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ChristianaCare Celebrates Milestone of More Than 1,000 Patient Admissions in Innovative Hospital Care at Home Program

Delaware-based health system demonstrates success and impact in this entirely new mode of acute-care delivery

The ChristianaCare Hospital Care at Home program, a national leader in providing acute care in a place most familiar to patients – their own homes – has reached a new milestone with more than 1,000 admissions since opening in December 2021.

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ChristianaCare’s innovative program enables patients with common chronic conditions, such as congestive heart failure and diabetes complications, as well as infections like pneumonia, to receive hospital-level care at home through virtual and in-person care provided by a team of physicians, nurse practitioners, paramedics and others. Technology kits deployed to patient homes ensure round-the-clock access to a health care professional, along with twice daily visits from caregivers, medication deliveries and mobile laboratory services.

“This program is a wonderful example of how ChristianaCare is building a better health care system and meeting people’s health care needs through innovation, collaboration and an unwavering commitment to providing the very best care for the people we serve,” said Janice E. Nevin, M.D., president and CEO of ChristianaCare.

“We are proud to be at the forefront of hospital care at home nationally, through the collaboration with leaders like Sen. Tom Carper of Delaware, who has championed this new model of care at the federal level; Medically Home, which partnered with ChristianaCare to help us design a program that best meets the needs of the communities we serve; and our own health professionals – we call them caregivers – whose expert care and coordination make this all possible. Together, we are creating health so that people can flourish.”

‘Just amazing’ for patients

Patients are evaluated for the hospital care at home program when they come to Wilmington or Christiana hospital emergency departments. Those who can be treated at home receive a technology kit that connects them to the command center, powered by the ChristianaCare Center for Virtual Health. With a touch of a button, they can access an expert team of ChristianaCare doctors and nurses. But hospital care at home isn’t just virtual care—the technology supports an entire care team that works inside the patient’s home and remotely to provide optimal support at all times—just like in a hospital.

Carol Bieber, whose 98-year-old father, Bill, has been a hospital care at home patient, sees the difference it makes for him to wake up in his own bed, sit in his own living room and still get the care he needs to get better.

“The whole hospital care at home experience is really calm and easy and familiar to him,“ said Bieber, who lives in Newark. “My dad is a people person, so to be able to connect with everybody who comes in to see him or talk to him on the screen is just amazing.”

Innovative solutions for in-home care

ChristianaCare’s Hospital Care at Home program was developed in 2021 after the Centers for Medicaid & Medicare Services (CMS) began the Acute Hospital Care at Home waiver program to allow Medicare beneficiaries to receive acute-level health care services in their home.

U.S. Sen. Tom Carper, who represents Delaware, worked to pass the bipartisan Hospital Inpatient Services Modernization Act in 2023 that extended this program. Last month. Sen. Carper introduced the bipartisan At Home Observation and Medical Evaluation (HOME) Services Act that would expand this lifesaving and cost-saving program.

“Hospital at Home – which grew out of the COVID pandemic – was an opportunity for us to meet seniors where they are,” Sen. Carper said. “It has delivered positive outcomes, higher patient satisfaction, and saves money. That is why when this program was about to go away with the end of the COVID public health emergency, I joined my colleagues across the aisle to extend the program for two more years.  Today, especially as we celebrate the success of the program in Delaware with ChristianaCare, I’m encouraged that we can further extend that program!”

Sarah E. Schenck, M.D., FACP, executive director of the ChristianaCare Center for Virtual Health, said the hospital care at home program has yielded lower readmission rates than brick-and-mortar hospitals. In addition, patient experience scores are about three times higher than a national average traditional hospital experience.

“We’ve been conditioned to believe that care only happens within the four walls of a hospital. For our patients who have loved ones at home or their pets, a favorite chair or favorite food, they’re now able to have all of that as they heal,” Schenck said.

“Once our patients have experienced this, what we hear from them is that they are truly grateful.”

Promoting healing – at home

Helping patients recover in their homes also has been transformational for caregivers who get to see a different side of their patients and better understand what they need to successfully recover.

“I can’t express how much I enjoy the patients and their families,” said Heather Orkis, a paramedic with the hospital care at home program.

“To be able to enjoy the family and see these people get better in their own homes, with their families, their grandkids, their dogs, their cats – it’s just a completely different kind of medicine.”

For Bill Bieber’s family, hospital care at home is more than health care.

“It’s just the best thing ever,” Carol Bieber said.

For more information about the ChristianaCare Hospital Care at Home program, click here or call 302-956-1008.


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About ChristianaCare

Headquartered in Wilmington, Delaware, ChristianaCare is one of the country’s most dynamic health care organizations, centered on improving health outcomes, making high-quality care more accessible and lowering health care costs. ChristianaCare includes an extensive network of primary care and outpatient services, home health care, urgent care centers, three hospitals (1,430 beds), a freestanding emergency department, a Level I trauma center and a Level III neonatal intensive care unit, a comprehensive stroke center and regional centers of excellence in heart and vascular care, cancer care and women’s health. It also includes the pioneering Gene Editing Institute.

ChristianaCare is nationally recognized as a great place to work, rated by Forbes as the 2nd best health system for diversity and inclusion, and the 29th best health system to work for in the United States, and by IDG Computerworld as one of the nation’s Best Places to Work in IT. ChristianaCare is rated by Healthgrades as one of America’s 50 Best Hospitals and continually ranked among the nation’s best by U.S. News & World Report, Newsweek and other national quality ratings. ChristianaCare is a nonprofit teaching health system with more than 260 residents and fellows. With its groundbreaking Center for Virtual Health and a focus on population health and value-based care, ChristianaCare is shaping the future of health care.