Thursday 14 August 2025 | 14:05-15:05 

Format: Presentation

Stream: Populations

Part 1: Scaling Hospital-at-Home: Ensuring Quality and Safety during Growth

This session explores how hospital-at-home programmes can scale rapidly while maintaining high standards of quality and safety. Singapore will present its journey in evolution and scaling of hospital-at-home locally, alongside strategies for balancing growth with patient safety and operational efficiency. Melbourne will share insights from their use of a digital algorithm embedded in their electronic health record for real-time identification of patients suitable for hospital-at-home and impact on patient uptake and outcomes. The discussion will focus on practical strategies to ensure safe, high-quality care while supporting programme expansion.

Key session outcomes:

1. Apply strategies for scaling hospital-at-home programs while ensuring safety and quality.
2. Draw from international case studies to inform their own hospital-at-home initiatives.
3. Understand how patient-reported measures shape care models and operational decisions.

Stephanie Ko National University Hospital; Singapore
Seok Ming Lim Royal Melbourne Hospital; Australia

Part 2: Innovating to Build a Culture of @Home Care: Redesign Ideas and Lessons Learned

Health systems must deliver high quality consumer outcomes and experiences but are under pressure from rising demand and increasing capital costs. Turning toward innovative @home care delivery models is one way health services can meet these challenges now and into the future. Eastern Health (Melbourne, Australia) has progressed on a journey toward a culture that places high value on @home care over recent years. This session will present a series of change ideas and lessons learned that have driven sustained growth in @home care (both admitted and non-admitted), reduced clinically avoidable readmissions and a delivered strategically aligned organisation that promotes @home care. Delegates will hear what has worked – clinician empowerment, pathway development, digital enablement and sector partnerships – and will also learn from some ideas that did not do as planned.

Key session outcomes:

1. Reflect on the strategic importance of @home care in their health service context
2. Take away concepts/improvement initiatives that will support enhanced care outside of the ward environment
3. Consider examples of service redesign that build @home capacity to address capital costs, while maintaining high quality patient outcomes and experiences.

James Campbell Eastern Health; Australia
Penny Gaskell Eastern Health; Australia