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The Schneider Children's Medical Center, owned by the Clalit Health Insurance Fund, has taken an unprecedented and innovative step in pediatrics,
by launching a pilot project to establish a children's hospital at home. The project will be managed by Dr. Gilat Livni, head of the children's department of Aleph; at the medical center. Among the attending staff — Dr. Lital Yesharim, Chief Nurse Tami Barazani and Administrative Director Hani Hershkowitz. The current initiative is part of the 15th Hospital project. in Clalit. Its main idea — allow eligible children to be hospitalized at home, in a comfortable and familiar environment, without changing the daily routine of the family, while at the same time receiving quality medical care at home, including all the services of the Schneider Medical Center.
< br />Hospitalization at home will be made in one of two possible options. First — upon arrival of the child in MALRAD (Emergency Medicine Department), in accordance with the decision of the medical staff. The second option — in addition to hospitalization, that is, reducing the length of stay in the medical center by continuing home care. Home hospitalization will be carried out in the same way as in Schneider, within the limits determined by the hospital staff and under their own responsibility, providing comprehensive coverage and service for any needs 24/7. Within the framework of the project “Schneider at home” hospital attendants will check on hospitalized patients daily at home or virtually, as needed. If specialist consultations are needed or complementary care needs arise (social services, nutrition, physiotherapy, etc.), the Schneider Medical Center's team of specialist consultants is on hand to assist you. will maintain contact with the family virtually for counseling and treatment, just like in a hospital.
Before being sent to home hospitalization, parents will receive a full briefing on what to expect for them and the child, about maintaining contact with the attending< br />staff and the equipment they will use as part of the Home Hospital. After hospitalization, patients receive a home outpatient kit that includes a tablet and remote monitoring and surveillance tools such as Tyto, a thermometer and a pulse oximeter — depending on the type of observation that will be prescribed by the doctors. These measures will allow medical staff to monitor the health of patients throughout the hospitalization. In the event that during hospitalization it becomes necessary to conduct tests that cannot be carried out at home, the Schneider Center an examination will be carried out, after which home hospitalization can be continued. In the event that a decision is made to stop hospitalization at home and move to a hospital, the patient will be admitted as quickly and efficiently as possible.
The length of stay at home will be determined by medical needs, and the decision to discharge will be made by hospital staff based on health conditions. Before discharge, the family will be instructed and receive explanations from nurses regarding the continuation of treatment, and after discharge, they will be provided with a certificate of discharge and an epicrisis. The polyclinic will be informed about the discharge and what the patient needs after hospitalization. Information about the hospitalization will be entered into the patient's computerized file at the hospital and the health insurance fund.
The first Israeli girl to be hospitalized at home was 11-month-old Gefen from Ramat Gan. This week, Gefen arrived at the emergency room at the Schneider Medical Center. After being diagnosed, she was given intravenous antibiotics and then discharged for further hospitalization at home under the supervision of the medical and nursing staff of the Schneider Center.
Dr. Efrat Baron-Harlev, Director of the Pediatric Schneider Center ;, said: “We are proud to lead the Home Hospitalization Project for children, which was
the first to be implemented in Israel and is one of the few in the world. We believe that the best place for children — their own home, and, to ours
pleasure, the availability of advanced technology allows to push the boundaries of hospitals and through advanced virtual means to conduct home hospitalization from home, in parallel with the warm care of the staff. The work of the staff of the children's center “Schneider” will continue to be available to children — both at home and in the hospital, providing them with the best possible care.
According to Dr. Orly Weinstein, Deputy General Manager and Head of the Hospital Department at Clalit, the creation of a pediatric outpatient department at the Schneider Children's Center — this is a revolutionary step, first carried out in Israel: “This project has few analogues of its kind in the world. Children's Medical Center “Schneider” developed a plan for regular activities that will allow the child to be hospitalized at home without compromising the quality of observation and medical care, and will also help the family and hospitalized children to be in the best and most suitable place for them. This step is part of the many processes that take place at Clalit taking into account modern and advanced medical realities.
Dr. Gilat Livni, Medical Director of the Hospital at Home project, said: “As part of the pilot version of the project, 10 patients aged from six months to 18 years old suffering from relatively simple infectious diseases are expected to be hospitalized in the first stage. As we gain experience, we will be able to treat a wider range of children with additional as well as more complex conditions. The treatment that children will receive at the Home Hospital will be as good as at the Schneider Medical Center, but at the same time — in an environment where they feel comfortable and confident. We are confident that hospitalization of children at home will be immeasurably better for the well-being of patients and the whole family.
According to Nurit Baruch, director of nursing care at the Schneider Children's Medical Center, hospitalization of children at home — it
a natural and safe step that will change the face of paediatrics: “For the current project to be successful, qualified medical staff of the hospital have been trained for a long period of time in order to bring individual medical and nursing home care to the highest professional level. I expect a high degree of satisfaction from both the children and their parents, as well as the caregivers.”
Dr. Lital Yesharim, doctor at the Home Hospital Project, said, “I was very pleased to visit the home of Gefen, a patient at Home Hospital, a project initiated
for the first time in Israel by the Schneider Hospital. We have taken an extra step as a hybrid hospital that focuses on
the well-being of young patients and their families without compromising the quality of care. The lovely Gefen interacted wonderfully with us. She will continue to receive the best treatment while at home.
Tami Barzani, Nurse at Home Hospital, added: world of pediatric medicine. The opportunity to visit patients at home and provide them with the best possible care in familiar territory creates a positive experience for patients and their families, as well as for medical staff.
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