Abstract
A remote home monitoring program can provide a safe care mechanism for a diverse population of COVID-19 infected patients who do not meet admission criteria, yet have risk factors for severe COVID-19 complications. Remote monitoring may also be beneficial in managing future surge hospital capacities.
Highlights
To prepare for possible surge capacity, we built a virtual hospital at home (VHH) to manage patients if the hospital could no longer accommodate new admissions
We describe the development and implementation of a VHH program at an urban safety-net healthcare system to provide remote monitoring for high risk patients with COVID19 and the early outcomes associated with this program
The VHH provided a safe and effective mechanism to remotely monitor a population that has been disproportionately affected by the COVID-19 pandemic
Summary
To prepare for possible surge capacity, we built a virtual hospital at home (VHH) to manage patients if the hospital could no longer accommodate new admissions. In response to early experiences with patients discharged from the emergency department (ED) who later decompensated, we pivoted to provide care to high-risk patients who did not meet the admission criteria. We describe the development and implementation of a VHH program at an urban safety-net healthcare system to provide remote monitoring for high risk patients with COVID19 and the early outcomes associated with this program
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