Rural Hospital-Level Care at Home for Acutely Ill Adults

Inclusion Criteria: Patient clinical inclusion criteria: * \>=18 years old * Any infectious process (e.g., pneumonia, diverticulitis, cellulitis, complicated urinary tract infection) * Heart failure exacerbation * Asthma and chronic obstructive pulmonary disease exacerbation * Atrial fibrillation with rapid ventricular response * Diabetes and its complications * Venous thromboembolism * Gout exacerbation * Chronic kidney disease with volume overload * Hypertensive urgency * End of life / desires only medical management Patient environmental inclusion criteria: * Lives in a rural area that can be served by the RHH team. * Has capacity to consent to study OR can assent to study and has proxy who can consent (see subject enrollment, below) * Can identify a potential caregiver who agrees to stay with patient for first 24 hours of admission. Caregiver must be competent to call care team if a problem is evident to her/him. After 24 hours, this caregiver should be available for as-needed spot checks on the patient. * This criterion may be waived for highly competent patients at the patient and clinician's discretion. Patient caregiver inclusion criteria: (not required for patient participation): * Age \>= 18 years old * Has capacity to consent to study * Lives within 15 minutes travel time. Clinician inclusion criteria: * The rural home hospital clinical team will be identified by the site PI at each study site prior to the start of the study. The site PI will recruit loc…