SoK: hospital at home model of care - toward appropriate use cases and other challenges

Rodolfo Da Silva Avelino; Elise Bolda; Guenevere Qian Chen; Diane Dolezel; Jon Mark Hirshon; Joseph Kane; Sarah Klein; C. Scott Kruse; Bruce Leff; David M. Levine; Michael Maniaci; Monique K. Mansoura; Patricia McGaffigan; John Mchugh; Fabio Roberto de Miranda; Subhas Mukhopadhyay; Jay Pandit; Gregory Pluta; Martin Pumera; Raj Rajagopalan; Esa Rantanen; Richard Rothman; Rami Saydjari; O. Sami Saydjari; Malcolm Schongalla; John Schumacher; Naomi Schwartz; Keval K. Sonigara; Natalie Sullivan; Eugene Y. Vasserman; Nalini Venkatasubramanian; Thad Wilkins; Christopher Worsham; William Yurcik

doi:10.1109/ACSACW69556.2025.00019

SoK: hospital at home model of care - toward appropriate use cases and other challenges

Rodolfo Da Silva Avelino, Elise Bolda, Guenevere Qian Chen, Diane Dolezel, Jon Mark Hirshon, Joseph Kane, Sarah Klein, C. Scott Kruse, Bruce Leff, David M. Levine, Michael Maniaci, Monique K. Mansoura, Patricia McGaffigan, John Mchugh, Fabio Roberto de Miranda, Subhas Mukhopadhyay, Jay Pandit, Gregory Pluta, Martin Pumera, Raj RajagopalanEsa Rantanen, Richard Rothman, Rami Saydjari, O. Sami Saydjari, Malcolm Schongalla, John Schumacher, Naomi Schwartz, Keval K. Sonigara, Natalie Sullivan, Eugene Y. Vasserman, Nalini Venkatasubramanian, Thad Wilkins, Christopher Worsham, William Yurcik^*

^*Corresponding author for this work

School of Engineering

Research output: Chapter in Book/Report/Conference proceeding › Conference proceeding contribution › peer-review

Abstract

At present there is a unique convergence of hospital infrastructure needs, desirable patient care outcomes, and economic incentives that are driving interest in the hospital at home (HaH) model of care we describe in this paper. While HaH is not new, the model's adoption was accelerated by the COVID-19 pandemic and has since continued to grow. Specifically, we focus on HaH appropriate use cases (and inappropriate use cases), technology development enabling innovative HaH services (sensors and command centers), and confounding challenges that need to be addressed for long term success. While most of the issues we discuss are universal, the examples we use are from within the U.S. hospital ecosystem. In future work we seek to compare U.S. HaH progress to progress in other countries around the world.

Original language	English
Title of host publication	2025 Annual Computer Security Applications Conference Workshops ACSACW 2025
Subtitle of host publication	proceedings
Place of Publication	Piscataway, NJ
Publisher	Institute of Electrical and Electronics Engineers (IEEE)
Pages	134-156
Number of pages	23
ISBN (Electronic)	9798331545369
ISBN (Print)	9798331545376
DOIs	https://doi.org/10.1109/ACSACW69556.2025.00019
Publication status	Published - 2025
Event	2025 Annual Computer Security Applications Conference Workshops, ACSACW 2025 - Honolulu, United States Duration: 8 Dec 2025 → 12 Dec 2025

Conference

Conference	2025 Annual Computer Security Applications Conference Workshops, ACSACW 2025
Country/Territory	United States
City	Honolulu
Period	8/12/25 → 12/12/25

Keywords

remote patient monitoring
hospital infrastructure
healthcare economics
clinical-grade sensors

Access to Document

10.1109/ACSACW69556.2025.00019

Cite this

Da Silva Avelino, R., Bolda, E., Chen, G. Q., Dolezel, D., Hirshon, J. M., Kane, J., Klein, S., Kruse, C. S., Leff, B., Levine, D. M., Maniaci, M., Mansoura, M. K., McGaffigan, P., Mchugh, J., de Miranda, F. R., Mukhopadhyay, S., Pandit, J., Pluta, G., Pumera, M., ... Yurcik, W. (2025). SoK: hospital at home model of care - toward appropriate use cases and other challenges. In 2025 Annual Computer Security Applications Conference Workshops ACSACW 2025: proceedings (pp. 134-156). Institute of Electrical and Electronics Engineers (IEEE). https://doi.org/10.1109/ACSACW69556.2025.00019

