St. Luke’s discovers success with its Hospital In your house program

St. Luke’s Health System, an 11- medical facility network based in Kansas City, Missouri, started its Hospital In Your Home care design in July 2022 to minimize expenses, enhance results and improve the client experience.


Saint Luke’s traditionally has actually had favorable client experience ratings, however continually aims to enhance. The HIYH care design uses the client the chance to remain in the convenience of their house, get quality care and stay near household.

” We thought that looking after the client where they wished to be looked after would enhance the total client experience,” stated Deborah Gash, senior vice president and chief digital officer at St. Luke’s Health System. “Total expense of look after a client seen in the medical facility normally consists of emergency clinic check outs, hospitalization and post-acute care services.

” We likewise prepared for the HIYH design would enhance clients’ total health status, lower readmissions, and lower the usage of post-acute care services and ED sees, therefore offering a greater worth service to the neighborhood,” she continued.

Further, Saint Luke’s thought this care design would assist resolve the capability restrictions that exist in the brick-and-mortar center and minimize labor force difficulties. Because the beginning of the pandemic, Saint Luke’s has actually seen high volume in centers.

The HIYH design offered a chance to broaden capability without building and construction of brand-new healthcare facility beds. It likewise supplies a distinct work experience for health care employees, which management thinks will allow medical personnel to continue in the occupation, practice at the top of their licensure in brand-new and difficult methods, and possibly draw in brand-new generations of caretakers to the health care field.


After introducing Hospital In Your Home, Saint Luke’s anticipated to see a boost in general client complete satisfaction for comparable severe care hospitalizations, lowered readmission rates, and health results constant with a brick-and-mortar intense care stay.

In addition, it anticipated to be able to faster and quickly fill registered nurse positions and supply those caretakers with a more gratifying medical experience and higher task fulfillment. Saint Luke’s anticipated to see a decrease in ED holds and the capability to accept transfers from removed neighborhood medical facilities for tertiary care services.


Saint Luke’s partnered with Medically Home to develop an incorporated virtual and physical care design to handle the census of HIYH.

” The care design leverages innovation supplied by Medically Home called Cesia, which is incorporated into the Epic EHR and set up in the house to link the client to the virtual command center,” Gash described. “It supplies anytime access to companies and clients and guarantees oversight and management of the client’s health.

” The command center’s treatments and workflows are created to assistance 24/ 7/365 high-acuity care in your home,” she continued. “It is staffed by Saint Luke’s doctors, nurse specialists and signed up nurses who are skilled and trained in offering high-acuity care in the house.”

The command center is linked to at home provider to make sure a smooth assistance group throughout the medical facility stay. Saint Luke’s offers the innovation, which allows any client to take part in the program that satisfies the scientific requirements.

The innovation is developed for redundancy, dependability and ease of usage. The command center group collaborates with different provider to bring helpful care to the house. Secret to the success of the program is this provider network, which provides whatever a client requires to the house as needed, Gash stated.

” Saint Luke’s has actually looked after more than 250 clients given that the creation of the program in July 2022,” she reported. “The typical client age is 78 and, to date, 54.3% are female. Primary factors for admission: 52% cardiac arrest, 13% COPD, 11% pneumonia and 9% COVID.”


The program has actually succeeded in a variety of methods.

” Patient fulfillment has actually been 18% greater in the HIYH program versus those hospitalized in a bricks-and-mortar center,” Gash stated. “Patients value having the ability to remain in the convenience of their house and anecdotally report they feel much better able to handle their persistent conditions.

” Readmission rates decreased 15% for the HIYH population, with absolutely no clients released to post-acute care and no events of hospital-acquired infections or death,” she continued. “To date, result objectives associated with cost and quality have actually been accomplished, and Saint Luke’s has actually seen a decrease in ED holds for these clients.”


HIYH programs are complicated, and need a strong management group to make sure oversight and success, Gash recommended.

” The collaboration with Medically Home was essential since it offered the innovation required to handle the provider network, assisted develop the needed procedures and workflows, and recognized and produced the company network,” she continued. “Saint Luke’s needed usage of its business EHR to guarantee medical openness, which is essential for connection of care.

” Our experience with HIYH has actually opened receptivity to other care designs and reinforced our desire to innovate,” she concluded.

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