Hospital Substitution


Hospital Substitution


Supporting and enabling people to recover at home with hospital-level services makes sense on many levels. People generally prefer to receive treatment in the comfort and privacy of their own home and they recover better and faster than when they stay in hospital.

The benefits* don’t stop there. For funders of healthcare and those tasked with managing healthcare costs (such as insurers, government and hospital groups), appropriate in-home hospital care offers:

  • A lower cost alternative to inpatient care.
  • High patient satisfaction.
  • Patient outcomes equal to or better than hospital.
  • Faster patient recovery.
  • Often shorter treatment periods.
  • Fewer complications (such as cross-infection).
  • A reduction in the need for costly additional inpatient supervision when patients experience confusion and delirium due to unfamiliar surroundings.

In-home hospital care enables better bed management in public and private hospitals, reserving inpatient stays for those who really need to be there.

Vitalis works with hospitals, private health insurers, workers compensation insurers, government, clubs and corporates to deliver high-quality in-home hospital care to patients across the Sydney metropolitan area.

Vitalis in-home hospital care services include:

  • Hospital in the Home (HITH)
  • Cancer treatments in the home
  • Infusion therapy
  • Palliative and end-of-life care
  • Rehabilitation-in-the-Home (RITH)

Vitalis in-home hospital services are provided wherever patients live: at home, in an assisted living facility, or in a residential care facility.

To ensure quality control of clinical outcomes, clinical services are delivered by Vitalis’ skilled team of Registered Nurses, under the direction of the patient’s treating doctor.

Vitalis maintains comprehensive clinical governance and is accredited by the Australian Council on Healthcare Standards (ACHS) to provide acute clinical services in the home.

* In an extensive meta-analysis of randomised controlled trials comparing HITH with in-hospital care, it was unequivocally demonstrated that HITH is the safer and more efficient option. The study showed patients receiving HITH experienced a 19% reduction in mortality, a 23% reduction in readmission to hospital, and high patient and carer satisfaction compared with in-hospital care. Costs were also significantly lower: Caplan et al, ‘A Meta-Analysis of ‘Hospital in the Home’, Medical Journal of Australia 197(9): 512-9, 2012; see also: Deloitte Access Economics, ‘Economic Analysis of HITH’, 2011.

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