Clinical Practice: Can We & Should We Admit Patients Directly to Hospital-at-Home Without a Prior ED Visit? | WHAHC Congress Catch-Up
WHAHC: The World Hospital at Home PodcastShow Notes
In this episode of WHAHC Congress Catch-Up, we unpack key insights from the WHAHC 2025 symposium “Clinical Practice: Can We & Should We Admit Patients Directly to Hospital-at-Home Without a Prior ED Visit?” Chaired by Dr. Rachel Choe (Alexandra Hospital, Singapore), this thought-provoking session featured four real-world case studies from Singapore’s healthcare system.
The session explored how Hospital at Home (HaH) programs are successfully admitting patients straight from nursing homes, primary care, transitional care, and even newborn clinics—bypassing the emergency department altogether.
You’ll also hear about: • Singapore’s data showing that frail older adults can be safely admitted directly from the community• A pediatric jaundice program offering newborn phototherapy at home with 24/7 support• A virtual care model for nursing homes reducing ED transfers by over 60%• A transitional care pathway that enables seamless direct HaH admission for complex patients• The role of trust, training, and regulation in scaling these models effectively
This episode offers practical lessons and strategic inspiration for clinicians, program developers, and healthcare leaders seeking scalable, patient-centered alternatives to hospital admission—especially for vulnerable populations.
This podcast was created using AI to provide a quick and insightful summary of a WHAHC 2025 session. While every effort has been made to ensure accuracy, listeners are encouraged to refer to original Congress materials and recordings for detailed information.
The World Hospital at Home Congress, WHAHC 2025, took place on 27–29 March 2025, in Vienna, Austria.
For more information visit https://whahc.kenes.com/
More from WHAHC: The World Hospital at Home Podcast
In this episode of WHAHC Congress Catch-Up, we focus on one of the most critical enablers of Hospital at Home (HaH) success: education, training, and workforce readiness. Drawing from the WHAHC 2025 symposium “Building a World-Class Hospital-at-Home Team Through Experience, Interactive Education & Training,” chaired by Karen Titchener (Maribel Health, USA), this session explored how leading programs in the U.S. and U.K. are preparing clinicians to deliver acute, hospital-level care safely and confidently in patients’ homes. You’ll also hear about: • Why HaH requires a fundamental mindset shift—from team-based hospital care to autonomous decision-making in unpredictable home environments • How long-standing U.K. programs embed HaH training into medical and nursing career pathways through structured rotations and cross-setting experience • The role of simulation-based education—including “real home” scenarios that test safety awareness, communication, and critical thinking • Maribel Health’s four-stage blended learning model, combining didactics, skills training, high-fidelity simulation, and ongoing mentorship • Compelling evidence that targeted coaching and communication training can rapidly increase HaH admissions and program sustainability • The future of HaH education, including adaptive learning platforms, VR/AR simulation, and AI-enabled clinical support This episode is essential listening for educators, clinical leaders, and program builders designing scalable, high-quality HaH services—where autonomy, trust, and human-centered care are as important as clinical expertise. This podcast was created using AI to provide a quick and insightful summary of a WHAHC 2025 session. While every effort has been made to ensure accuracy, listeners are encouraged to refer to original Congress materials and recordings for detailed information. The World Hospital at Home Congress, WHAHC 2025, took place on 27–29 March 2025, in Vienna, Austria. For more information visit https://whahc.kenes.com/
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In this episode of WHAHC Congress Catch-Up, we move beyond clinical success to tackle the next great challenge for Hospital at Home (HaH): scaling up and sustaining programs as part of mainstream healthcare systems. Drawing from the WHAHC 2025 session “Scaling HaH”, chaired by Itamar Offer (Founder and Co-Chair of WHAHC), this episode brings together powerful lessons from Singapore, France, Israel, and the United States on what it really takes to turn small pilots into permanent system-wide models of care.
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