@inproceedings{c420d3037ffc4eea84f3c8b7934c7a08,

title = "SoK: hospital at home model of care - toward appropriate use cases and other challenges",

abstract = "At present there is a unique convergence of hospital infrastructure needs, desirable patient care outcomes, and economic incentives that are driving interest in the hospital at home (HaH) model of care we describe in this paper. While HaH is not new, the model's adoption was accelerated by the COVID-19 pandemic and has since continued to grow. Specifically, we focus on HaH appropriate use cases (and inappropriate use cases), technology development enabling innovative HaH services (sensors and command centers), and confounding challenges that need to be addressed for long term success. While most of the issues we discuss are universal, the examples we use are from within the U.S. hospital ecosystem. In future work we seek to compare U.S. HaH progress to progress in other countries around the world.",

keywords = "remote patient monitoring, hospital infrastructure, healthcare economics, clinical-grade sensors",

author = "\{Da Silva Avelino\}, Rodolfo and Elise Bolda and Chen, \{Guenevere Qian\} and Diane Dolezel and Hirshon, \{Jon Mark\} and Joseph Kane and Sarah Klein and Kruse, \{C. Scott\} and Bruce Leff and Levine, \{David M.\} and Michael Maniaci and Mansoura, \{Monique K.\} and Patricia McGaffigan and John Mchugh and \{de Miranda\}, \{Fabio Roberto\} and Subhas Mukhopadhyay and Jay Pandit and Gregory Pluta and Martin Pumera and Raj Rajagopalan and Esa Rantanen and Richard Rothman and Rami Saydjari and Saydjari, \{O. Sami\} and Malcolm Schongalla and John Schumacher and Naomi Schwartz and Sonigara, \{Keval K.\} and Natalie Sullivan and Vasserman, \{Eugene Y.\} and Nalini Venkatasubramanian and Thad Wilkins and Christopher Worsham and William Yurcik",

year = "2025",

doi = "10.1109/ACSACW69556.2025.00019",

language = "English",

isbn = "9798331545376",

pages = "134--156",

booktitle = "2025 Annual Computer Security Applications Conference Workshops ACSACW 2025",

publisher = "Institute of Electrical and Electronics Engineers (IEEE)",

address = "United States",

note = "2025 Annual Computer Security Applications Conference Workshops, ACSACW 2025 ; Conference date: 08-12-2025 Through 12-12-2025",

}

Da Silva Avelino, R, Bolda, E, Chen, GQ, Dolezel, D, Hirshon, JM, Kane, J, Klein, S, Kruse, CS, Leff, B, Levine, DM, Maniaci, M, Mansoura, MK, McGaffigan, P, Mchugh, J, de Miranda, FR, Mukhopadhyay, S, Pandit, J, Pluta, G, Pumera, M, Rajagopalan, R, Rantanen, E, Rothman, R, Saydjari, R, Saydjari, OS, Schongalla, M, Schumacher, J, Schwartz, N, Sonigara, KK, Sullivan, N, Vasserman, EY, Venkatasubramanian, N, Wilkins, T, Worsham, C & Yurcik, W 2025, SoK: hospital at home model of care - toward appropriate use cases and other challenges. in 2025 Annual Computer Security Applications Conference Workshops ACSACW 2025: proceedings. Institute of Electrical and Electronics Engineers (IEEE), Piscataway, NJ, pp. 134-156, 2025 Annual Computer Security Applications Conference Workshops, ACSACW 2025, Honolulu, United States, 8/12/25. https://doi.org/10.1109/ACSACW69556.2025.00019

SoK: hospital at home model of care - toward appropriate use cases and other challenges. / Da Silva Avelino, Rodolfo; Bolda, Elise; Chen, Guenevere Qian et al.
2025 Annual Computer Security Applications Conference Workshops ACSACW 2025: proceedings. Piscataway, NJ: Institute of Electrical and Electronics Engineers (IEEE), 2025. p. 134-156.

