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Table 1 Core Programmatic Elements of HaH from Studies Treating Multiple Diagnoses

From: The effect of adapting Hospital at Home to facilitate implementation and sustainment on program drift or voltage drop

Trial Core Programmatic Elements of HaH Summary of Outcomes
  Targeting patient requiring hospitalization Delivering hospital-level services at home Daily RN visits Clinician (MD, NP) home visits 24/7 availability to patients and family members Length of Stay Mortality Satisfaction Total Acute Cost
Stressman et al. (1996) [7] a aAverage utilization fell 9.4% in HH group; rose 2.3% in geriatric control group no comparison 96% report physician and nursing care was “very good” or “good” “Total savings estimated to be $5.62 million”
Wilson et al. (1999) [8] 8 days vs. 14.5 days for controls (median, p = 0.026) 25% vs. 31% for controls at 3 months (RR 0.82, 95% CI 0.52 to 1.28) Total satisfaction on 6-item questionnaire: 15 for HaH vs. 12 for controls (p = .001) £2594 vs. £3659 for controls (p = .011)
Caplan et al. (1999) [9] 10.1 days vs. 7.4 days for controls (p > .05) No significant difference between groups at 28 days Caregiver satisfaction significantly higher amongst HaH group vs. hospital controls (difference − 0.8 on a 4-point scale, P < 0.0001), with 55 and 27% response rate, respectively. $1764 vs. $3775 for controls
Harris et al. (2005) [10] 8.8 days vs. 5.7 days days for controls (p < 0.0001) Not reported HaH patients rating satisfaction as ‘very good’ or ‘excellent’ vs. those in the hospital group - 83.0% versus 72.3%, p = .05. Relatives of HaH rating satisfaction as ‘very good’ or ‘excellent’ vs. those of controls - 66.7% versus 41.3%, p = .004 NZ$6524 vs. NZ$3525 for controlsa
Leff et al. (2005) [5] 3.2 days vs. 4.9 days for controls (p = .004) 0% vs. 3% for controls (p = .05) Satisfaction of patients (median, 7 vs. 6 domains; p < 0.001) and family members (median, 6 vs. 5 domains; p < 0.001) was greater in the intervention group and remained statistically significant when controlled for covariates $5081 vs. $7480 for controls (p < 0.001)
Cryer et al. (2012) [11] 3.3 days vs. 4.5 days for controls 0.93% vs. 3.4% for controls HCAHPS overall patient satisfaction mean score for HaH group of 90.7 exceeded the hospital score of 83.9 for comparable patients. “19% lower”
Summerfelt et al. (2015) [12] 3.64 days vs. 4.31 days for controls (p = .088) 2% vs 2% for controls (p = 0.86) HaH patients reported higher overall satisfaction score (4.40 vs 4–.01; P = .001) N/A
  1. aNot all patients had daily RN visits