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Los Angeles General presents 'Safer at Home' program to HCAI board, cites shorter stays and net savings for safety‑net patients
Summary
Los Angeles General Medical Center presented its Safer at Home virtual acute‑care program to the Department of Health Care Access and Information board, reporting shorter hospital stays, no reported deaths at home in its COVID-era cohort, and a first‑year net savings of about $6 million for a largely Medicaid/uninsured population. OCA staff noted it did not independently verify the hospital's data.
Los Angeles General Medical Center told the Department of Health Care Access and Information advisory board that its Safer at Home program, a nursing‑led virtual alternative to inpatient care, reduced hospital length of stay and produced net savings while maintaining similar short‑term clinical outcomes.
Dr. Brad Spellberg, chief medical officer at Los Angeles General, said the program began in March 2020 to safely manage patients with COVID pneumonia at home when the hospital faced severe capacity constraints. “We cared for more than 4,000 COVID pneumonia patients over a three‑year period using this program, and not 1 died at home. 0,” Spellberg said during the presentation. The team said the program was later expanded beyond COVID to include heart failure, selected infections, high‑dose oral steroid regimens for neurologic flares and other diagnoses.
The presenters…
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