establishing a successful hospital at home model requires careful planning and consideration of the following key factors: 10.1 Technology considerations • Interoperability of systems: All the interviewees indicated the need for establishing a uniform digital infrastructur. [...] • End-of-life care • Falls • Frailty • Heart failure • Infection • Musculoskeletal problems • Mobility • Neurological problems • Other infection • Pain and symptom control • Post-operative care • Renal problems • Respiratory conditions • Triage 11 July 2023 Technology Assessment Unit, MUHC Home Hospitals 29 Centre (Country, Timeline Main Features Hospital at Home Process Year established) Patient. [...] • have a suitable and safe • A complete set of vital location for care outside observations should be done at a the hospital (subject to a minimum once per day and home visit risk documented on a standardised assessment including a observation chart domestic violence screen) • Monitoring vital signs is essential • have access to a reliable to assess the treatments and landline or mobile identify e.