SHM Converge Scientific Abstract ePoster Gallery-Embedding Hospital at Home Into Health System Operations: Leveraging a Clinical Command Center

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The document describes how Mount Sinai Health System embedded its Hospitalization at Home (HaH) program into a 24/7 Clinical Command Center (CCC) to better align decentralized home-based care with broader hospital operations.<br /><br />The CCC functions as a centralized multidisciplinary hub that manages real-time bed capacity, patient transfers, safety alerts, tele-consult coordination, and discharges to post-acute facilities. By integrating HaH into this systemwide workflow, the program improved throughput, referral volume, and coordination.<br /><br />Key results included:<br />- 726 patients referred by the CCC’s Central Hospitalist between January and May 2025<br />- 36% of HaH patients were identified and admitted while still in the Emergency Department, enabling earlier intervention<br />- Expanded access to tele-consults across 22 service lines in 12 specialties, including cardiology, dermatology, endocrinology, hematology, infectious disease, nephrology, nutrition, rheumatology, and wound care<br /><br />The authors conclude that partnering HaH with a Clinical Command Center strengthens integration within the health system, supports scalability, and improves efficiency. Important lessons include the value of real-time collaboration with throughput teams, early patient identification through data-driven workflows, and robust consult and transportation infrastructure.<br /><br />Overall, embedding HaH operations into real-time systemwide decision-making helped improve patient throughput, increase referrals, enable earlier admissions, centralize transportation home, and broaden specialty support.

Asset Subtitle

Jeffrey Epstein

Meta Tag

Author List Jeffrey Epstein, Tuyet-Trinh Truong

Category Research

Concept Clinical Command Center

Concept Home-Based Acute Care

Concept Health System

Concept Throughput

Concept Care Efficiency

Distinguished Non-Finalist

Presenter Organization Mount Sinai Hospital

Presenting Author Jeffrey Epstein

Track Quality Improvement

Keywords

Hospitalization at Home

Clinical Command Center

health system integration

patient throughput

real-time coordination

Emergency Department admission

tele-consults

bed capacity management

post-acute discharge

multidisciplinary care

Clinical Command Center

Home-Based Acute Care

Health System

Throughput

Care Efficiency