Information for Referring Providers

Hospital at Home Information for Referring Providers

Referral Process

At this time, referrals to Hospital at Home (HaH) are limited to patients already admitted to the Royal Jubilee Hospital or Victoria General Hospital. Referrals must be made by the Most Responsible Provider [MRP]. 

To refer a patient to the Hospital at Home program, please complete this form, and fax to the corresponding HaH office:

  • Victoria General Hospital HaH fax: 250-727-4013
  • Royal Jubilee Hospital HaH fax: 250-3700-8188
  • Hospital at Home referral line: 250-519-7700 local 17665

Alternatively, MRPs can contact the HaH physician directly to discuss potential patients or make referrals. Visit the Island Health intranet On Call Scheduling page to identify the HaH physician. 

Eligibility Criteria

Eligibility Criteria with Caregiver Involvement

Demographics
  • At least 19 years old
  • Not from Assisted Living or Long Term Care
  • Living within the geographic catchment area
  • Safe home environment
Clinical Characteristics
  • Requiring hospital-level care for a known, reversible condition
  • Clinically stable
  • Adequate ADL and IADL support
  • Low falls risk
  • Expected length of stay less than 14 days
  • Unlikely to require multiple in-hospital tests, treatments or consultations
  • IV access obtained
  • No pain crisis
  • No acute stroke
  • No unstable psychiatric disorder
  • Consenting to abstain from substance abuse
Consent
  • Patient consent
  • Caregiver consent

Eligibility Criteria Without Caregiver Involvement

Demographics
  • At least 19 years old
  • Not from Assisted Living or Long Term Care
  • Living within the geographic catchment area
  • Safe home environment
Clinical Characteristics
  • Requiring hospital-level care for a known, reversible condition
  • Clinically stable
  • Not on supplementary oxygen (exception: Home Oxygen patients)
  • Low falls risk
  • Adequate ADL and IADL support
  • Expected length of stay less than 14 days
  • Unlikely to require multiple in-hospital tests, treatments or consultations
  • IV access obtained
  • No pain crisis
  • No acute stroke
  • No unstable psychiatric disorder
  • Consenting to abstain from substance abuse
Consent
  • Patient consent

Please note: Patients from facilities have special considerations that must be reviewed by Hospital at Home staff. No Long Term Care patients until further notice.

General Information on Information for Referring Providers

Referral Required?
Required

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