Nine To Noon Hospital in the Home is expanding, but how safe is it?
Mar 25, 2026
Erik McClain, clinical lead of Hospital in the Home in the Northern Region, oversees at-home acute care and remote monitoring. He discusses which conditions can be treated at home and how referrals, IV therapies and wearables work. He explains limits on who is suitable, how early post-op care is managed, and partnerships for emergency escalation.
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Inpatient Level Care Delivered At Home
- Hospital in the Home treats inpatient-level conditions like heart failure and infections with IV antibiotics, IV fluids, and remote monitoring.
- Teams provide multiple daily visits, senior medical officer rounding, point-of-care x-rays/ultrasounds and wearable telemetry in patients' homes.
Bypass Patient Recovering At Home
- Example: a cardiothoracic bypass patient can go home after 1–2 days once hemodynamically stable and be monitored for pain, kidney issues and recovery.
- Wearable patches provide near-continuous telemetry and 24/7 monitoring so deterioration is detected quickly.
Check Home Safety And Functional Needs Before Discharge
- Assess homes for safety and functional ability before discharge; require someone to assist if patients cannot self-care.
- Be flexible about living conditions but exclude clearly unsafe environments like recurrently flooded homes.