Home Hospital and the Brigham Experience

3:00 - 3:50 PM
The Brigham is an international leader in providing acute care at home, known as the “home hospital.” Learn about Brigham’s multidisciplinary service from a multiplicity of perspectives, all of whom play an integral role in providing high-value acute care at home.

ABOUT THE SESSION

The type of specialized and life-saving care that, throughout history, has been rooted behind hospital walls is now making its way into our homes. How does this move from hospital to home affect our patients? How will it change the future of healthcare? Experts in home hospital innovation will join this panel discussion to discuss the benefits, unique challenges, and areas for growth in decentralized home-based acute care.

CHAIR / MODERATOR

David Levine, MD, MPH, MA

Physician, Department of Medicine, Division of General Internal Medicine and Primary Care, Brigham and Women’s Hospital
Instructor in Medicine, Harvard Medical School

PANELISTS

Christopher Baugh, MD, MBA

Vice Chair of Clinical Affairs, Department of Emergency Medicine, Brigham and Women’s Hospital
Associate Professor of Emergency Medicine, Harvard Medical School

Kathryn Britton, MD, MPH

Associate Chief Medical Officer, Department of Medicine, Division of Cardiology, Brigham and Women’s Hospital
Instructor in Medicine, Harvard Medical School

Joanne Feinberg Goldstein, JD

Patient

Amrita Chabria Shahani, PharmD, MS

Manager, Outpatient Pharmacy Services, Department of Pharmacy, Brigham and Women’s Hospital

Speakers

Amrita Chabria Shahani, PharmD, MS

Manager, Outpatient Pharmacy Services, Department of Pharmacy, Brigham and Women’s Hospital

Amrita Chabria Shahani, PharmD, MS is the Manager of the Outpatient Pharmacies at Brigham and Women’s Hospital (BWH). During her time at BWH, Amrita has implemented a Bedside Medication Delivery program, been involved in various research studies to enhance patient adherence, began a medication synchronization service, Shingrix services and glucometer/nasal narcan teaching service for inpatients at the bedside. Her practice goals include improving medication adherence, enhancing pharmacy operations and workflow and improving patient outcomes. Amrita received her PharmD degree from Northeastern University, MS from University of Houston and completed residency training at St. Luke’s Episcopal Hospital in Houston, TX.

Christopher Baugh, MD, MBA

Vice Chair of Clinical Affairs, Department of Emergency Medicine, Brigham and Women’s Hospital
Associate Professor of Emergency Medicine, Harvard Medical School

Dr. Baugh is the Vice Chair of Clinical Affairs of the Department of Emergency Medicine at Brigham & Women’s Hospital and Associate Professor of Emergency Medicine at Harvard Medical School. Dr. Baugh trained in Emergency Medicine at Brigham and Women’s & Massachusetts General Hospitals’ combined residency program, focusing his career in Observation Medicine and accelerated diagnostic pathways during this time. He became medical director of the ED observation unit in 2009, launched a second one in 2014, and opened and directed the Brigham’s urgent care center in Foxborough, MA between 2011 and 2015. From 2015 through 2018 he served as the Medical Director of the Department of Emergency Medicine. He has published on the clinical and administrative aspects of observation care in the New England Journal of Medicine, Health Affairs, Annals of Emergency Medicine and Academic Emergency Medicine. He recently served as Chair of the Observation Medicine Section of the American College of Emergency Physicians.

David Levine, MD, MPH, MA

Physician, Department of Medicine, Division of General Internal Medicine and Primary Care, Brigham and Women’s Hospital
Instructor in Medicine, Harvard Medical School

David Levine, MD, MPH, MA, is a practicing general internist and clinician-investigator at Brigham Health and Harvard Medical School. He is active in clinical and translational research through a focus on optimizing quality time at home by shifting care home, decentralizing care, digital health technology, and measuring the quality and experience of health care. He sees his role as helping patients achieve the right care at the right time in the right place by designing, implementing, and evaluating innovative interaction spaces between a care team, technology, and a patient.

Joanne Feinberg Goldstein, JD

Patient

Joanne Feinberg Goldstein, JD was a recent patient in the Home Hospital Program at the Brigham for which she has enormous gratitude and thanks as it enabled her to recover from a severe medical issue in her own home with superb medical care but little disruption and most importantly enabled her to attend her son’s wedding while being under medical care.

She describes her personal experience with Home Hospital as beyond amazing and of immeasurable benefit to the patient and caregiver and of measurable benefit to the doctors, hospital, insurer and health care system.

Ms. Goldstein has also viewed the Home Hospital Program from a professional lens. As the Massachusetts Secretary of Labor and Workforce Development under Governor Deval Patrick, she regularly addressed the impact of health care and its cost on employers, employees and unions. Prior to holding that position, Ms. Goldstein practiced union side labor law and collectively bargained health care costs and benefits for employees. The Home Hospital Program is a welcome development to the evolution of health care that allows for the same standard of care as hospital patients at the Brigham but with more comfort, less exposure to infections, fewer lab test and lowers costs. She hopes to see this program expand and become more available to a greater number of patients.

Kathryn Britton, MD, MPH

Associate Chief Medical Officer, Department of Medicine, Division of Cardiology, Brigham and Women’s Hospital
Instructor in Medicine, Harvard Medical School

Kathryn Britton, MD, MPH, is associate chief medical officer, a position she assumed on Oct. 1, 2016, and a practicing cardiologist in the Division of Cardiovascular Medicine. She also is the medical director of Care Transitions in the Department of Quality of Safety.

In that role, Britton is charged with enhancing the quality of care for patients as they transition through the care continuum. Some specific examples of this work include efforts to improve the quality and coordination of post-acute care and to reduce preventable readmissions. As ACMO, Britton, who has led numerous care redesign initiatives, will provide critical leadership in redesigning the continuum of care, and implementing an advanced operating model from pre-admission to post-acute care. She will be responsible for working closely with multiple stakeholders at BWH to design and implement an advanced operating model and maintaining focus on clinical and educational excellence. Britton received her medical degree from Columbia University College of Physicians and Surgeons.

She began her career at BWH as a resident in Internal Medicine in 2002, after which she completed a fellowship in Cardiovascular Medicine at Boston Medical Center and returned to BWH to serve as chief resident in 2006. She subsequently completed a fellowship in Vascular Medicine at BWH and earned a MPH from Harvard School of Public Health. She is board certified in Cardiovascular Medicine.