COVID-19 helps spur in-home acute care services by UNC Health

UNC Health now has plans to implement the service for select patients as soon as this summer.

Most patients with life-threatening illnesses may spend days or weeks in a hospital. The concept of acute care services delivered in a home setting isn’t new, but it is now more acceptable, says UNC Health’s Matthew Smith.

"COVID-19 absolutely pushed us into this direction," he said.

Smith says the concept, already used in places like the Mayo Clinic, is in the plans at UNC by mid-May or early summer, when doctors, nurses and other caregivers can connect virtually with patients and conduct in-home visits.

It’s a voluntary program for patients who qualify. Some may avoid a hospital stay altogether, while others will transition from the hospital setting to their home with devices and a support plan in place.

Smith believes it can improve patient care.

"It’s another option for patients that really may be better in this environment than being in the hospital," he said.

They are closer to their loved ones rather than in isolation.

It may also take pressure off hospital space, especially during events like a pandemic. "It frees up a bed and care for a patient who is even more complex," said Smith.

Devices and wifi-connectivity are installed in the home. Patients can take and measure many of their vital signs like temperature, oxygen level and heart rate.

Smith believes there are potential cost savings for everyone. "It’s a great thing for insurance companies. It’s a great thing for patients. It’s a great thing for a health system – because it truly lowers the overall cost of care," he said.