Research output: Chapter in Book/Report/Conference proceeding › Conference proceeding contribution › peer-review

TY - GEN

T1 - SoK

T2 - 2025 Annual Computer Security Applications Conference Workshops, ACSACW 2025

AU - Da Silva Avelino, Rodolfo

AU - Bolda, Elise

AU - Chen, Guenevere Qian

AU - Dolezel, Diane

AU - Hirshon, Jon Mark

AU - Kane, Joseph

AU - Klein, Sarah

AU - Kruse, C. Scott

AU - Leff, Bruce

AU - Levine, David M.

AU - Maniaci, Michael

AU - Mansoura, Monique K.

AU - McGaffigan, Patricia

AU - Mchugh, John

AU - de Miranda, Fabio Roberto

AU - Mukhopadhyay, Subhas

AU - Pandit, Jay

AU - Pluta, Gregory

AU - Pumera, Martin

AU - Rajagopalan, Raj

AU - Rantanen, Esa

AU - Rothman, Richard

AU - Saydjari, Rami

AU - Saydjari, O. Sami

AU - Schongalla, Malcolm

AU - Schumacher, John

AU - Schwartz, Naomi

AU - Sonigara, Keval K.

AU - Sullivan, Natalie

AU - Vasserman, Eugene Y.

AU - Venkatasubramanian, Nalini

AU - Wilkins, Thad

AU - Worsham, Christopher

AU - Yurcik, William

PY - 2025

Y1 - 2025

N2 - At present there is a unique convergence of hospital infrastructure needs, desirable patient care outcomes, and economic incentives that are driving interest in the hospital at home (HaH) model of care we describe in this paper. While HaH is not new, the model's adoption was accelerated by the COVID-19 pandemic and has since continued to grow. Specifically, we focus on HaH appropriate use cases (and inappropriate use cases), technology development enabling innovative HaH services (sensors and command centers), and confounding challenges that need to be addressed for long term success. While most of the issues we discuss are universal, the examples we use are from within the U.S. hospital ecosystem. In future work we seek to compare U.S. HaH progress to progress in other countries around the world.

AB - At present there is a unique convergence of hospital infrastructure needs, desirable patient care outcomes, and economic incentives that are driving interest in the hospital at home (HaH) model of care we describe in this paper. While HaH is not new, the model's adoption was accelerated by the COVID-19 pandemic and has since continued to grow. Specifically, we focus on HaH appropriate use cases (and inappropriate use cases), technology development enabling innovative HaH services (sensors and command centers), and confounding challenges that need to be addressed for long term success. While most of the issues we discuss are universal, the examples we use are from within the U.S. hospital ecosystem. In future work we seek to compare U.S. HaH progress to progress in other countries around the world.

KW - remote patient monitoring

KW - hospital infrastructure

KW - healthcare economics

KW - clinical-grade sensors

UR - https://www.scopus.com/pages/publications/105035999185

U2 - 10.1109/ACSACW69556.2025.00019

DO - 10.1109/ACSACW69556.2025.00019

M3 - Conference proceeding contribution

AN - SCOPUS:105035999185

SN - 9798331545376

SP - 134

EP - 156

BT - 2025 Annual Computer Security Applications Conference Workshops ACSACW 2025

PB - Institute of Electrical and Electronics Engineers (IEEE)

CY - Piscataway, NJ

Y2 - 8 December 2025 through 12 December 2025

ER -

Da Silva Avelino R, Bolda E, Chen GQ, Dolezel D, Hirshon JM, Kane J et al. SoK: hospital at home model of care - toward appropriate use cases and other challenges. In 2025 Annual Computer Security Applications Conference Workshops ACSACW 2025: proceedings. Piscataway, NJ: Institute of Electrical and Electronics Engineers (IEEE). 2025. p. 134-156 doi: 10.1109/ACSACW69556.2025.00019

SoK: hospital at home model of care - toward appropriate use cases and other challenges

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Keywords

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