• Global Lexicon for Organizing and Bridging Exchange in Hospital at Home (GLOBE-HaH)

  • The GLOBE-HaH Tool is a global initiative designed to define, compare, and analyze Hospital at Home (HaH) programs. It was collaboratively developed for HaH programs that provide acute hospital-level substitutive care at home, as defined by WHAHC 2023.

    This tool is still in development, and we invite you to test it and share your feedback. It serves two key purposes:

    1. Standardizing the description of HaH programs using commonly understood terminology to improve clarity, consistency, and comparability in research, healthcare leadership discussions, and policy development.
    2. Providing a downloadable PDF summary of your HaH program, which can be used for internal reference, publication annexes, or sharing with others using internationally recognized terminology

    How You Can Help
    We encourage you to fill in the form, regardless of how much information you have. Your input will help refine the tool and ensure its comprehensiveness.You can leave fields blank if needed—your input is still valuable in refining the tool and ensuring its comprehensiveness.

    • You will immediately receive a PDF summary of your program’s description upon completion; you may share this with others if you choose to do so. 
    • Your responses will not be shared or analyzed, and do not need to be completely accurate—this is a test version.
    • You can use, test, and submit the form as many times as you like.

    Looking ahead, GLOBE-HaH will offer an option to contribute data to an international database, helping to build an interactive tool for comparing HaH programs worldwide. Thank you for your participation in shaping this global initiative!

    Developed by:
    Dr Álvaro Dubois-Silva, Hospital at Home and Palliative Care Department, Complexo Hospitalario Universitario de A Coruña, Spain
    Dr Esteban Gilszlak, Medical Coordinator, Hospital At Home Unit, Italian Hospital of Buenos Aires, Argentina
    Dr Michelle Grinman, Clinical Associate Professor, Cummings School of Medicine, University of Calgary; Chair, Canadian Hospital at Home Working Group 
    Dr Stephanie Q Ko, NUHS@Home, National University Health System, Singapore   
    Dr Chrisanne Timpe, HealthPartners Hospital@Home, Department of Hospital Medicine, HealthPartners Medical Group, Minnesota, USA

    Acknowledgements: Harpreet Jaswal (Project Assistant), University of Calgary

    To collaborate or to give us feedback to help improve the tool, please reach out to michelle.grinman@ucalgary.ca. 

    v1.0, March 2025 

  • Unit Characteristics

  • Rows

  • Click here for ICD-10 glossary

  • Setting
  • Funding for HaH Service

  • Patients

  • Age
  • Target Populations
  • Related Services Provided by Same Program Beyond Acute Hospital-level Care at Home

  • Capacity and Utilisation

  • Intake Process

  • Referral Hours (Weekdays)
  • Referral Hours (Weekends)
  • Referral Sources
  • Referral Process
  • Staff Involved in Intake

  • Eligibility Criteria

  • Diagnostic Eligibility
  • Functional Support Eligibility
  • Social Factors That May Exclude Patients From HaH
  • How Geographical Catchment is Defined
  • Consent
  • Caregiver Consent Required

  • After Hour Response

    These questions pertain to support after hours. Emergencies refer to life-threatening conditions.
  • How a Patient Are Advised To Seek Assistance for Emergencies After Hours
  • How a Patient Are Advised To Seek Assistance for Non-Emergency Conditions After Hours
  • Ability for Physician Review After Hours
  • Ability for Nursing Review After Hours

  • Core Components Provided at Home

    "Insource" refers to services provided by HaH program or affiliated health system; "Outsource" refers services contracted to external entity
  • Rows

  • A. Physician Visits

  • Provider Responsible for HaH Patient Care
  • Specialty of Responsible Provider
  • Physician Visit Modality

  • B. Non-physician Procedural Visits

    (Typically performing tasks like intravenous therapy, phlebotomy, wound care)
  • Staffed by (choose all that apply)
  • Maximum Frequency Per Day

  • C. Laboratory Tests

  • Type

  • D. Intravenous Therapy

  • Modality
  • Access

  • E. Imaging

  • Type

  • F. Pharmacy

  • Staffing
  • Medication dispensing

  • Additional Components Provided at Home

  • Medical Capabilities
  • Provision of Newly-initiated Respiratory Medical Equipment in the Home
  • Provision of Therapy Services in the Home
  • Other Hospital Capabilities
  • Bidirectional Patient Transport Between Hospital and Home

  • Remote Vital Signs Monitoring

    This refers to vital signs collected and monitored in the absence of a healthcare professional
  • Target Patients
  • Mode of Collection
  • Mode of Transmission
  • Recipient of readings

  • Feedback

    This will not go into the generated PDF form
  • Do you think this tool captures the majority of domains for comparison and categorisation of how HaH programs provide care worldwide?
  • I'm open to be contacted by the tool developers for further involvement in this initiative
  • Should be Empty: