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The unique role of the social worker within the Hospital at Home care delivery team
Social Work in Health Care  (IF1.602),  Pub Date : 2021-03-01, DOI: 10.1080/00981389.2021.1894308
Helena Ross, Ryan Dritz, Barbara Morano, Sara Lubetsky, Pamela Saenger, Audrey Seligman, Katherine A. Ornstein


Hospital at Home (HaH) provides acute, hospital-level care at home and post-discharge follow-up. Through a review of 293 HaH admissions conducted by an urban, multidisciplinary HaH program from 2014 to 2017, we find that the social worker is involved in 71% of admissions and plays a crucial role in pre-emergency department discharge home care and safety screening, home intake, follow-up support, and transition of care to primary care providers and community-based services. We describe the social work activities involved in this model of care and present composite case studies for further illustration.