Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2025 Oct;20(10):1140-1144.
doi: 10.1002/jhm.70107. Epub 2025 Jun 29.

Collaborative development of a rules-based electronic health record algorithm for Hospital-at-Home eligibility

Affiliations

Collaborative development of a rules-based electronic health record algorithm for Hospital-at-Home eligibility

Tsai-Ling Liu et al. J Hosp Med. 2025 Oct.

Abstract

Identifying appropriate patients for hospital at Home (HaH) is challenged by the extensive inpatient population, the dynamic nature of hospitalizations, and the eligibility window for entry into the care model. This study presents the development of a rules-based algorithm (RBA) leveraging electronic health record (EHR) data to improve HaH patient identification, which is crucial for efficient HaH operations. RBA adjustments incorporated clinician feedback to align analytics resources and enhance clinical workflows. Our study highlights the importance of interdisciplinary collaboration and the potential for analytics to optimize efficiency for emerging care models.

PubMed Disclaimer

References

REFERENCES

    1. Chua CMS, Ko SQ, Lai YF, Lim YW, Shorey S. Perceptions of hospital‐at‐home among stakeholders: a meta‐synthesis. J Gen Intern Med. 2022;37(3):637‐650. doi:10.1007/s11606-021-07065-0
    1. Brody AA, Arbaje AI, DeCherrie LV, Federman AD, Leff B, Siu AL. Starting up a Hospital at Home program: facilitators and barriers to implementation. J Am Geriatr Soc. 2019;67(3):588‐595. doi:10.1111/jgs.15782
    1. Pati S, Thompson GE, Mull CJ, et al. Improving patient selection and prioritization for Hospital at Home through predictive modeling. AMIA Annu Symp Proc. 2022;2022:856‐865.
    1. Sitammagari K, Murphy S, Kowalkowski M, et al. Insights from rapid deployment of a “virtual hospital” as standard care during the COVID‐19 pandemic. Ann Intern Med. 2021;174(2):192‐199. doi:10.7326/M20-4076
    1. Maniaci MJ, Torres‐Guzman RA, Avila FR, et al. Development and evaluation of best practice advisory alert for patient eligibility in a hospital‐at‐home program: a multicenter retrospective study. J Hosp Med. 2024;19(3):165‐174. doi:10.1002/jhm.13275

LinkOut - more resources