Linda V. DeCherrie
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View article: Practice Standards for Acute Hospital Care at Home
Practice Standards for Acute Hospital Care at Home Open
Background Hospital at home (HaH) provides hospital‐level care at home as a substitute for brick‐and‐mortar hospital care. Multiple HaH studies demonstrate HaH provides safe, high‐quality, cost‐effective care. However, practices have varie…
View article: Hospital at home worldwide: Program and clinician characteristics from the World Hospital at Home Congress survey
Hospital at home worldwide: Program and clinician characteristics from the World Hospital at Home Congress survey Open
Background Hospital at home (HaH) delivers hospital‐level care to acutely ill patients at home as a substitute for brick‐and‐mortar hospital care. The clinician and program characteristics of HaH programs worldwide are relatively unknown. …
View article: If You Give Them Away, It Still May Not Work: Challenges to Video Telehealth Device Use Among the Urban Homebound
If You Give Them Away, It Still May Not Work: Challenges to Video Telehealth Device Use Among the Urban Homebound Open
The growing homebound population may particularly benefit from video telehealth. However, some patients do not have the ability or resources to successfully use this modality. This report presents the experience of a large urban home-based…
View article: Development of telehealth principles and guidelines for older adults: A modified Delphi approach
Development of telehealth principles and guidelines for older adults: A modified Delphi approach Open
The COVID‐19 pandemic elevated telehealth as a prevalent care delivery modality for older adults. However, guidelines and best practices for the provision of healthcare via telehealth are lacking. Principles and guidelines are needed to en…
View article: HOSPITALIZATION AT HOME MAY ADDRESS SOCIAL DETERMINANTS OF HEALTH: RESULTS FROM A QUALITATIVE STUDY
HOSPITALIZATION AT HOME MAY ADDRESS SOCIAL DETERMINANTS OF HEALTH: RESULTS FROM A QUALITATIVE STUDY Open
This project evaluated implementation of the Acute Hospital Care at Home (AHCaH) waiver from the U.S. Center for Medicare & Medicaid Services (CMS), launched in November 2020 to ensure availability of acute care as COVID-19 cases overwhelm…
View article: A national qualitative study of Hospital‐at‐Home implementation under the <scp>CMS</scp> Acute Hospital Care at Home waiver
A national qualitative study of Hospital‐at‐Home implementation under the <span>CMS</span> Acute Hospital Care at Home waiver Open
Background The Centers for Medicare & Medicaid Services (CMS) announced the Acute Hospital Care at Home (AHCaH) waiver program in November 2020 to help expand hospital capacity to cope with the COVID‐19 pandemic. The AHCaH waived the 24/7 …
View article: Outcomes of home‐based primary care for homebound older adults: A randomized clinical trial
Outcomes of home‐based primary care for homebound older adults: A randomized clinical trial Open
Background Homebound older adults are medically complex and often have difficulty accessing outpatient medical care. Home‐based primary care (HBPC) may improve care and outcomes for this population but data from randomized trials of HBPC i…
View article: Health equity in Hospital at Home: Outcomes for economically disadvantaged and non‐disadvantaged patients
Health equity in Hospital at Home: Outcomes for economically disadvantaged and non‐disadvantaged patients Open
Hospital at Home (HaH) has been demonstrated to be effective in a variety of settings and patient populations.1, 2 However, it is unknown whether HaH is feasible or effective for socioeconomically disadvantaged patients. Our aim is to dete…
View article: Cost of home hospitalization versus inpatient hospitalization inclusive of a 30‐day post‐acute period
Cost of home hospitalization versus inpatient hospitalization inclusive of a 30‐day post‐acute period Open
Background Previous studies have demonstrated that hospital at home (HaH) care is associated with lower costs than traditional hospital care. Most prior studies were small, not U.S.‐focused, or did not include post‐acute costs in their ana…
View article: A research agenda for hospital at home
A research agenda for hospital at home Open
Background Hospital at home (HaH) provides hospital‐level care at home as a substitute for traditional hospital care. Interest in HaH is increasing markedly. While multiple studies of HaH have demonstrated that HaH provides safe, high‐qual…
View article: Outcomes of Hospital at Home for Older Adults with and without High Levels of Social Support
Outcomes of Hospital at Home for Older Adults with and without High Levels of Social Support Open
The evaluation of social support within hospital at home (HaH) programs has been limited. We performed a secondary analysis of a prospective cohort evaluation of 295 participants receiving HaH care and 212 patients undergoing traditional h…
View article: Adapting a <scp>Hospital‐at‐Home</scp> Care Model to Respond to New York City's <scp>COVID</scp> ‐19 Crisis
Adapting a <span>Hospital‐at‐Home</span> Care Model to Respond to New York City's <span>COVID</span> ‐19 Crisis Open
