Enhancing utilisation of Hospital in the Home for intravenous diuretic therapy: a retrospective study of barriers and estimated bed substitution in general medicine inpatients with decompensated heart failure

In our health service, general medicine patients are rarely referred to HITH for IV diuresis for decompensated HF. Overcoming barriers relating to the ability of the model of care to support greater acute medical complexity could result in increased utilisation of HITH and deliver a significant reduction in brick-and-mortar hospital bed-day utilisation.