The program allows some patients to recover at home — freeing up beds for those who must be admitted and remain in hospital.
A program to deliver acute care to patients who can safely recover in their homes rather than hospital has expanded to Cowichan District Hospital.
The program was piloted at Victoria General Hospital in 2020 and expanded to Royal Jubilee Hospital the next year, and has served more than 2,000 patients, according to Island Health. It’s also available at four hospitals in the Vancouver area. Island Health said therapies and tests, such as vital signs monitoring, supplemental oxygen, IV therapy medications and blood work, can all be done in the patient’s home.
While individual physicians have individual approaches, the program’s physicians typically connect with their Hospital at Home patients online or by phone as part of their in-person patient rounds in hospital. Ikemura said “overwhelmingly” the patients she’s seen report feeling more secure at home in a familiar environment with loved ones, with support from nurses and daily check-ins with a physician.
Eligible patients must have a known diagnosis from which they can safely recover from at home in about two weeks. They cannot be in a pain crisis, have an unstable psychiatric disorder, or have had an acute stroke, and they must abstain from substance abuse.
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