Global EditionConnected HealthBoston Medical Center launches new hospital-at-home programThe health system's new remote acute care unit aims to improve healthcare access and equity for eligible patients with daily clinical home visits and remote patient monitoring through its Medically Home technology.By Andrea FoxApril 03, 202406:58 PM.

Global EditionConnected HealthBoston医疗中心推出新的家庭医院计划卫生系统的新远程急诊室旨在通过其医疗家庭技术，通过日常临床家访和远程患者监测，改善合格患者的医疗服务和公平性。作者：Andrea Foxappril 03，202406:58 PM。

Photo: Boston Medical Center

照片：波士顿医疗中心

Hospital patients with conditions like pneumonia, dehydration and heart failure have been shown to experience shorter recovery times with fewer complications when they receive more cost-effective healthcare at home – and many health systems have been preparing for this future.

研究表明，患有肺炎、脱水和心力衰竭等疾病的住院患者在家接受更具成本效益的医疗保健时，恢复时间更短，并发症更少，许多卫生系统已经为这一未来做好了准备。

Boston Medical Center is making a new high-acuity, hospital-at-home service available to help patients recover in the comfort of their homes, the health system announced Wednesday.

波士顿医疗中心（Boston Medical Center）周三宣布，将推出一项新的高视力家庭医院服务，帮助患者在舒适的家中康复。

Through the service, BMC delivers around-the-clock remote patient monitoring and provides daily physician e-visits, live clinician visits and on-demand access to care teams.

通过该服务，BMC提供全天候远程患者监测，并提供每日医生电子访问、临床医生实时访问和护理团队的按需访问。

WHY IT MATTERS

为什么它很重要

The comprehensive service pairs around-the-clock remote monitoring with multiple daily visits from clinicians and technology from Boston-based Medically Home, BMC said in its announcement.

BMC在其公告中表示，该综合服务将全天候远程监控与临床医生和波士顿医疗之家的技术人员的每日多次访问结合起来。

BMC said physician-led hospital-at-home care provides the same services patients would receive during a traditional hospital stay and is held to the same rigorous standards for quality. It will transform care delivery to improve the quality of the hospital services to the community, Dr. Alastair Bell, BMC's president and chief executive officer, said in a statement. .

BMC表示，由医生主导的家庭护理医院为患者提供与传统住院期间相同的服务，并遵循同样严格的质量标准。BMC总裁兼首席执行官阿拉斯泰尔·贝尔（AlastairBell）博士在一份声明中表示，这将改变护理服务，提高医院对社区的服务质量。。

On its website, BMC said that research shows that medical care at home can reduce risks of hospital readmissions, falls, cognitive decline and secondary infections.

BMC在其网站上表示，研究表明，家庭医疗可以降低再次住院、跌倒、认知能力下降和继发感染的风险。

Once enrolled in the remote acute care unit, BMC said it equips patients with an advanced virtual hospital room kit, which includes app- and web-based technologies that facilitate all medical monitoring, in-home visit scheduling and real-time connectivity with providers.

BMC表示，一旦进入远程急诊室，它将为患者配备先进的虚拟病房套件，其中包括基于应用程序和网络的技术，可促进所有医疗监测、家访安排以及与提供者的实时连接。

Patients can expect two in-person visits from a care provider daily and more if needed and can use real-time technology on-demand to reach their dedicated health team. BMC said on its website that the kit includes:

患者可以期望护理提供者每天进行两次亲自访问，如果需要，可以进行更多访问，并且可以使用实时技术按需访问他们专门的健康团队。BMC在其网站上表示，该套件包括：

A tablet for telehealth video visits, educational content and daily care schedule.

用于远程医疗视频访问、教育内容和日常护理时间表的平板电脑。

Phone with a direct connection to your care team – no dialing needed.

与您的护理团队直接连接的电话–无需拨号。

Emergency response bracelet.

应急响应手镯。

Monitoring devices to measure vital signs

测量生命体征的监测设备

Backup power supply and backup internet

备用电源和备用互联网

Patients can also access the technology for inpatient case management resources, home-delivered meals, infusion therapies, mobile imaging, physical and occupational therapies and more.

患者还可以访问住院病例管理资源、家庭提供的膳食、输液治疗、移动成像、物理和职业治疗等技术。

THE LARGER TREND

更大的趋势

While the Centers for Medicare and Medicaid Services recently called its Acute Hospital Care at Home initiative successful in reducing hospital visits, it deemed it unsustainable due to the costs and resources needed.

