The document discusses various "home-spital" solutions that bring aspects of hospital care into the home. It describes diagnostic tests that can be done at home like sample testing, home imaging, and sleep testing. It also outlines hospital-to-home solutions such as early discharge programs, palliative care, and surgeries being done at home. Mental health services are expanding to include cognitive testing, online therapy, and virtual reality therapy in the home as well. Market analyses are also presented for different remote monitoring and home-based care options that aim to reduce hospital admissions and healthcare costs.

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Homespital
Bregje van den Heuvel

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THE NETHERLANDS

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RADBOUD UNIVERSITY

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110 Years of forward thinking
9,000 Leaders of Impact
CANADA’S LARGEST
DIVERSIFIED HEALTHCARE
COMPANY & SOCIAL
ENTERPRISE
20,000 Home visits a day
SE HEALTH

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HOME IS WHERE THE HEALTH IS

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GLOBAL SCAN Which ‘home-spital’ solutions are currently possible?
CATEGORIES
SOLUTION OVERVIEW
DIAGNOSTICS
AT HOME
HOSPITAL-
TO-HOME
INFUSION
SERVICES
OTHERMENTAL
HEALTH

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DIAGNOSTICS AT HOME

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DIAGNOSTICS AT HOME
- Sample testing
- Home imaging
- Phlebotomy
- Sleep testing
- Vision testing

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DIAGNOSTICS AT HOME
- Sample testing
- Home imaging
- Phlebotomy
- Sleep testing
- Vision testing

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DIAGNOSTICS AT HOME
- Sample testing
- Home imaging
- Phlebotomy
- Sleep testing
- Vision testing

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DIAGNOSTICS AT HOME
- Sample testing
- Home imaging
- Phlebotomy
- Sleep testing
- Vision testing

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DIAGNOSTICS AT HOME
- Sample testing
- Home imaging
- Phlebotomy
- Sleep testing
- Vision testing

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DIAGNOSTICS AT-HOME: MARKET ANALYSIS

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MARKET ANALYSIS

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HOSPITAL-TO-HOME

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HOSPITAL-TO-HOME
- Early discharge
- Palliative care
- Reactivation
- Surgery at home
Women’s College Hospital
“Hospital without beds: a hospital
designed to keep people out of the
hospital”

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HOSPITAL-TO-HOME
- Early discharge
- Palliative care
- Reactivation
- Surgery at home
“We cannot change the outcome,
but we can affect the journey” -
Ann Richardson

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HOSPITAL-TO-HOME
- Early discharge
- Palliative care
- Reactivation
- Surgery at home
“Patients feel safe, really benefit
psychologically and the
rehabilitation can be tailored
around everyday life.”

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HOSPITAL-TO-HOME
- Early discharge
- Palliative care
- Reactivation
- Surgery at home
"Instead of bringing the patient to
the operating room, the operating
room is taken to the patient."

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- Home Chemotherapy
- Home Haemodialysis
- Other IV drips
INFUSION SERVICES

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From the past… … to the Future!

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MENTAL HEALTH

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MENTAL HEALTH
- Cognitive testing
- Mental Health Online
- VR therapy

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MENTAL HEALTH
- Cognitive testing
- Mental Health Online
- VR therapy

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MENTAL HEALTH
- Cognitive testing
- Mental Health Online
- VR therapy

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OTHER

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OTHER
- Ambulance drone
- ER Diversion
- Vaccinations at home
- Virtual Trials
- Vital signs monitoring

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OTHER
- Ambulance drone
- ER Diversion
- Vaccinations at home
- Virtual Trials
- Vital signs monitoring

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First 48 hours
Admission diversion program
Day 1:
17.30
Parallel to assessment
and stabilization:
Determination if the
patients’ healthcare
needs can be managed in
the home
Day 1:
14.00
An 85 year old male
presents to ED with
simple cellulitis of the
leg.
Day 1:
19.00
A PSW will meet the
patient in the ED and
travel alongside him to his
home and help them
settle in.
Day 1:
17.30
Assessment,
stabilization and
treatment
Day 1:
19.00
Admittance &
overnight stay
Day X:
Discharge from hospital.
Due to long stay; at risk
for ALC
Day 2-3:
Receive in-home care by
interdisciplinary team up
to 48 hours or until other
homecare can be started.
Normal
journey
First 48
hours

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Frequent flyers
Paramedics prevention program
JAN FEB MAR APR MAY JUN JUL AUG SEPT OCT NOV DEC
Paramedic
visits
Normal
journey
Normal journey
Frequent flyers call 911
up to 90 times a year.
Frequent Flyers Program
With proactive house
visits, the 911 calls are
reduced by 40 percent.

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Dispatch Health
Mobile urgent care program
Normal journey
Patient has to drive to
the ER, average wait
times ~4 hours.
Dispatch Health
Patient request
care through call
or app. Within 1
hour help arrives.

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OTHER
- Ambulance drone
- ER Diversion
- Vaccinations at home
- Virtual Trials
- Vital signs monitoring

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OTHER
- Ambulance drone
- ER Diversion
- Vaccinations at home
- Virtual Trials
- Vital signs monitoring

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OTHER
- Ambulance drone
- ER Diversion
- Vaccinations at home
- Virtual Trials
- Vital signs monitoring

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REMOTE MONITORING: MARKET ANALYSIS

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MARKET ANALYSIS

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GLOBAL SCAN Which ‘home-spital’ solutions are currently possible?
CATEGORIES
SOLUTION OVERVIEW
DIAGNOSTICS
AT HOME
HOSPITAL-
TO-HOME
INFUSION
SERVICES
OTHERMENTAL
HEALTH

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Remote
monitoring
At-home
diagnostics
Virtual Trials
Early
discharge
Palliative care
VR Therapy
PRIME SOLUTIONS

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QUESTIONS?