A hospital-at-home program in Massachusetts offers intensive care for patients in their own homes, blurring the lines between traditional healthcare and home health.
Shane McMahon, a paramedic, checks on Stephanie Joseph, 91, who received care through Mass General Brigham's hospital-at-home program. Shane McMahon arrived at a home in Walpole, Massachusetts carrying a bag of medical equipment. He's a paramedic with the hospital-at-home program run by Mass General Brigham. His patient was 91-year-old Stephanie Joseph. 'How is she feeling today?' McMahon asked Joseph's daughter, Ketline Edouard, who translated for her Haitian Creole-speaking mom.
Joseph has diabetes and recently went to the emergency room because of high blood sugar. After a night there, she was given the option of being part of Mass General Brigham's'Home Hospital' program. 'She says way better, more comfortable when she's home,' Edouard said on her mom's behalf.'Way better than when she's at the hospital.'. These programs began during the pandemic when the federal government provided a waiver allowing Medicaid and Medicare to pay for hospital-level care at patients' homes. The waiver's been extended once. But the current waiver is set to expire on December 31.in a spending agreement congress unveiled this week to avert a government shutdown, but Elon Musk and President-elect Donald Trump encouraged Republicans to walk away from that deal Wednesday. It is not clear what will happen next with the stopgap spending measure. Hospital-at-home programs are not the same thing as traditional home health care. The usual home health model involves a few visits a week for about a month. Hospital-at-home programs offer far more intensive care, usually for about five days, including several visits a day from a doctor, nurse or emergency medical technician and 24-hour virtual monitoring of patients.'So if you just think about a 70-bed hospital, which is what we operate today, think of what that would look like in a traditional brick and mortar setting – how many floors? how many buildings? the workforce required for that,' O'Sullivan sai
Hospital-At-Home Healthcare Medicare Medicaid Intensive Care
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