Hospital at Home Patient Experience

Patient Experience Hospital at Home

Why acute care at home?

Hospital at Home (HaH) is a voluntary program that offers an alternative to on-site inpatient care. With our program, you can look forward to:

  • A patient-centred approach
  • Closer family/caregiver involvement
  • More privacy to get the rest you need
  • Lower rates of hospital-acquired complications, such as delirium, infection, or deconditioning
  • Fewer readmissions to hospital

A Typical Day

On a typical day, the Hospital at Home nurses phone their patients between 7:30am and 8:00am to check in and hear how the night went. During this call, they discuss the plan for the day and when patients can expect their daily home visit from the nurse. Nurses visit their patients at least once daily, while other patients may require additional visits depending on their individual needs. Patients can connect with their nurse anytime by phoning the HaH office.

Patients use a tablet and Home Health Monitoring kit to measure their vital signs several times a day. Medications are provided by the hospital pharmacy, organized in vials, and documented on the program’s medication administration record. Intravenous medications are either given by the nurse or self-administered by the patient or caregiver. If the patient requires oxygen, the nurse will provide an oxygen concentrator to use in the home. 

During their time in the program, patients and caregivers are connected to other members of the HaH team. These include physicians, pharmacists, dietitians, a clinical nurse leader, occupational therapist, and rehabilitation assistant. These interactions may take place over the phone, during in-person home visits, or virtually using a tablet. 

Additional diagnostics, tests, and procedures

Sometimes a patient will require a service not able to be provided in the home, such as an x-ray or transfusion. Patients are brought back on-site to receive the service and return home afterwards. Transport is typically by personal vehicle, taxi, or Medivan, depending on the needs of the patient. 

Staff safety

Before being accepted into the program, one of the nurses will speak with the patient (and caregiver, if available) to complete a questionnaire related to the residence and staff safety considerations. 

Patients with pets will be asked to secure the animal in a separate room when Island Health staff are present for home visits. Smoking is not allowed when Island Health staff are on the premises. Additionally, occupants will be asked to refrain from smoking for a specified duration prior to home visits. 

General Information on Hospital at Home Patient Experience

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