A8 · Post-acute transitional care
Hospital-at-home bridge visits, coordinated with community paramedic programs
Use community paramedic programs to cover in-person hospital-at-home touches, with structured missions, escalation paths and reporting for the sponsor.
Mission template A8 · Hospital-at-home in-person visit
On scene- Received09:12
Referral raised by hah, Hospital-at-home program enrollment.
- Scheduled10:04
A program covering the address accepts inside the window: Scheduled daily or twice daily per the HaH plan.
- En route13:06
Crew departs; the patient receives an arrival window by SMS.
- On scene14:11
Vitals; IV medications or fluids per order; Labs (point-of-care or draw).
- Completed14:40
Outcome fields recorded (Per HaH order set; Visit completed); referrer notified.
Why this program
Hospital-at-home depends on somebody physically present when the remote team needs eyes, hands or a blood draw. In rural service areas that person is a community paramedic.
The coordination burden is real: a visit inside a defined window, a clear escalation path, and documentation that fits the HaH record rather than a second care plan.
The template is fixed so every referral arrives the same way: a defined trigger, a defined window, a defined skill set, and a defined set of outcome fields. That is what makes the work reportable later without asking crews to write anything twice.
Mission template A8
Hospital-at-home in-person visit · sponsor persona: HaH · window: Scheduled daily or twice daily per the HaH plan · recurring cadence · tele-MD required
Trigger and window
Hospital-at-home program enrollment
Window: Scheduled daily or twice daily per the HaH plan
Skills required: P, RN
Steps
- Vitals
- IV medications or fluids per order
- Labs (point-of-care or draw)
- ECG
- Facilitate MD video visit
Outcome fields
- Per HaH order set
- Visit completed
- Deviation recorded
Escalation and child orders
Per HaH protocol; HaH physician on call
Child orders: Lab specimen courier, DME, Pharmacy. Logistics requests are raised on VectorCare and tracked against the same mission.
What the sponsor sees
The HaH team sees acceptance, arrival and findings without calling around for a crew.
Status moves through received, scheduled, active, and completed, escalated or aborted. Exception statuses notify the referrer rather than waiting to be discovered at the end of the week.
What the program does
The program accepts by capacity and skill, works the HaH order set, and reports only the fields that team needs.
Programs choose which templates they accept, and set their own coverage area and capacity. Nothing is auto-assigned.
What you can measure
- Acceptance time and in-window completion rate
- Escalations raised per 100 bridge visits
- Program coverage across the HaH service area
- Census supported without an additional hire
Figures shown elsewhere on this site are illustrative unless a source is given. Your reporting reflects your own missions.
Rural Health Transformation
This template maps to CMS strategic goals 1 and 4 and 5. Missions, outcome fields and county-level coverage export for state reporting.
DispatchCare is a technology vendor. It does not administer Rural Health Transformation funds.
Questions buyers ask
Hospital-at-home program enrollment. DispatchCare does not receive 911 calls; emergency requests stay in the dispatch system.
Related mission templates
See a mission go from the chart to the home and back.
A 30-minute walkthrough with a coordinator view, a CP program view and the dashboard your sponsor will read.