The COVID-19 pandemic has strained hospital capacity and increased the risk of nosocomial infection worldwide. Surging demand for providers' time and shortages of personal protective equipment (PPE) threaten care quality and safety.1 Yet d…
View article: Strategies used to implement Hospital at Home: a description of an approach to scaling a complex healthcare intervention
Strategies used to implement Hospital at Home: a description of an approach to scaling a complex healthcare intervention Open
Background Advances have been made in recent years to characterize facilitators and barriers to implementation of complex health care intervention and to classify the implementation strategies available to address these determinants. We st…
View article: The effect of adapting Hospital at Home to facilitate implementation and sustainment on program drift or voltage drop
The effect of adapting Hospital at Home to facilitate implementation and sustainment on program drift or voltage drop Open
Not applicable. This study is not a clinical trial by the International Committee of Medical Journal Editors (ICMJE) definition because it is an observational study "in which the assignment of the medical intervention is not at the discret…
View article: Managing Pain in Chronically Ill Homebound Patients Through Home-Based Primary and Palliative Care
Managing Pain in Chronically Ill Homebound Patients Through Home-Based Primary and Palliative Care Open
Background: Many older adults are homebound due to chronic illness and suffer from significant symptoms, including pain. Home-based primary and palliative care (HBPC), which provides interdisciplinary medical and psychosocial care for this…
View article: Association of a Bundled Hospital-at-Home and 30-Day Postacute Transitional Care Program With Clinical Outcomes and Patient Experiences
Association of a Bundled Hospital-at-Home and 30-Day Postacute Transitional Care Program With Clinical Outcomes and Patient Experiences Open
HaH care bundled with a 30-day postacute transitional care episode was associated with better patient outcomes and ratings of care compared with inpatient hospitalization. This model warrants consideration for addition to Medicare's curren…
View article: There's No Place Like Home: Exploring Home-Based, Acute-Level Healthcare
There's No Place Like Home: Exploring Home-Based, Acute-Level Healthcare Open
Innovative healthcare delivery models that substitute for hospital admission are key to effective healthcare reforms. Ideal alternative strategies will promote patient-centered care and alleviate the burdens of an aging population and limi…
View article: Teaching Home-Based Primary Care
Teaching Home-Based Primary Care Open
Despite the growing homebound population and the development of innovative models of care that work to bring care to people in their homes, home visits are not a routine part of education for many healthcare providers. This manuscript desc…
View article: Teaching Geriatric Concepts in Internal Medicine Residency Continuity Clinic Did Not Affect Practice
Teaching Geriatric Concepts in Internal Medicine Residency Continuity Clinic Did Not Affect Practice Open
To the Editor: The importance of geriatric education for primary care providers cannot be understated as healthcare systems attempt to improve primary care access to individuals aged 65 and older. Ambulatory geriatric curricula for interna…
View article: Resident Shift Handoff Strategies in US Internal Medicine Residency Programs
Resident Shift Handoff Strategies in US Internal Medicine Residency Programs Open
This survey study of US internal medicine program directors characterizes resident shift handoff strategies, education about handoffs, and the directors’ satisfaction with the process at their institution.
View article: PRODIGAL CHILDREN: HOW REFORMED DEVIANTS BECOME OLDER MOTHERS’ FAVORITE CHILDREN
PRODIGAL CHILDREN: HOW REFORMED DEVIANTS BECOME OLDER MOTHERS’ FAVORITE CHILDREN Open
advantages of the twin relationship.Twins' children described the twins' contributions to the family network.Some friends were sensitized to provide their twin friend with space for their special relationship.Both child and friend reported…
View article: FROM INNOVATION TO IMPLEMENTATION: CREATING A PLATFORM TO DELIVER A HOSPITAL AT HOME INNOVATION
FROM INNOVATION TO IMPLEMENTATION: CREATING A PLATFORM TO DELIVER A HOSPITAL AT HOME INNOVATION Open
advantages of the twin relationship.Twins' children described the twins' contributions to the family network.Some friends were sensitized to provide their twin friend with space for their special relationship.Both child and friend reported…
View article: Using Nurse Practitioner Co-Management to Reduce Hospitalizations and Readmissions Within a Home-Based Primary Care Program
Using Nurse Practitioner Co-Management to Reduce Hospitalizations and Readmissions Within a Home-Based Primary Care Program Open
Nurse practitioner (NP) co-management involves an NP and physician sharing responsibility for the care of a patient. This study evaluates the impact of NP co-management for clinically complex patients in a home-based primary care program o…