Acute Hospital Care at Home Program Approved List of …

1 Acute Hospital care at home Program Approved List of Hospitals as of 4/5/2021 Please Note: The Approved list of hospitals will be moving to the CMS Hospital at home webpage beginning April 9, 2021. The Acute Hospital care at home Program is an expansion of the CMS Hospital Without Walls initiative launched in March 2020 as a part of a comprehensive effort to increase Hospital capacity, maximize resources, and combat COVID-1 9 to keep Americans safe. This Program creates additional flexibility that allows for certain health care services to be provided outside of a traditional Hospital setting and within a patient s home . There are several requirements that a Hospital must meet in order to participate in the Program . These include: Having appropriate screening protocols in place before care at home begins to assess both medical and non-medical factors Having a physician or advanced practice provider evaluate each patient daily either in-person or remotely Having a registered nurse evaluate each patient once daily either in-person or remotely Having two in-person visits daily by either registered nurses or mobile integrated health paramedics based on the patient s nursing plan and Hospital policies Having the capability of immediate, on-demand remote audio connection with an Acute Hospital care at home team member who can immediately connect either an RN or MD to the patient Having the ability to respond to a decompensating patient within 30 minutes Tracking several patient safety metrics with weekly or monthly reporting.

2 Depending on the Hospital s prior experience level Establishing a local safety committee to review patient safety data Using an accepted patient leveling process to ensure that only patients requiring an Acute level of care are treated Providing or contracting for other services required during an inpatient hospitalization It is important to note that patients will only be admitted to the Program from emergency departments and inpatient Hospital beds, and an in-person physician evaluation is required prior to starting services at home . Additional information is available within the Acute Hospital care at home Program Frequent Asked Questions. Based on the above criteria, the following 53 systems, 116 hospitals in 29 states are currently included within the Program : System Hospital Approval Date Mount Sinai (NY) Mount Sinai Hospital (NY) November 25, 2020 Mount Sinai Beth Israel (NY) November 25, 2020 Mount Sinai Morningside (NY) November 25, 2020 1 Brigham and Women s Hospital (MA) -November 25, 2020 Massachusetts General Hospital (MA) -November 25, 2020 UnityPoint (IA) -November 25, 2020 University of Utah Health and Huntsman Cancer Institute (UT) -November 25, 2020 Presbyterian Health Services (NM) -November 25, 2020 Mercy Hospital St.

3 Louis (MO) -November 30, 2020 Sentara Norfolk General Hospital (VA) -December 2, 2020 Prisma Health (SC) Greenville memorial Hospital (SC) December 3, 2020 Prisma Health Oconee memorial Hospital (SC) January 12, 2021 Marshfield Medical Center (WI) Marshfield Medical Center, Marshfield (WI) December 3, 2020 Marshfield Medical Center, Minocqua (WI) December 8, 2020 Marshfield Medical Center, Eau Claire (WI) December 8, 2020 Marshfield Medical Center, Weston (WI) December 23, 2020 Mayo Clinic Florida (FL) -December 4, 2020 Mayo Clinic Northwest Wisconsin (WI) -December 8, 2020 ProMedica (OH) ProMedica Toledo/ProMedica Flowers Hospitals (OH) December 8, 2020 ProMedica Bay Park Hospital (OH) January 19, 2021 ProMedica Monroe Regional Hospital (MI) February 6, 2021 ProMedica memorial Hospital (OH) March 19, 2021 MultiCare (WA) Tacoma General Hospital (WA) December 10, 2020 Good Samaritan Hospital (WA) December 10, 2020 Adventist Health (CA) Adventist Health Bakersfield (CA) December 10, 2020 Adventist Health Ukiah Valley (CA) December 10, 2020 Adventist Health Simi Valley (CA) December 18, 2020 Adventist Health Howard memorial (CA) December 23, 2020 Adventist Health Glendale (CA) December 23, 2020 Adventist Health White memorial (CA) December 23, 2020 Adventist Health and Rideout (CA) December 23, 2020 Adventist Health Hanford (CA) December 23, 2020 Adventist Health Clear Lake (CA) January 5, 2021 Adventist Health Portland (OR) March 16, 2021 Northwell Health (NY) North Shore University Hospital (NY) December 11, 2020 2 Allegheny Health Network (PA) Jefferson Regional Medical Center (PA) December 11, 2020 Allegheny General Hospital (PA) December 11, 2020 Forbes Hospital (PA) December 11, 2020 OSF St.

