The vision
A large academic medical center (AMC) set a strategic priority to scale its hospital at home offering, increasing the size of its demonstration program 20-fold. To achieve this goal, the AMC had to transform its legacy hospital at home program by aligning disparate processes and establishing a foundational, scalable infrastructure before expanding to additional community hospitals.
Key challenges with scaling hospital at home:
- Unscalable and time-consuming workflows
- Lack of standardization and scalable care team models
- Disparate processes and minimal foundational, operational, and performance management capabilities
- Culture change needed for care at home vision
- Lack of comprehensive financial modeling and budget accountability
Co-creating the solution
The AMC partnered with Chartis to identify and prioritize strategic, organizational, and operational capability gap closures. Before scaling the hospital at home program further, the AMC needed to address disparate processes, unscalable care team models, immature supply chain and logistics management systems, and a nascent workforce management infrastructure. The AMC also needed scalable pharmacy, point of care testing, and mobile imaging capabilities, all supported by a robust logistics orchestration infrastructure to enable care delivery for a significantly higher daily census.
To ensure high-quality and safe care delivery, the AMC needed to develop a workforce forecast model, define roles specific to acute care delivery in the home, and establish bespoke compensation models to support recruitment and retention.
Finally, the AMC needed to define a comprehensive financial framework, including a virtual profit and loss statement to measure the financial impact of hospital at home. Chartis partnered with the AMC’s leaders to create a business case, close capability gaps, and establish a platform for transforming acute care delivery.
