Innovation Readiness Assessment

An instrument designed to assess the likelihood of success in making a change. The tool can be used to highlight key areas of strength, as well as areas that may need work. The assessment can be found as a PDF at http://hospitalathome.org/assets/DGMG/Innovation_Readiness_Assessment.pdf.

Hospital at Home Budget Impact Model

A tool designed to help predict the potential economic impact of adopting the Hospital at Home model. The tool can be found at http://commprojects.jhsph.edu/hpm/hosphome/budgmodel.cfm.

The Hospital at Home Website

Includes information about the model, including some resources for implementing the model. Also includes links to articles and studies about the model, a selection of which is presented below. http://hospitalathome.org/dgm/

What Patients are Right for Hospital at Home?

Leff B, Burton L, Bynum JW, et al. (1997, Sept). Prospective evaluation of clinical criteria to select older persons with acute medical illness for care in a hypothetical home hospital. J Am Geriatr Soc. 45(9): 1066-73.
http://www.ncbi.nlm.nih.gov/pubmed/9288013

Hospital at Home National Demonstration and Evaluation Study

Leff B, Burton L, Mader S, et al. (2005, Dec 6). Hospital at Home: Feasibility and Outcomes of a Program to Provide Hospital-Level Care at Home for Acutely Ill Older Patients. Annals of Internal Medicine. 1439(11): 798-808.
http://www.annals.org/cgi/content/abstract/143/11/798

Satisfaction with Hospital at Home Care

Leff B, Burton L, Mader S, et al. (2006, Sept). Satisfaction with Hospital at Home Care. J Am Geriatr Soc. 54(9); 1355-1363.
http://www.ncbi.nlm.nih.gov/pubmed/16970642

Acute Medial Care in the Home

Leff B, Burton JW. (1995, May). Acute Medical Care in the Home. J Am Geriatr Soc. 44(5):603.
http://www.mdconsult.com/das/article/body/84919763-2/jorg=journal&source=MI&sp=706883&sid=402700253/N/78546/1.html

Decreased Hospital Utilization

Stressman J, et al. (1996, May). Decreased hospital utilization by older adults attributable to a home hospitalization program. J Am Geriatr Soc. 44(5):591-8.
http://www.mdconsult.com/das/article/body/84919763-2/jorg=journal&source=MI&sp=706880&sid=403062757/N/31728/1.html

Acceptability to Patients of a Hospital at Home

Burton L, Leff B, Harper M, et al. (1998, May). Acceptability to Patients of a Hospital at Home. J Am Geriatr Soc. 46(5): 605-9.
http://www.mdconsult.com/das/article/body/84919763-2/jorg=journal&source=MI&sp=10249523&sid=402715239/N/108098/1.html

Acute? Care at Home

Leff B. (2001, Aug). Acute? Care at Home. The health cost and effects of substituting home care for inpatient acute care: a review of the evidence. J Am Geriatr Soc. 49(8): 1123-5.
http://www.blackwell-synergy.com/doi/abs/10.1046/j.1532-5415.2001.49219.x?journalCode=jgs&volume=49&issue=8

Home Hospital Program

Leff B, Burton L, Guido S, et al. (1999, June). Home Hospital Program: A Pilot Study. J Am Geriatr Soc. 47(6): 697-702.
http://www.mdconsult.com/das/article/body/84919763-2/jorg=journal&source=MI&sp=10772759&sid=402711827/N/146676/1.html

A Multicomponent Intervention

Inouye S, Bogardus S, Charpentier P, et al. (1999, Mar 4). A Multicomponent Intervention to prevent delirium in hospitalized older patients. N Engl J Med. 340(9): 669-76.
http://content.nejm.org/cgi/content/full/340/9/669

For any questions not answered by materials provided within this profile, please contact Bruce Leff at bleff@jhmi.edu