Challenges and solutions to rural home hospital care delivery
| Challenge* | Solution | |
| Internet connectivity | Poor cellular and wired infrastructure | Tiered approach to connectivity, including portable satellite |
| Geographical accessibility | Lengthy travel times between patients | Optimise use of remote visits for in-home clinician; physician only remote |
| Staffing | Limited availability of physicians and in-home clinicians | Physician remote only; use novelty of programme as selling point for in-home clinician |
| Clinical workflows | Not optimised for remote physician | Optimise through rapid cycle feedback |
| Laboratory and imaging | Lengthy travel times | Point of care ultrasound and laboratory technologies |
| Specialty expertise | Limited availability | Provide remote physician consultation |
*Challenges identified from prior work.19 Solutions developed through scoping, testing, and rapid cycle feedback.