{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T16:08:19Z","timestamp":1782490099193,"version":"3.54.5"},"reference-count":13,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T00:00:00Z","timestamp":1770163200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T00:00:00Z","timestamp":1770163200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000886","name":"Duke Endowment","doi-asserted-by":"publisher","award":["6993\u2010SP"],"award-info":[{"award-number":["6993\u2010SP"]}],"id":[{"id":"10.13039\/100000886","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["shmpublications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Hospital Medicine"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The recent Acute Hospital Care at Home (AHCaH) initiative has increased Hospital\u2010at\u2010Home (HaH) access and utilization, but it is unknown how care delivery differs between AHCaH\u2010compliant HaH programs and brick\u2010and\u2010mortar (BaM) inpatient care\u2014specifically for common, costly hospital conditions like chronic obstructive pulmonary disease (COPD). In this retrospective cohort study, we compared management and outcomes for adults hospitalized with COPD treated in HaH and BaM settings in 2022. We analyzed EHR data from 297 adults who were eligible for HaH, including 119 who remained in BaM and 178 in HaH. HaH patients had higher likelihood of orders for supplemental oxygen (risk ratio [RR]: 1.04, 95% confidence interval [CI]: 1.01\u20131.09) and bronchodilators (RR: 1.12, 95% CI: 1.04\u20131.20), compared to BaM. HaH patients also had higher mean 30\u2010day acute care\u2010free days alive (mean ratio [MR]: 1.04, 1.01\u20131.08). Our findings suggest similar or improved guideline\u2010directed therapy and outcomes for COPD patients treated in HaH.<\/jats:p>","DOI":"10.1002\/jhm.70277","type":"journal-article","created":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T07:45:24Z","timestamp":1770277524000},"page":"645-649","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Hospital\u2010at\u2010home for COPD: A retrospective comparison with brick\u2010and\u2010mortar settings"],"prefix":"10.1002","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8030-6058","authenticated-orcid":false,"given":"Hieu M.","family":"Nguyen","sequence":"first","affiliation":[{"name":"Center for Health System Sciences, Atrium Health Charlotte North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2624-4209","authenticated-orcid":false,"given":"Marc","family":"Kowalkowski","sequence":"additional","affiliation":[{"name":"Center for Health System Sciences, Atrium Health Charlotte North Carolina USA"},{"name":"Department of Internal Medicine, Section of Hospital Medicine Wake Forest University School of Medicine, Atrium Health Winston Salem North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy C.","family":"Hetherington","sequence":"additional","affiliation":[{"name":"Advanced Analytics, Atrium Health Charlotte North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"McKenzie","family":"Isreal","sequence":"additional","affiliation":[{"name":"Center for Health System Sciences, Atrium Health Charlotte North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Murphy","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Atrium Health Charlotte North Carolina USA"},{"name":"Medically Home Group, Inc. Boston USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,4]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/ehjopen\/oeab001"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2023.11.040"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.11568"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.7326\/M23-2264"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2018.2562"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-024-08931-3"},{"key":"e_1_2_8_8_1","unstructured":"Centers for Medicare and Medical Services (CMS). Report on the Study of the Acute Hospital Care at Home Initiative. Accessed June 30 2025.https:\/\/qualitynet.cms.gov\/acute-hospital-care-at-home\/reports"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.19427"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhm.70107"},{"key":"e_1_2_8_11_1","unstructured":"Global Initiative for Chronic Obstructive Lung Disease (GOLD).Global Strategy for the Diagnosis Management and Prevention of Chronic Obstructive Pulmonary Disease Report;2023. Accessed November 6 2024.https:\/\/goldcopd.org\/2023-gold-report-2\/"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwh090"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-024-11970-5"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2022.11.006"}],"container-title":["Journal of Hospital Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/shmpublications.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jhm.70277","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/shmpublications.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jhm.70277","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/shmpublications.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jhm.70277","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T10:07:24Z","timestamp":1780394844000},"score":1,"resource":{"primary":{"URL":"https:\/\/shmpublications.onlinelibrary.wiley.com\/doi\/10.1002\/jhm.70277"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,4]]},"references-count":13,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1002\/jhm.70277"],"URL":"https:\/\/doi.org\/10.1002\/jhm.70277","archive":["Portico"],"relation":{},"ISSN":["1553-5592","1553-5606"],"issn-type":[{"value":"1553-5592","type":"print"},{"value":"1553-5606","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,4]]},"assertion":[{"value":"2025-07-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-13","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-04","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}