Capital Health: Healthcare Beyond the Acute-Care Hospital

SUMMARY: Capital Health, a regional health system headquartered in Trenton, New Jersey, is currently facing high utilization of its inpatient services and an increasing patient demand for more convenient care. The hospital system needs to consider all avenues to improve quality and efficiency of care as it prepares for future reimbursement models that will increasingly shift risk from payers to hospitals. Capital Health's multipronged strategy to address these pressures includes implementing a hospital at home program, opening a micro hospital, and expanding its remote patient monitoring program, while also examining the opportunities for an ambulatory hospital-at-home program and the Centers for Medicare & Medicaid Services ACCESS Model (Advancing Chronic Care with Effective, Scalable Solutions) for technology-supported care.