虽然医疗保险和医疗补助服务中心最近称其家庭急性医院护理计划成功减少了住院次数，但由于所需的成本和资源，它认为这是不可持续的。

However, Karin Schifter-Maor, CEO of Essence SmartCare, a senior and chronic care technology and services company, told Healthcare IT News that the current CMS program relies too heavily on manual processes and in-person care.

然而，高级慢性护理技术和服务公司Essential SmartCare的首席执行官卡林·希夫特·摩尔（Karin Schifter Maor）告诉医疗保健IT新闻，目前的CMS计划过于依赖人工流程和亲自护理。

RPM technologies could scale and sustain CMS' hospital at-home program she said in March.

她在3月份表示，RPM技术可以扩展并维持CMS的家庭医院计划。

'By enhancing the patient experience through continued monitoring and harnessing patient data to improve operational flows, systems can ultimately meet the growing demand for home-based acute care services while optimizing resources,' said Schifter-Maor.

Schifter Maor说：“通过持续监测和利用患者数据改善操作流程，增强患者体验，系统最终可以满足对家庭急性护理服务日益增长的需求，同时优化资源。”。

As organizations design hospital-at-home programs, they should be strategic about their use of RPM, and leverage both internal and external resources as well as appropriate reimbursement, according to Cindy Gaines, chief clinical transformation officer at Lumeon, a clinical automation company.

临床自动化公司Lumeon的首席临床转型官辛迪·盖恩斯（CindyGaines）表示，在组织设计家庭医院项目时，他们应该对RPM的使用具有战略意义，并利用内部和外部资源以及适当的报销。

'These technologies play a vital role in hospital-at-home by augmenting in-home visits with remote monitoring data and virtual visits, giving patients access to the full complement of hospital services,' she said in February.

她在2月份说：“这些技术通过远程监测数据和虚拟访问增强了家访，使患者能够获得全面的医院服务，在家中的医院中发挥着至关重要的作用。”。

ON THE RECORD

记录在案

'Providing hospital-level care in a patient's home allows us to increase patient access to care options, expand hospital capacity and provide high-quality care to more of our community without additional strain on our resources,' said Bell.

贝尔说：“在病人家中提供医院级别的护理，使我们能够增加病人获得护理的机会，扩大医院的容量，并为更多的社区提供高质量的护理，而不会对我们的资源造成额外的压力。”。

Andrea Fox is senior editor of Healthcare IT News.

AndreaFox是《医疗IT新闻》的高级编辑。

Email: afox@himss.orgHealthcare IT News is a HIMSS Media publication.

电子邮件：afox@himss.orgHealthcareIT News是HIMSS的媒体出版物。

Topics: Connected Health, Government & Policy, Telehealth

主题：互联健康、政府与政策、远程保健

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Rush Memorial's virtual ICU reduces transfers, boosts patient experienceBy Bill SiwickiApril 03, 2024

拉什纪念医院的虚拟ICU减少了转移，提高了患者体验比尔·西维基亚普里尔032024

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Hospital patients with conditions like pneumonia, dehydration and heart failure have been shown to experience shorter recovery times with fewer complications when they receive more cost-effective healthcare at home – and many health systems have been preparing for this future.

研究表明，患有肺炎、脱水和心力衰竭等疾病的住院患者在家接受更具成本效益的医疗保健时，恢复时间更短，并发症更少，许多卫生系统已经为这一未来做好了准备。

Boston Medical Center is making a new high-acuity, hospital-at-home service available to help patients recover in the comfort of their homes, the health system announced Wednesday.

波士顿医疗中心（Boston Medical Center）周三宣布，将推出一项新的高视力家庭医院服务，帮助患者在舒适的家中康复。

Through the service, BMC delivers around-the-clock remote patient monitoring and provides daily physician e-visits, live clinician visits and on-demand access to care teams.

通过该服务，BMC提供全天候远程患者监测，并提供每日医生电子访问、临床医生实时访问和护理团队的按需访问。

WHY IT MATTERS

为什么它很重要

The comprehensive service pairs around-the-clock remote monitoring with multiple daily visits from clinicians and technology from Boston-based Medically Home, BMC said in its announcement.

BMC在其公告中表示，该综合服务将全天候远程监控与临床医生和波士顿医疗之家的技术人员的每日多次访问结合起来。

BMC said physician-led hospital-at-home care provides the same services patients would receive during a traditional hospital stay and is held to the same rigorous standards for quality. It will transform care delivery to improve the quality of the hospital services to the community, Dr. Alastair Bell, BMC's president and chief executive officer, said in a statement. .

BMC表示，由医生主导的家庭护理医院为患者提供与传统住院期间相同的服务，并遵循同样严格的质量标准。BMC总裁兼首席执行官阿拉斯泰尔·贝尔（AlastairBell）博士在一份声明中表示，这将改变护理服务，提高医院对社区的服务质量。。

On its website, BMC said that research shows that medical care at home can reduce risks of hospital readmissions, falls, cognitive decline and secondary infections.

