In this episode, I talk with Dr. Kevin Munjal, Chief Medical Officer of Care To You, about bringing ER and hospital-level care into the home. The conversation covers real patient examples, how shared decision-making works in the home, and why this model could become the new standard for urgent and acute care.
Timeline
- 00:00 – Opening: The idea of hospital-at-home as the future standard of care
- 02:15 – Kevin’s background: ER physician, EMS medicine, Mount Sinai
- 05:05 – Why home care matters: avoiding delirium, infection, and hospital cascade for seniors
- 10:02 – Cost comparison: hospital-at-home is 1/2 to 1/3 the cost to payers
- 13:38 – When to still go to the ER: chest pain, stroke symptoms, life-threatening emergencies
- 18:20 – Concurrent telehealth with attending physicians on every visit
- 22:05 – Care team structure: field clinicians, nurses, care coordinators, dispatch
- 27:05 – Who is a good fit for hospital-at-home vs. urgent care vs. ER
- 30:06 – How Care To You differs from other home health services
- 36:07 – In-home imaging and results follow-up process
- 48:32 – Post-acute follow-up: remote monitoring, daily calls, transition to primary care
- 52:16 – How primary care doctors can use Care To You for patients
- 57:22 – Kevin’s motivation: building a model from the ground up
- 59:01 – Final takeaway: know this option exists before a crisis hits
- 01:00:08 – Contact info: website, phone, registration process
5 Key Takeaways
- You’re in control in your home
Care is delivered on your turf. Clinicians explain tests, medications, and options, then let you and your family drive the decision. No surprises, no rushing.
- Shared decision-making matters
For many older adults, comfort and staying home matter more than aggressive intervention. Care To You presents risks/benefits and aligns care with patient goals, including DNH/DNR preferences.
- Follow-through sets them apart
High Net Promoter Scores of 80-90+ come from more than home visits. They follow up on labs, make sure prescriptions are filled, and confirm referrals and home care are set up.
- Real cases show it works
Example: A 100-year-old with a UTI was treated at home with IV antibiotics, fluids, and remote monitoring. She avoided a 3-day hospital stay and recovered at home.
- It’s a middle option between urgent care and the ER
If it’s not life-threatening but you can’t wait for primary care, Care To You can run labs, imaging, and start treatment in 2-4 hours at home.
Links and Resources
Care 2 You
Website: http://www.care2u.com
Phone: (833) 433-2273
Leave The Key Homebuyers
Website: https://leavethekey.com/seniors
Phone: (631) 380 – 4262
Final Thoughts
Hospital-at-home isn’t just convenient. it’s safer, cheaper, and more personal for the right patients. If you care for aging parents or work with seniors, knowing about Care To You ahead of time can save you hours in the ER, reduce stress, and keep loved ones comfortable at home. The goal isn’t to replace hospitals, but to use them only when truly needed.
