Scalable Hospital at Home Care Model Development

This case study outlines the strategic transformation undertaken by a large academic medical center (AMC) to scale its hospital at home program. The AMC aimed to increase its demonstration program by twenty-fold, necessitating a comprehensive overhaul of its existing processes. Key challenges included unscalable workflows, lack of standardized care team models, and insufficient operational capabilities. The AMC collaborated with Chartis to identify and prioritize gaps in organizational and operational capabilities. Essential steps included defining scalable processes, establishing a workforce forecast model, and creating a financial framework to measure the program's impact. The partnership resulted in streamlined processes, a new care team model, and enhanced pharmacy capabilities. The AMC successfully tracked its performance and is now positioned for future growth, having unlocked significant capacity margins and admissions over a nine-month period. The study emphasizes the importance of structured workflows, adequate staffing, and organizational alignment in achieving a successful hospital at home program.