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“Hospital at Home”: East Hospital’s innovative pilot project completes its first month with 27 patients and 108 home visits
In the first month of the Riga East Clinical University Hospital’s innovative “Hospital at Home” pilot project, 27 patients have been already treated. In November, 108 home visits were completed, 152 video consultations were conducted, and nearly 1,700 online messages were exchanged with patients as part of the project. Initial feedback from patients regarding the project itself and the medical professionals involved in the project is positive. “Hospital at Home” project aims at providing patients with home-based treatment and care, while maintaining the highest standards of medical care. The pilot project seeks to provide services to up to 300 patients, and its results will show whether such model is profitable and acceptable for Latvian residents.
“Hospital at Home” is an innovative healthcare service that allows patients to receive high-quality and efficient care in a familiar and comfortable environment, while reducing stress and discomfort often caused by hospital stays, and also to provide optimal treatment quality and results. The pilot project offers treatment, care, and medical supervision for patients with chronic conditions who are at increased risk of readmission.
The service is also suitable for treating acute but stable patients at home when clear and effective treatment guidelines are in place. The implementation of the “Hospital at Home” concept involves 24/7 remote monitoring of patients’ health and continuous communication using digital solutions and certified medical devices. If needed, physicians or nurses also provide in-person home visits.
After several months of preparation, the active phase of the project at the East Hospital began in early November 2025. The results from the first month already point to intensive development. In its first month alone, home-based treatment was provided to 27 patients, delivering high-quality care in line with high standards, and it also involved 108 home visits, 152 video consultations, and 1,697 online messages exchanged with patients, providing consultations and responding to questions regarding the course of treatment.
“The early data of the “Hospital at Home” pilot project demonstrate that safe high-quality home-based treatment is not a mere experimental concept but a viable solution for our healthcare system, especially in cases where hospitals face high workloads and patients’ emotional well-being is of greater importance. The initial results give us confidence that this model could become a long-term solution for patients in Latvia, and our team will continue working to develop and enhance it,” emphasizes Svetlana Gomberga, Head of the “Hospital at Home” Project Unit at the East Hospital.
Patients involved in the project are invited to share feedback on their experience with the “Hospital at Home” service through surveys, and results so far indicate a positive assessment of the pilot project implemented at the East Hospital. Patients have shared the following feedback: “I am very grateful for the opportunity to receive treatment through “Hospital at Home”. Thanks to the nurses and doctors”, “Very responsive – all questions were answered. It felt reassuring to know someone was overseeing my care after returning home from hospital”, “Thank you! I am very happy to have been able to take part in this programme”.
The “Hospital at Home” model has already been successfully implemented in the Nordic countries, the United States, Canada, and other regions, where it expanded significantly during the COVID-19 pandemic, demonstrating that treatment can be provided at home without compromising quality. Furthermore, as digital tools, artificial intelligence, and telemedicine continue to gain ground in healthcare, and as digital skills increase, many patients would choose home-based treatment where possible and where their overall health condition allows it.
Under the “Hospital at Home” model implemented in Latvia, patients requiring ongoing monitoring, such as blood pressure tracking, may be discharged from hospital. Patients receive medical devices, medication if necessary, and an individual plan for submitting health data. Those devices are connected to a unified system: healthcare professionals monitor the data through an online platform, while patients submit data via a specific mobile application. Patients are trained in the use of both the medical devices and the application. Physicians and nurses are available to patients around the clock, with communication possible via messaging, telephone, or video calls. Patient monitoring and remote treatment are provided in shifts by a team of two nurses and two physicians. When necessary, members of the team make home visits, including for intravenous medication administration or in-person assessment of a patient’s condition.
The “Hospital at Home” project will continue until the end of April 2006, providing treatment services to up to 300 patients in Riga. The results of the pilot project will show whether such model is profitable and acceptable for Latvian residents. If successful and supported by the Ministry of Health as a permanent service, the East Hospital could extend the “Hospital at Home” model to regional hospitals by providing training and sharing expertise and experience in organising and delivering the service.
The project is overseen by the Ministry of Health. The integrated “Hospital at Home” healthcare model is implemented under the Recovery and Resilience Facility project No. 4.1.1.r.0/1/22/I/VM/001 – Development of Recommendations for Advancing Integrated Healthcare.
About the East Hospital
Riga East Clinical University Hospital is the largest and strategically significant multi-profile hospital in the country. The hospital consists of five inpatient facilities – Gaiļezers, Latvian Oncology Centre, Biķernieki, Tuberculosis and Lung Disease Centre, and Latvian Infectious Diseases Centre, along with various specialised centres and clinics. The hospital provides highly specialised inpatient and secondary outpatient healthcare, offering multidisciplinary tertiary-level treatment and care in line with modern technology and medical knowledge. Approximately 80% of all cancer patients in Latvia are treated at the hospital. It serves as a practical training base for both Latvian educational institutions and foreign students, providing further education and knowledge transfer to healthcare specialists within and beyond the country. The hospital engages in scientific research and develops innovative methods for patient treatment. As the third-largest employer in the country, the hospital employs around 5000 staff members.
