Palomar Health Granted CMS Acute Hospital Care at Home Approval in 3 Months

Health system worked with Guidehouse on an enterprise transformation initiative to strengthen performance and thrive during the COVID-19 pandemic and beyond.

Full Case Study

In 2021, leaders at Palomar Health, the most comprehensive healthcare delivery system in northern San Diego County and a member of the Mayo Clinic Care Network, needed to offer more capacity due to COVID-19 pandemic surges. Palomar decided to pursue the Acute Hospital Care at Home program under the CMS Acute Care at Home waiver. They chose Guidehouse as their trusted advisor in a six-month initiative due to its experience in supporting next-generation health systems. 


  • Achieved an enterprisewide clinical, operational, and financial transformation
  • Granted CMS Acute Care at Home waiver approval in three months
  • Implementation ready in six months, even amid pandemic surges

How they did it:

  • Invested in an innovative, future-focused, and highly technological Acute Hospital Care at Home model
  • Leveraged Guidehouse as their trusted advisor in the six-month enabling care at home transformation and clinical operations redesign
  • Ensured clinician involvement and governance in the design of the Acute Hospital Care at Home program
  • Aligned acute and ambulatory workflows and integrated them into the EHR, including interfaces for remote patient monitoring and documentation for all staff
  • Created a mock inpatient unit in the EHR to enable consistent automation capabilities in revenue cycle and DRG reimbursement processes
Learn more about Guidehouse’s Clinical Transformation Solutions and download the full case study.

We are grateful to Guidehouse for their expertise in accelerating innovative strategies across Palomar Health to improve and sustain clinical, operational, and financial performance. It took a village to achieve this large-scale transformation in such a short amount of time – including leaders, physicians, staff, and Guidehouse experts working harmoniously every day. This work will enable our organization to improve margin while maintaining high-quality care delivery for our community during and after the pandemic.

Sheila Brown, Chief Operating Officer, Palomar Health

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