Product details

In the late 1990s, home-based hospital care started to be introduced in the United States and worldwide. This initiative seemed to lower costs, improve quality of care, and have a generally positive impact on patients. In early March 2014, the director of performance improvement at a major US hospital was asked to develop a proposal, including a business case and an outline of a pilot program, for a version of home-based hospital care for the hospital's patients. The director was expected to present his proposal at the monthly session of the health system leadership team on April 30, 2014. He knew that his proposal would have to take into account various factors such as location, medical condition coverage, patient eligibility, the critical data that needed to be collected, the appropriate means of data collection, and the length that the pilot study would need to last. He also knew that his proposal would have to include projected costs and the potential benefits of such a program - the program had to make financial sense.