Hospital at Home (HaH) and Observation Unit at Home (ObsaH) - How it Works

Most patients entering MACT arrive in the Emergency Department for treatment of an acute care situation. In general, patients eligible for care in a MACT program are sick enough to require hospitalization, but meet previously validated medical eligibility criteria to ensure that the program is safe and appropriate for them. Also, patients must live in a stable residence that meets their needs for safety, shelter, and basic utilities and reside within Manhattan.

If MACT concludes that a patient qualifies for admission, the proper category — Hospital at Home or Observation Unit at Home — is designated. Next, after the provider receives written consent from the patient or a family member, he or she writes an admission note, including specific instructions for infusion, and arranges for transportation to the patient’s home.

Back in the home, patients receive hospital-level care from a team of doctors, nurses, and other professionals. This care includes:

  • Daily visits (or more often if needed) from a doctor or nurse practitioner.
  • Home care nurses to check vital signs regularly and administer certain medications, including infusions.
  • Lab services, IV medications, and other equipment or therapy brought directly to the home.
  • On-call service 24 hours a day, seven days a week to respond to any urgent or immediate needs.
  • A social worker to coordinate care and develop a follow-up plan.

Once discharged, the MACT team continues to be available to patients 24/7 for 30 days in case of any emergencies, health concerns, or other issues.