Ariadne Labs and CaroNova Bring Together 18 Health Systems to Develop Tools to Accelerate Home Hospital

Ariadne Labs, in collaboration with CaroNova, a health innovation incubator for the Carolinas, recently concluded the first phase of the Home Hospital Early Adopters Accelerator to support health care systems to further develop their own home hospital programs. Through this 40-week program, a total of 91 representatives from 18 health systems in the U.S. and South Africa joined in an agile fused network to rapidly design 20 tools to support successful home hospital programs.

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In November 2020, the Centers for Medicaid and Medicare Services expanded their Hospital Without Walls initiative to include the Acute Hospital Care at Home Waiver. Since then, many hospitals and health systems across the United States have been working to expand their services to treat acutely ill patients in the home. Home hospital programs have been shown to have numerous benefits, including lower costs and readmission rates, yet successfully developing and launching these programs can be challenging.

With pro bono support from Scrum Inc., Accelerator participants used the Scrum agile project management framework to collaborate, design, and develop the tools needed to address the common needs and challenges early adopters face as they implement new home hospital programs. Tools developed include criteria for identifying which patients are eligible for home hospital services, workflows for admissions, IV medications, and escalation, and solutions for software, food services, and oxygen use, among others. The health systems involved in the accelerator will now apply these tools to their own effo1rts to create or expand their home hospital program.

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The Accelerator was led by David Levine, MD, MPH, a practicing general internist and investigator at Brigham and Women’s Hospital and Harvard Medical School, associate faculty at Ariadne Labs, and an internationally recognized leader in home hospital. He is the head of Ariadne’s Home Hospital initiative, which seeks to generate and disseminate the evidence to deliver advanced care at home so that patients can stay at home no matter their health concerns.

“Studies have shown that home hospital care translates to less readmission, better experience, and improved physical activity for patients, not to mention capacity creation for strained hospitals,” said Levine. “With the tools that the Accelerator has developed over the last 40 weeks, I am excited to see these agile institutions deliver acute care at home with precision.”

“Through participation in the Accelerator, hospitals and health systems across the Carolinas are now better equipped to launch their home hospital programs,” said Jai Kumar, MPH, Senior Director of Program Design at CaroNova. “I look forward to seeing the incredible progress made in these 40 weeks translated into improved care for patients across our region.”

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