The Hospital in the Home (HITH) service provides hospital-level care for patients in their home environment. It is a safe and efficient substitution for acute in-hospital care for a wide range of conditions.

Hospital in the Home (HITH) is the provision of hospital care in the comfort of the person's own home, or other suitable environment.

Patient's are regarded as hospital inpatients and remain under the care of their treatment doctor in the hospital, receiving the same treatment as they would staying in hospital. A 'home' could be the patient's own house, a hotel, a residential aged care facility or a family member’s or friend’s home.

The HITH team works closely with the referring patient's medical unit, patient and relevant carers or family members to develop a realistic plan of treatment and care of the patient in their home. The HITH nurses provide acute nursing care in the home, which involves support via a 24 hour on-call service, education and advice for the patient and their carer. Discharge planning is also implemented in consultation with the referring unit, GP and appropriate community based services. There is no cost to patients for receiving HITH care.

Hospital in the Home provides:

  • Intravenous infusions including antibiotics - for cellulitis, respiratory infections, deep vein thrombosis (DVT)
  • Anticoagulant therapy
  • Post surgical
  • Complex wound dressings
  • Diabetes management

Eligibility

Patients must meet the following criteria in order to be considered eligible for Hospital in the Home:

  • They require acute in-patient services but are medically stable enough to be treated at home
  • The patient lives within the RMH catchment area (refer to the map below)
  • A good support network (family / carer) is available for the patient
  • Their home is suitable (a routine risk assessment is carried out with all patients)
  • The patient has access to a phone
  • There is a medical request / approval for transfer
  • The care required is clearly defined including a clear diagnosis and full past medical / surgical history
  • There is a clear end date for the proposed HITH treatment
  • The patient chooses to enter the program voluntarily

RMH HITH supports a variety of diagnoses and treatment at home.

Special referral instructions

For more information about referrals, contact the HITH Coordinator.

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