Choose Home: Initial Evaluation of a Novel Home-Based Care Program After Subacute Rehabilitation

Many older adults prefer aging in place, but complex medical and social care needs and fragmented care systems are barriers to maintaining independence at home. Choose Home was implemented at the Veteran Affairs Boston Health Care System in September 2023 to address a critical care gap for patients who seek to remain independent at home but are at high risk for acute care hospitalizations and institutionalization in long-term care facilities. This report describes a subpopulation (n = 16) of patients enrolled after subacute rehabilitation discharge who were at very high risk of readmission and long-term care entry.