PermanenteDocs Chat

Author: Permanente Medicine

Permanente physicians and other health care leaders come together in an unscripted live chat, creating conversations among doctors about timely issues facing health care today. Hosted by Alex McDonald, MD, a family medicine physician with the Southern California Permanente Medical Group.
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Language: en

Genres: Health & Fitness, Life Sciences, Medicine, Science

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The future of care at home
Tuesday, 25 November, 2025

In this PermanenteDocs Chat, host Alex McDonald, MD, speaks with Hemali Sudhalkar, MD, hospitalist, inpatient palliative care physician, and National Medical Director of Strategy for Kaiser Permanente Care at Home, about how Advanced Care at Home delivers hospital-level care in patients’ homes.Dr. Sudhalkar explains why this shift is essential as the U.S. population ages and capacity strains grow, and how Kaiser Permanente’s integrated model enables safe, coordinated care beyond the hospital. She shares early results from Northern California, where nearly 4,000 patients have received care since 2020, with average length of stay reduced from 5.5 to 3.5 days, hospital readmissions 3 percent lower, and likelihood-to-recommend scores 10 points higher than inpatient care.The conversation covers clinician training, virtual nursing, and home visits — plus the policy steps needed to expand and sustain this model nationwide.Thanks for listening! Follow us on Twitter, Instagram, LinkedIn and Facebook. Click here to subscribe to our YouTube channel.