New Insurance Data Have Been Reported by Investigators at Brigham and Women’s Hospital (Practice Standards for Acute Hospital Care At Home): Insurance

2025 APR 28 (NewsRx) -- By a News Reporter-Staff News Editor at Hospital & Nursing Home Daily -- Investigators publish new report on Insurance. According to news reporting from Boston, Massachusetts, by NewsRx journalists, research stated, “Hospital at home (HaH) provides hospital-level care at home as a substitute for brick-and-mortar hospital care. Multiple HaH studies demonstrate HaH provides safe, high-quality, cost-effective care.”

Financial support for this research came from John A. Hartford Foundation.

The news correspondents obtained a quote from the research from Brigham and Women’s Hospital, “However, practices have varied approaches to delivering care and no HaH-specific national standards exist. We aimed to develop national practice standards for HaH and assess practice performance against the standards. The HaH Users Group (HaHUG), the national convener of HaH practices, assembled the Practice Standards Council in 2019 to develop evidence-based standards for HaH. We reviewed existing international standards and the requirements of the Centers for Medicare and Medicaid Services Acute Hospital Care at Home Waiver. We engaged in multiple iterative rounds to develop domains and standards within each domain and then held an open comment period. We distributed an online survey for all HaHUG practices to self-assess whether they did not meet (score, -1), met (score, 0), or exceeded (score, +1) each standard. The American Hospital Association’s Annual Survey was used to describe practices that did and did not complete the practice standards survey. Final practice standards included 31 standards in 7 domains: leadership; education and training; human resources management; quality and quality improvement; safe practice and environment; and clinical standards and protocols. The majority of HaH practices self-rated that they met or exceeded standards: scores ranged from -5 to 31; mean score of 9.75 (SD, 12.60). Forty-nine of 213 eligible HaH practices completed the survey (response rate, 23.0%). Most hospitals were large (65% > 299 beds), nonprofit (85%), teaching (90%) centers that cared for a large proportion of patients with Medicaid. We present the first national practice standards for HaH. The vast majority of HaH practices met or exceeded these standards by their own assessment.”

According to the news reporters, the research concluded: “There was a range of performance across standards, demonstrating strengths and opportunities for ongoing development and quality improvement.”

This research has been peer-reviewed.

For more information on this research see: Practice Standards for Acute Hospital Care At Home. Journal of the American Geriatrics Society, 2025. Journal of the American Geriatrics Society can be contacted at: Wiley, 111 River St, Hoboken 07030-5774, NJ, USA. (Wiley-Blackwell - http://www.wiley.com/; Journal of the American Geriatrics Society - http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1532-5415)

Our news journalists report that additional information may be obtained by contacting David M. Levine, Brigham and Women’s Hospital, Division of General Internal Medicine and Primary Care, Boston, MA 02115, United States. Additional authors for this research include Linda V. DeCherrie, Stephanie Murphy, Albert Siu, Gabrielle Schiller, Chrisanne Timpe, Margaret Paulson, Christine Lum Lung, Michael Nottidge, Karen Titchener and Bruce Leff.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1111/jgs.19427. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

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