Patient_at_home

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Welcome to the Patient at Home Wiki.

Patient at Home is a Data Innovation project that aims to expand and digitalize hospital‑at‑home (HAD) care in Belgium. The project seeks to enable patients to receive high‑quality clinical follow‑up in the comfort of their own homes, while ensuring safe, coordinated and continuous care across all lines of the healthcare system.

The initiative supports the shift toward a more integrated, digitally‑supported care model, in which hospitals, home‑care teams, primary‑care professionals, and the patient collaborate through a shared platform and standardized care pathways.

Objectives:

To structurally enable hospital‑at‑home care through a shared digital platform, improving continuity of care, reducing avoidable hospital stays, and strengthening patient empowerment.
Create a transparent, multidisciplinary care pathway for home follow‑up after hospitalization or for chronic conditions.
Strengthen collaboration between hospitals, GPs, home nurses, and residential care facilities.
Reduce hospital length of stay by enabling safe home monitoring supported by digital tools.
Facilitate early detection of risks through remote parameter tracking and questionnaires.
Test interoperability with hospital EHRs and the national eHealth ecosystem (FHIR, CareSets).
Support multidisciplinary care teams with automated alerts and optimized prioritization.
Promote patient empowerment through digital communication and teleconsultations.

The project was coordinated by Kathaline Gillis (kathaline.gillis@chwapi.be) and Elodie Wannez (elodie.wannez@chwapi.be).