Skip to content

Guidance on designing patient eligibility criteria, including sample inclusion and exclusion criteria, screening guides, and patient consent forms.

Sample Screening Form: Avera Mckennan

Last Updated: April 22, 2022

Sample Hospital at Home initial patient assessment form. Shared by Avera McKennan.

Download

Webinar: Who’s In? Who’s Out? Deciding which Patients are Right for your Hospital at Home Program

Recorded: January 28, 2021

1/28 presentation from the Hospital at Home Users Group™ on setting eligibility and exclusion criteria for your HaH program, including examples to illustrate key design principles and strategies for educating referrers on eligibility criteria. Webinar recording and slides are available.

View

Hospital at Home: Patient Eligibility, Referrals, and Intake Processes

Last Updated: January 27, 2021

Guidance on implementing patient eligibility and exclusion criteria, evaluating admissions to the Hospital at Home program, and intake protocols.

View

Sample Criteria: Presbyterian Healthcare Services

Last Updated: January 27, 2021

Inclusion and exclusion criteria, including geographic radius. Shared by Presbyterian Healthcare Services.

Download

Sample Criteria: Brigham Health

Last Updated: January 27, 2021

Sample Hospital at Home patient eligibility criteria. Shared by Brigham Health.

Download

HaH Referral Workflow: Sample Algorithm

Last Updated: February 8, 2021

Decision-making, handoffs, and communication protocols when a patient has been identified as a candidate for Hospital at Home. Note: this resource is a sample; referral workflows should be adapted to meet the needs of each HaH institution.

Download

Sample Screen for Hospital at Home: Mount Sinai Health System

Last Updated: January 27, 2021

Screen for logistical criteria and hard exclusion criteria for patients who otherwise meet clinical criteria for the Hospital at Home service. Sample shared by the Icahn School of Medicine at Mount Sinai, 2018.

Download

Sample: HaH Bedside Patient Screening Guide for Admitting Provider

Last Updated: January 27, 2021

Safety screening guide for use by the admitting provider for Hospital at Home. Sample shared by the Icahn School of Medicine at Mount Sinai, 2018.

Download

Sample 1: Hospital at Home Consent Form

Last Updated: January 31, 2021

Sample patient consent form form Hospital at Home – any consents should be reviewed by the legal counsel and compliance teams at your institution.

Download

Sample 2: Hospital at Home Consent Form

Last Updated: January 31, 2021

Sample patient consent form form Hospital at Home – any consents should be reviewed by the legal counsel and compliance teams at your institution.

Download

Developing an Informational Video for Your HaH Program

Last Updated: April 18, 2025

A patient-facing informational video about your Hospital at Home service is a key component of an effective patient uptake and awareness strategy. If a patient or caregiver requests more information while considering participating in HaH, a short video that introduces and defines HaH care, provides an overview of the patient experience, and outlines the benefits can be shared via email or text or in-person on a tablet. Some people may find watching videos more engaging and accessible than reading hand-outs or brochures.

Below are some great examples developed by Users Group Members:

Tips for Creating Your Own Video

When developing a video with your health system or hospital’s marketing team, here are some key things think about:

  1. Feature real patient stories and testimonials. Highlighting real patients and caregivers builds credibility for the care model and allows prospective patients to imagine themselves receiving care through HaH. Include clips of patients and caregivers describing the experience of receiving acute care at home in their own words – how it works, what they liked, what they thought of the staff, etc. Scenes of patients receiving care and interacting with staff are powerful visuals. (See the examples above.)
  2. Consider including program leaders and clinicians. Like patient testimonials, the real people powering the service are often best at describing why it works; they can speak to the details and know what resonates with patients.
  3. Shorter is better. Keep the video concise. Aim for two to three minutes, and certainly no longer than five minutes.
  4. Speak to the intended audience. Since this is a patient-facing video, don’t be too technical, and define the model in easy-to-understand terms. Talking points to consider:
    • Hospital at Home care provides the same quality of care that patients would receive in the hospital. Outcomes for HaH patients are as good, if not better than, outcomes for patients cared for in bricks and mortar settings.
    • Patients will have clinicians in the home at least twice daily, and the care team is available around the clock. Customize this information to fit your program staffing structure and be specific about what folks can expect.
    • Underscore the patient benefits of HaH care. Frequently, patient testimonials express that they are glad to sleep in their own bed; to receive care while remaining in the community, surrounded by family, friends and their pets; and to avoid the disruption and discomfort associated with a hospital stay, among other benefits.
  5. Seek out additional opportunities to share. To increase public awareness about Hospital at Home in your market, share your video on your Hospital at Home website and via your health system’s social media channels.

Patient Acquisition/Average Daily Census (Integris OK/Medically Home)

Last Updated: March 28, 2022

Webinar slides on Integris OK/Medically Home’s Hospital @ Home’s program startup and patient acquisition process, with a focus on average daily census. Originally presented to Hospital at Home Users Group Members in a webinar on March 23, 2022.

Download
Back to Technical Assistance Center
Back To Top