Hospital in the Home (HITH) is clinical care that reduces the length of stay in hospital or in some instances can avoid an admission altogether.A range of clinical conditions can be effectively and safely managed without a person needing to stay in hospital. There is evidence that certain conditions can be well managed through this type of care:
The care received through a Hospital in the Home service is comparable with the care received in a hospital. Some of the benefits for patients include:
Providing this option for patients who are suitable to be treated in HITH saves the patient an unnecessary stay in hospital and makes sure we have beds available for patients who need to be in hospital for their care.
Most HITH services provide care at home, however it is also appropriate for patients to be seen in a clinic.
In NSW we have a number of services delivering HITH care. These services have different names and manage different conditions so it is always best to speak with your doctor about whether this would be an option for you.
Despite these differences, what is the same across NSW is that you can receive high quality acute care without necessarily needing to be in hospital.
Many patients who have received HITH care have said they prefer this option
So... the next time you are at the hospital, ask your doctor or the emergency department specialist if your condition can be treated at home or through an ambulatory clinic. You may be able to receive all or part of your acute care while being able to stay at home.
HITH is a hospital substitution program which means that the person having Hospital in the Home would otherwise have to stay in a hospital. Access is needs based and available regardless of age, diagnosis, disability, geography, culture or gender. The objective is to provide patient centred care as close to home as possible.
The NSW Hospital in the Home (HITH) Guideline has been developed by clinicians to provide clear, standardised guidance to local health districts and specialty networks regarding terminology, key elements and principles of HITH in NSW. They also support local health districts and specialty health networks to develop, evaluate and monitor HITH services to meet local needs.
NSW Health is committed to ensuring that: