Vancouver’s Hospital at Home Program Cares for Surgery Patients

Two weeks after an urgent surgery for bowel cancer, Lulu Leathley is recovering comfortably in her own home, thanks to the innovative Hospital at Home (HAHP) program. This initiative, introduced by Vancouver Coastal Health (VCH) in 2024, allows certain pre- and post-surgery patients to receive care at home instead of in a hospital setting.

Leathley expressed her gratitude for being able to spend the holiday season with her family, stating, “I was able to be at home and have Christmas with my family.” This sentiment reflects the core mission of the HAHP program, which aims to provide quality care in a familiar environment.

The program’s expansion in 2024 now includes patients who live near the hospital and who can be monitored remotely. Pam Papp, director of operations at Vancouver General Hospital, explained that nurses and doctors regularly connect with patients throughout the day. This continuous communication ensures that any concerns are addressed promptly.

Patients are recommended for the HAHP program by their healthcare providers and have 24/7 access to nursing support via virtual consultations or phone calls. According to VCH, the program has successfully treated approximately 600 patients to date and has opened around 6,000 hospital bed days, relieving some pressure from the healthcare system.

The BC Nurses Union has reported high levels of patient satisfaction with such programs, which are particularly valuable in a healthcare system facing significant strain. Adriane Gear, president of the union, commented on the expansion, saying, “This does seem like a bold expansion, and I would say a guarded optimism around it.”

The program has garnered bipartisan support, highlighting a rare instance of agreement among legislators. Anna Kindy, the Conservative health critic in British Columbia, expressed her support, stating, “I think it’s a good idea. If it’s a low acuity surgery or postoperatively they are stable, patients are often better at home.”

As the HAHP program continues to evolve, patients like Lulu Leathley demonstrate how effective home-based care can be in supporting recovery, allowing individuals to heal in the comfort of their own surroundings. This innovative approach not only benefits patients but also contributes to the overall efficiency of the healthcare system in British Columbia.