Hospital-at-Home: Bruce Leff and Tacara Soones
GeriPal - A Geriatrics and Palliative Care Podcast
English - September 14, 2023 06:45 - 50 minutes - 46.5 MB - ★★★★★ - 138 ratingsScience acp copd geriatrics meded medical palliativecare advancecareplanning aging cancer caregiver Homepage Download Apple Podcasts Google Podcasts Overcast Castro Pocket Casts RSS feed
Hospitals are hazardous places for older adults. These hazards include delirium, malnutrition, falls, infections, and hospital associated disability (which about ⅓ of older adults get during a hospital stay). What if, for at least some older adults who need acute-level care, instead of treating them in the hospital, we treat them at home? That’s the focus of the hospital-at-home movement, and the subject we talk about in this week’s podcast.
We talk with Bruce Leff and Tacara Soones about the hospital-at-home movement, which has been shown to reduce costs, improve outcomes and improve the patient experience. In addition to discussing these outcomes, we also discuss:
The history of the hospital-at-home movement.
The practicalities of how it works including who are good candidates, where does it start (the ED?), what happens at home, do you need a caregiver, what happens if they need something like imaging?
How is it financed and what comes next?
If you are interested in learning more and meeting a community of folks interested in hospital-at-home, check out the hospital-at-home user group at hahusersgroup.org or some of these publications:
Hospital at Home-Plus: A Platform of Facility-Based Care. JAGS