BMC在其网站上表示，研究表明，家庭医疗可以降低再次住院、跌倒、认知能力下降和继发感染的风险。

Once enrolled in the remote acute care unit, BMC said it equips patients with an advanced virtual hospital room kit, which includes app- and web-based technologies that facilitate all medical monitoring, in-home visit scheduling and real-time connectivity with providers.

BMC表示，一旦进入远程急诊室，它将为患者配备先进的虚拟病房套件，其中包括基于应用程序和网络的技术，可促进所有医疗监测、家访安排以及与提供者的实时连接。

Patients can expect two in-person visits from a care provider daily and more if needed and can use real-time technology on-demand to reach their dedicated health team. BMC said on its website that the kit includes:

患者可以期望护理提供者每天进行两次亲自访问，如果需要，可以进行更多访问，并且可以使用实时技术按需访问他们专门的健康团队。BMC在其网站上表示，该套件包括：

A tablet for telehealth video visits, educational content and daily care schedule.

用于远程医疗视频访问、教育内容和日常护理时间表的平板电脑。

Phone with a direct connection to your care team – no dialing needed.

与您的护理团队直接连接的电话–无需拨号。

Emergency response bracelet.

应急响应手镯。

Monitoring devices to measure vital signs

测量生命体征的监测设备

Backup power supply and backup internet

备用电源和备用互联网

Patients can also access the technology for inpatient case management resources, home-delivered meals, infusion therapies, mobile imaging, physical and occupational therapies and more.

患者还可以访问住院病例管理资源、家庭提供的膳食、输液治疗、移动成像、物理和职业治疗等技术。

THE LARGER TREND

更大的趋势

While the Centers for Medicare and Medicaid Services recently called its Acute Hospital Care at Home initiative successful in reducing hospital visits, it deemed it unsustainable due to the costs and resources needed.

虽然医疗保险和医疗补助服务中心最近称其家庭急性医院护理计划成功减少了住院次数，但由于所需的成本和资源，它认为这是不可持续的。

However, Karin Schifter-Maor, CEO of Essence SmartCare, a senior and chronic care technology and services company, told Healthcare IT News that the current CMS program relies too heavily on manual processes and in-person care.

然而，高级慢性护理技术和服务公司Essential SmartCare的首席执行官卡林·希夫特·摩尔（Karin Schifter Maor）告诉医疗保健IT新闻，目前的CMS计划过于依赖人工流程和亲自护理。

RPM technologies could scale and sustain CMS' hospital at-home program she said in March.

她在3月份表示，RPM技术可以扩展并维持CMS的家庭医院计划。

'By enhancing the patient experience through continued monitoring and harnessing patient data to improve operational flows, systems can ultimately meet the growing demand for home-based acute care services while optimizing resources,' said Schifter-Maor.

Schifter Maor说：“通过持续监测和利用患者数据改善操作流程，增强患者体验，系统最终可以满足对家庭急性护理服务日益增长的需求，同时优化资源。”。

As organizations design hospital-at-home programs, they should be strategic about their use of RPM, and leverage both internal and external resources as well as appropriate reimbursement, according to Cindy Gaines, chief clinical transformation officer at Lumeon, a clinical automation company.

临床自动化公司Lumeon的首席临床转型官辛迪·盖恩斯（CindyGaines）表示，在组织设计家庭医院项目时，他们应该对RPM的使用具有战略意义，并利用内部和外部资源以及适当的报销。

'These technologies play a vital role in hospital-at-home by augmenting in-home visits with remote monitoring data and virtual visits, giving patients access to the full complement of hospital services,' she said in February.

她在2月份说：“这些技术通过远程监测数据和虚拟访问增强了家访，使患者能够获得全面的医院服务，在家中的医院中发挥着至关重要的作用。”。

ON THE RECORD

记录在案

'Providing hospital-level care in a patient's home allows us to increase patient access to care options, expand hospital capacity and provide high-quality care to more of our community without additional strain on our resources,' said Bell.

贝尔说：“在病人家中提供医院级别的护理，使我们能够增加病人获得护理的机会，扩大医院的容量，并为更多的社区提供高质量的护理，而不会对我们的资源造成额外的压力。”。

Andrea Fox is senior editor of Healthcare IT News.

AndreaFox是《医疗IT新闻》的高级编辑。

Email: afox@himss.orgHealthcare IT News is a HIMSS Media publication.

电子邮件：afox@himss.orgHealthcareIT News是HIMSS的媒体出版物。