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Related Experiment Videos

The interim homecare program: an innovative discharge planning alternative.

P J Schwartz1, S Blumenfield, E P Simon

  • 1Department of Social Work Services, Mount Sinai Medical Center, New York, NY 10029.

Health & Social Work
|May 1, 1990
PubMed
Summary

The Interim Homecare Program (IHP) successfully reduced hospital length of stay for elderly patients at high risk of prolonged recovery. This intensive home health aide service exceeded expectations in preventing rehospitalization and improving patient outcomes.

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Area of Science:

  • Geriatric Care
  • Health Services Research
  • Home Healthcare

Background:

  • Hospitals face pressure to discharge patients early due to prospective payment systems.
  • Elderly patients often need extended recovery support post-discharge.
  • Incomplete recuperation increases risks of prolonged recovery and rehospitalization.

Purpose of the Study:

  • To evaluate the effectiveness of the Interim Homecare Program (IHP).
  • To assess IHP's impact on hospital length of stay (LOS) for high-risk elderly patients.
  • To compare actual LOS with estimated LOS without IHP intervention.

Main Methods:

  • Retrospective study of case records for all IHP patients in the first year.
  • Comparison of actual LOS for IHP patients versus estimated LOS without the program.

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  • Analysis focused on elderly patients at risk for protracted recovery or rehospitalization.

    • Main Results:

    • The Interim Homecare Program significantly shortened hospital LOS for the studied high-risk elderly population.
    • The reduction in LOS exceeded initial projections and expectations.
    • IHP demonstrated success in managing post-discharge recovery for vulnerable patients.

    Conclusions:

    • The Interim Homecare Program is an effective intervention for reducing hospital LOS in elderly patients.
    • Intensive home health aide services can mitigate risks associated with early hospital discharge.
    • IHP provides a valuable service for patients requiring additional recuperation time, preventing rehospitalization.