Patient Stories > Less Time in the Hospital and More Time at Home

Less Time in the Hospital and More Time at Home

By Megan Forliti

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John Jolly and his wife, Letty, sit side by side in matching wicker chairs under the protection of their covered deck, surrounded by lush potted plants and an expansive marsh view. Just days before, the 72-year-old cancer survivor lay in a hospital bed, connected to an IV. Thanks to a new program at Mayo Clinic, he was able to shorten his stay and recover from home.

Mr. Jolly — known to his friends as John — is a U.S. Navy veteran and former certified public accountant. He has been a Mayo Clinic patient since the early 1990s. In 2018, he was diagnosed with bladder cancer, and his bladder was surgically removed the next year. The cancer treatments took a toll on his body, and he experiences recurrent kidney issues.

Needing Advanced Care

Nearly one year postsurgery, John is focused on his health and pushes himself to get stronger with 10,000 steps per day. Despite his commitment, he’s found himself in the hospital twice and the Emergency Department three times in the past year. When he started to feel ill on the Fourth of July, he prepared himself for another taxing visit. What he hadn’t planned on was an intriguing proposal to head home early.

“My creatine was too high, and we needed to bring it back down,” says John. “I felt bad so I went to the ER. They did tests and kept me for a couple of days. I received an infusion (IV) to try to flush the system. I’d been in the hospital Saturday and Sunday and Dr. Maniaci came in on Monday. He said, ‘How would you like to go home?’” I said, “Tell me what I need to do.”

Michael Maniaci, M.D., an internist at Mayo Clinic in Florida, is the physician lead for Mayo’s Advanced Care at Home (ACH) program, a component of the Mayo Clinic Platform. Dr. Maniaci recognized John as a qualified candidate to be the first-ever Mayo Clinic ACH patient.

“Advanced Care at Home is taking what we do in the inpatient setting and transforming that and bringing the care to the patient in their home,” explains Dr. Maniaci. “We’re able to transport the patient out of the hospital setting and into their home environment. We meet them with advanced practice providers and a tech pack.”

A high-tech solution

The tech pack includes secure, HIPAA compliant Wi-Fi; blood pressure monitors; any needed medical supplies; and a tablet that provides 24/7 virtual connection to Mayo Clinic experts. Patients also receive a schedule so they know what to expect and when. Everything is set up, connected and tested, and the patient receives a physical exam to ensure the transfer was safe and successful.

A Program for Patients

Mayo Clinic’s Advanced Care at Home program is reimagining health care for patients like John. Implementation began in 2020 with the program’s launch in Jacksonville, Florida, followed by Eau Claire, Wisconsin.

“We have the resources now to treat our patients better, to give them equal if not better care, to provide better satisfaction in their home environment, and to reduce cost to our patients and ourselves,” says Dr. Maniaci. “It’s the next evolution of medicine. We must shift our focus from building hospitals to building high-quality supply chains. Patients receiving hospital-level services in the comfort of their own home is the future of medicine, and we should be part of that.”

While the program is still in early stages, experts are working to expand the Advanced Care at Home model to every corner of the globe — making high-quality Mayo Clinic care more convenient, accessible, affordable and equitable than ever before. For people like John, that means less time in a hospital bed and more time sitting next to his wife, enjoying the Florida sunshine. “It’s just so much better to be home.”

About Mayo Clinic Platform

The Mayo Clinic Platform is a coordinated portfolio of initiatives that allows Mayo Clinic to expand beyond our walls, multiply what we can do on our own, and innovate in new ways to touch the lives of millions of people.