MyMichigan Health Expanding Hospital at Home Program
MyMichigan Health is now among 84 health systems nationwide and one of four in Michigan offering a CMS-approved Hospital at Home (HaH) program which allows for inpatient level of care in the comfort of one’s own home. MyMichigan began a pilot program in February of 2021 to care for COVID-19 patients in two of their communities: Alma and Midland.
To date, 39 COVID-19 patients have successfully completed the HaH COVID Completion program with zero adverse events. In May 2021, the pilot expanded to include COPD, pneumonia, and sepsis patients, with 27 additional patients receiving this innovative care. Now MyMichigan is making program expansion to include inpatient level of care in the home a top priority, supporting their dedication to community, sustainability and excellent patient experiences.
Pankaj Jandwani, M.D., M.M.M., regional vice president of medical affairs and chief innovation officer, has been working with his Innovation Team on the HaH program. “We want to offer care in the home that is above and beyond what traditional home health services are able to,” said Dr. Jandwani. “Our purpose is to create healthy communities – together, and this program certainly helps us live that purpose.”
Based upon a program developed by University of Michigan Health of which MyMichigan Health is affiliated, MyMichigan’s program aims to manage select acute diagnoses safely in the comfort of a patient’s home. Even with the increased adoption of the technology to remotely monitor and see patients virtually, HaH offers an additional, innovative approach to delivering excellent care to patients. Strong evidence reports higher-quality outcomes with HaH at a lower cost for patients compared to those with similar conditions admitted to acute care facilities. Other patient benefits include receiving care in familiar surroundings, removing traveling costs and eliminating transportation barriers.
For hospitals, the program helps to reduce lengths of stay, lowers rates of readmissions and admission costs, and decompresses the need for hospital beds when they are busy. “Our providers and clinicians are excited and engaged in helping us refine the clinical pathways in this innovative model of care delivery,” added Dr. Jandwani. “We look to further expand the program to include heart failure patients as well as extending coverage to all regions of MyMichigan’s service area.” MyMichigan’s HaH program has already exceeded its initial goal to care for more than 50 patients by June 30, 2022.
Hospital at Home care includes remote patient monitoring, collaboration with a patient’s primary care provider and virtual visits. At MyMichigan, emergency departments, virtual and home care teams and hospitalists will work in concert to determine which patients would benefit from the HaH program and coordinate their care plan. Building the program could boost access to care for families living in rural areas.
“We are proud of what our Hospital at Home program is doing for patients already by allowing them to be cared for in the comfort of their own homes while being continuously monitored by our health care team,” stated Dr. Jandwani. “We are committed to expanding and improving, and are excited about the future.”