High-Acuity Care at Home

Join an accelerating movement of hospital-level care in the home.

Hospital-level programs face a higher bar as more care shifts into the home. Meeting that bar, safely, consistently, and at scale, requires clarity, infrastructure, integrated teams, and the ability to respond with hospital-grade agility 24 hours a day, 7 days a week. CHAP’s High-Acuity Care at Home Certification validates your program’s ability to allow for enhancements of care with the support of a reliable partner. Built with input from industry leaders, these standards provide a framework to support safe, reliable, and scalable care for medically complex patients at home.

CHAP’s guidance, education, and resources are crucial to providers as they deliver the best patient care.

View Draft Standards

Certification That Reflects the Reality of Complex Care

Delivering high-acuity care at home is more than adapting hospital protocols. It entirely reimagines how care is delivered, staffed, and supported outside traditional settings. Certification evaluates:

  • Clinical responsiveness and escalation protocols
  • Team-based care models built for home-based settings
  • Technology and documentation systems for timely, secure information sharing
  • Admission criteria and patient selection aligned with scope and readiness
  • Staff training to support acute-level needs in the home
  • Operational coordination across disciplines and delivery modes 24/7
  • Quality monitoring and performance improvement built into every episode

These standards reflect the complexity of real-world care and support innovation without compromising safety.

What the Data Shows

Hospital-level care in the home setting isn’t just a future possibility; it’s already here. The five studies below offer some of the most substantial evidence, highlighting real-world outcomes and rigorous analyses showing how high-acuity care at home can improve safety, reduce readmissions, and increase patient satisfaction. CHAP’s certification was designed to validate care that is evidence-based, responsive, and grounded in clinical practice, as supported by national meta-analyses and health system case studies.

Recent Studies

Who Should Pursue Certification?

High-Acuity Care at Home Certification is designed for organizations that are actively delivering or developing:

  • Hospital-Level Care at Home programs
  • Enhanced home health services managing complex or recently hospitalized patients
  • Health system-aligned post-acute programs expanding into acute-level home care
  • Risk-bearing entities seeking to demonstrate capability across levels of home-based care

If your organization is already delivering high-acuity services or is preparing to, this certification will help you solidify your foundation, differentiate your model, and engage more confidently with partners and payers.

A Strategic Advantage for Today, and What’s Next.

High-acuity home programs are expanding rapidly, but not all are created equal. Certification helps you:

  • Elevate your Collaboration. Open new doors to initiative-focused relationships with your referral sources.
  • Establish credibility with hospitals, payers, and regulators
  • Mitigate clinical and operational risk through structured processes
  • Align your team with shared expectations, training, and workflows
  • Stand out in the market as a validated provider of advanced home-based care
  • Prepare for value-based models that require proven delivery capabilit

Whether you’re launching a new program or refining an existing one, CHAP’s certification supports your progress and positions you for growth.

A Clear Path to Certification

Built with Providers. Backed by CHAP.

CHAP developed this certification in collaboration with providers, clinicians, hospital systems, and payers, leading the way in home-based acute care. The result is a set of standards that reflect what it truly takes to succeed, operationally, clinically, and strategically. We’ve accredited home-based care for more than 50 years. This certification builds on that legacy, giving you a tool to lead the next chapter of care delivery at home.

Founding Community Advisory Group

John Michael Mata, AGACNP-BC

CEO – Administrator

Romil Wadhawan, MD, MBA

EMD, Utilization Management and Denials

Gregory D. Snyder MD, MBA

VP, Clinical Strategy & Quality Improvement

Ila Mapp, DNP, RN, CENP, CCRN

Director, Advanced Care at Home

Thomas Rose, BS, MBA

CEO & President

Jen Femino, MBA, MSN, FNP-BC

Senior Director, Professional Services

Sharon Vogel, MBA

Vice President, Business Development and Operations

Kelley R. Hill, MSN RN, CPHQ, CPPS

CHAP Verified Support Associate

Angel Abrego

Owner / CEO

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