Alternative Strategies to Inpatient Hospitalization for Acute Medical Conditions-A Systematic Review

https://intensivecareathome.com/alternative-strategies-to-inpatient-hospitalization-for-acute-medical-conditions-a-systematic-review/

Alternative Strategies to Inpatient Hospitalization for Acute Medical Conditions - A Systematic Review

Please read more here:
https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2560377

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Hi, it’s Patrik Hutzel from intensivecareathome.com where we provide tailor-made solutions for long-term ventilated adults and children with tracheostomies at home and where we also provide tailor-made solutions for hospitals and intensive care units at home whilst providing quality care for long-term ventilated adults and children with tracheostomies at home, otherwise medically complex adults and children at home, which includes Home BIPAP (Bilevel Positive Airway Pressure), Home CPAP (Continuous Positive Airway Pressure), home tracheostomy care for adults and children that are not ventilated, Home TPN (Total Parenteral Nutrition), home IV potassium infusions, home IV magnesium infusions as well as home IV antibiotics. We also provide port management, central line management, PICC (Peripherally Inserted Central Catheter) line management as well as Hickman’s line management and we also provide palliative care services at home.

We are also sending our critical care nurses into the home for emergency department bypass services. We have done so successfully for the Western Sydney Local Area Health District, their in-touch program saving $2,000 per ED bypass service. Basically, if we send a critical care nurse into the home of a client or into a residential aged care, we’re saving the healthcare system $2,000 by using our critical care nurses, which costs a fraction of that only. With an intensive care bed, we’re saving even more by providing an intensive care nurse in the community. We’re saving half of the cost of an intensive care bed, which is around $3,000.

So, in this week’s blog, I want to actually read out a study about hospital in the home again. The study, I’ve just seen it last week, it says, “Alternative Strategies to Inpatient Hospitalization for Acute Medical Conditions – A Systematic Review” from Jared Conley, MD, Colin W. O’Brien and Bruce Leff.

Now, let’s read this out. It’s just another testimonial really that treating patients at home make a lot more sense than treating them in hospital. So, let me read these out.

Key points and I will link towards the study below.

“Can patients with acute medical conditions conventionally managed through hospitalization be treated in alternative management strategies, while maintaining similar or improved health outcomes, patient satisfaction, and costs?

Well, with costs in particular, home care is always more cost-effective. So, I don’t even know why they are asking that question. The study continues:

Evidence demonstrates that a range of acute medical conditions can be safely treated without hospitalization, at lower cost, and with neutral-to-positive impact on patient satisfaction. Further robust evaluation is warranted for some conditions and alternative management strategies.

In the management of acute medical conditions, conventionally requiring hospital admission, opportunities for health system redesign exists that enable better alignment of health needs with the appropriate setting of care.

That’s what we’ve been doing with Intensive Care at Home since 2012. No need for hospital readmissions, even long-term intensive care patients can stay at home predictably, saving the healthcare system millions of dollars plus the added-on benefit of having a free ICU bed.

Continue reading at: https://intensivecareathome.com/alternative-strategies-to-inpatient-hospitalization-for-acute-medical-conditions-a-systematic-review/