4 Francis Medical Center (IL) -December 17, 2020 Cleveland Clinic (OH) Cleveland Clinic Main Campus (OH) December 17, 2020 Cleveland Clinic Hillcrest Hospital (OH) December 17, 2020 Cleveland Clinic Avon Hospital (OH) December 17, 2020 Cleveland Clinic Fairview Hospital (OH) December 17, 2020 Cleveland Clinic Medina Hospital (OH) December 17, 2020 Cleveland Clinic Euclid Hospital (OH) December 18, 2020 Cleveland Clinic Lutheran Hospital (OH) December 18, 2020 Cleveland Clinic South Pointe Hospital (OH) December 18, 2020 Cleveland Clinic Marymount Hospital (OH) December 28, 2020 Atrium Health Carolinas Medical Center (NC) December 18, 2020 Atrium Health Cabarrus (NC) December 18, 2020 Atrium Health Pineville (NC) December 18, 2020 Norman Regional Hospital Authority (OK) -December 18, 2020 Ascension Ascension Saint Thomas Hospital (TN) December 22, 2020 Ascension Saint Thomas Rutherford Hospital (TN) January 26, 2021 Stillwater Medical Center Authority (OK) -December 28, 2020 Catholic Health Services of Long Island (NY) St.

5 Francis Hospital , The Heart Center (NY) December 29, 2020 St. Joseph Hospital (NY) December 29, 2020 Mercy Medical Center (NY) December 29, 2020 St. Charles Hospital (NY) December 31, 2020 St. Catherine of Siena Medical Center (NY) December 31, 2020 Good Samaritan Hospital Medical Center (NY) December 31, 2020 University of Michigan Hospitals and Medical Center (MI) -December 31, 2020 Claiborne memorial Medical Center (LA) -December 31, 2020 St. Bernards Medical Center (AR) -January 5, 2021 Health First (FL) Palm Bay Hospital (FL) January 5, 2021 Holmes Regional Medical Center (FL) January 5, 2021 Viera Hospital (FL) January 5, 2021 3 Cape Canaveral Hospital (FL) January 5, 2021 Vanderbilt University Medical Center (TN) January 7, 2021 Medical City Healthcare (TX) Medical City McKinney (TX) January 7, 2021 Medical City North Hills (TX) January 7, 2021 Medical City Dallas (TX) January 7, 2021 Medical City Fort Worth (TX) January 7, 2021 Medical City Plano and Medical City Frisco (TX) January 7, 2021 Medical City Las Colinas (TX) January 7, 2021 Medical City Weatherford (TX) January 7, 2021 Medical City Arlington (TX) January 7, 2021 Medical City Alliance (TX) January 7, 2021 Medical City Denton (TX)

6 January 7, 2021 Medical City Lewisville (TX) January 7, 2021 Geisinger Health (PA) Geisinger Wyoming Valley Medical Center (PA) January 8, 2021 Geisinger Medical Center (PA) January 11, 2021 Geisinger-Community Medical Center (PA) January 11, 2021 Geisinger Lewistown Hospital (PA) January 11, 2021 Holy Name Medical Center (NJ) -January 8, 2021 Duke Raleigh Hospital (NC) -January 13, 2021 Allina Health (MN) Abbott Northwestern Hospital (MN) January 13, 2021 Mercy Hospital (MN) January 13, 2021 St. Francis Regional Medical Center (MN) January 13, 2021 United Hospital (MN) January 13, 2021 Baptist memorial Health care Baptist memorial Hospital Memphis (TN) January 14, 2021 Mississippi Baptist Medical Center (MS) January 26, 2021 Wise Health System (TX) WHS East Campus (TX) January 14, 2021 Wise Health Surgical Hospital at Parkway (TX) January 14, 2021 University of California San Diego (CA) -January 15, 2021 WakeMed (NC) WakeMed Raleigh Campus (NC) January 19, 2021 WakeMed Cary Hospital (NC) January 19, 2021 HealthPartners (MN) Regions Hospital (MN) January 25, 2021 Beebe Healthcare (DE) -January 25, 2021 Loma Linda University Medical Center (CA) -February 2, 2021 Kaiser Permanente Kaiser Sunnyside Medical Center (OR) February 5, 2021 Kaiser Permanente Westside Medical Center (OR) February 5, 2021 4 Franciscan Health Franciscan Health Crown Point (IN)

7 February 9, 2021 Baylor Scott and White Health Baylor Scott and White Medical Center Irving (TX) February 16, 2021 Baylor Scott and White Medical Center Waxahachie (TX) February 16, 2021 UCI Health -University of California Irvine (CA) -February 19, 2021 Dignity Health Chandler Regional Medical Center (AZ) February 22, 2021 Mercy Gilbert Medical Center (AZ) February 22, 2021 St. Joseph s Hospital and Medical Center (AZ) February 22, 2021 Spectrum Health Butterworth and Blodgett Hospitals (MI) February 28, 2021 Bexar County Hospital District (University Health) University Hospital (TX) February 28, 2021 Sharp Healthcare Sharp Grossmont Hospital (CA) March 22, 2021 United Health Services Hospitals UHS Binghamton General Hospital and Wilson Regional Medical Center (NY) March 24, 2021 Scotland memorial Hospital (NC) -March 24, 2021 Northwestern Medicine Northwestern memorial Hospital (IL) March 27, 2021 Indiana University Health Indiana University Health Methodist Hospital (IN) April 2, 2021 5