Bringing Heart Care Home: Management of Acute Cardiovascular Pathologies in the Home Hospital.

Abstract

The Home Hospital (HH) model delivers hospital-level acute care in patients' homes, offering a scalable, patient-centered alternative to traditional brick-and-mortar (BAM) facilities. By integrating multidisciplinary teams, remote monitoring, and tailored interventions, HH reduces hospital length of stay, enhances patient satisfaction, and lowers healthcare costs. Despite these benefits, universally established diagnosis-specific management guidelines remain limited, leading to variability in care delivery. Current practices rely on clinical experience and governing protocols, but structured HH pathways must be developed based on system-dependent resources and infrastructure. Standardizing care in HH will allow to ensure patient safety, optimize clinical outcomes, and expand access to acute care beyond conventional hospital settings. This article outlines a blueprint for acute cardiac care in HH, focusing on heart failure, atrial arrhythmias, and venous thromboembolism while emphasizing the critical role of patient selection, recruitment strategies, management protocols, and escalation criteria.