Emergency Care at Home
This study will assess the efficacy of receiving emergency care at home versus in the brick-and-mortar emergency department.
- EligibilityCriteria: Inclusion Criteria:  Age >= 18 years Resides within Home Hospital geographic area Lives in permanent housing (i.e., not in temporary housing such as a shelter) Patient of a Mass General Brigham primary care provider Primary care provider attests that their triage recommendation is the emergency department Emergency care at home nurse triages the participant to the emergency department or urgent care Patient attests that they intend to go to the emergency department  Exclusion Criteria:  Insurance: workers compensation and motor vehicle accident Lives in a healthcare facility (Skilled Nursing, Rehab, long term acute care) Patient/caregiver cannot answer phone or door Active substance use Acute psychiatric concerns (e.g., suicidal ideation, even if passive) Home safety concerns (e.g., intimate partner violence) High-risk features:  oHigh Risk Signs, if available: Heart rate > 120 Systolic blood pressure < 90 Shock Index (heart rate divided by systolic blood pressure) > 1 Oxygen < 93% on ambient air Increase in oxygen requirement new or > 2 liters Respiratory rate > 28 Diaphoresis oHigh Risk Symptoms: Active chest pain Severe work of breathing Syncope Hemoptysis Seizure Other concerning symptom per nurse triage  Requires inpatient-level care Requires specialty consultation Requires physical, occupational, or speech therapy Requires blood transfusion Requires internal physical exam maneuver (e.g. rectal exam, genitourinary exam) Requires imaging that is not available at home Requires monitoring that is not available at home Troubleshooting wound vacs - HealthyVolunteers: No - Gender: All - MinimumAge: 18 Years - StdAgeList: Adult, Older Adult