Advanced Medical Care at Home (AMCAH)

Kaiser Permanente’s voluntary Advanced Medical Care at Home (AMCAH) is an innovative program an alternative to hospital-level care in the comfort and convenience of your home.

The AMCAH program can manage conditions including but not limited to: cellulitis, congestive heart failure, and chronic obstructive pulmonary disease (COPD).

Medical care is provided to you at your home or that of a loved one, where you will stay for the duration of your treatment. The benefit of being in your home is that you may be surrounded by your own emotional support, loved ones, and pets, who would not typically be allowed during a hospital admission. You will be considered “homebound” during your time on service, though will continue to receive medical treatment through in-person and telehealth visits with your care team.

How it works

Within 24 hours of being enrolled into the AMCAH program, you will receive an in-person and/or telehealth visit (as determined by your care team) with a doctor and nurse who will manage your care. While you are at home, your care team will be monitoring your progress closely, providing day to- day support. The average duration of the AMCAH program is 3-4 days, depending on your individual case. During this time, you will have 24/7 phone access to clinical support.

Do you have to participate in the AMCAH program?

Participation in this program is completely voluntary. If you do not wish to participate, please speak more with your doctor to review your options.

Remote Patient Monitoring

If you are enrolled in AMCAH, your doctor may also order remote patient monitoring. A member of your care team will provide detailed instructions on how to use the remote patient monitoring kit. While your vitals will be taken during in-home visits, you may also check vitals between visits. Each time your vitals are taken, they will be electronically sent to your care team for monitoring. Every day, you will be asked questions to provide insight to your care team regarding your progress. These questions are an important piece to ensuring we meet your care needs, address your pain levels and assess your improvement over time.

Remote Patient Monitoring FAQ

The remote monitoring equipment is included as part of Kaiser Permanente’s care at no additional cost to you.

Kits vary according to your diagnosis but may include monitoring equipment such as a blood pressure cuff, pulse oximeter, scale, and/or thermometer.

You will use the remote monitoring devices for the duration of home care. Once you are discharged, you will ship the kit back to us, free of charge.

You will not pay for any shipping costs. A return label will be provided to you free of charge. A customer service agent will call you to walk you through how to pack and ship the equipment back to us.
No, the remote monitoring equipment must be returned after you have been discharged from AMCAH.

Customer service can be reached at 1-855-436-9112, then choose option 1.

Essential elements of AMCAH

  • Home safety assessment
  • Caregiver education
  • In-person and/or telehealth visits with your doctor and/or registered nurse
  • Medication management (intravenous and oral)
  • Remote patient monitoring as determined by your doctor
  • Laboratory support
  • Daily review of your progression and care plan
  • Care team reviews your progression and course of treatment daily
  • Patient health education on nutrition and disease self-management

Benefits of AMCAH

  • Studies show better medical outcomes when patients are treated in their homes
  • Healing at home brings a reduced risk of exposure to infections that could occur in the hospital setting
  • Familiar surroundings can cause less confusion and lower stress levels for both patient and caregivers, and provide a greater level of independence
  • Home-based care allows you to adhere to your daily routine, such as mealtimes and regular activities
  • Most patients experience:
    • Decreased pain level
    • Improved recovery over time
    • Less interruptions during sleep

    Why is AMCAH being offered to you?

    Due to the nature of your condition, your doctor feels that treatment at home is a worthwhile option for you. Our healthcare experience combined with clinical research shows that whenever possible, patients experience better outcomes when receiving treatment in their homes as compared to receiving care in the hospital. We are dedicated to providing the highest quality, patient-centered care for our members.

    Is there a cost to be in this program?

    All in-person, telehealth visits, and treatments are covered under your Kaiser Permanente plan just as though you were visiting your doctor’s office or medical facility. There are no additional co-pays for visits associated with receiving care at home. There will be the usual co-pays for prescription medication.
    Our AMCAH team of doctors, nurses, case managers, and pharmacists may be able to answer any additional questions that you may have. We look forward to working together throughout your recovery.