Emergency Care at Home

Inclusion Criteria: * Age \>= 18 years * Resides within Home Hospital geographic area * Lives in permanent housing (i.e., not in temporary housing such as a shelter) * Patient of a Mass General Brigham primary care provider * Primary care provider attests that their triage recommendation is the emergency department * Emergency care at home nurse triages the participant to the emergency department or urgent care * Patient attests that they intend to go to the emergency department Exclusion Criteria: * Insurance: workers compensation and motor vehicle accident * Lives in a healthcare facility (Skilled Nursing, Rehab, long term acute care) * Patient/caregiver cannot answer phone or door * Active substance use * Acute psychiatric concerns (e.g., suicidal ideation, even if passive) * Home safety concerns (e.g., intimate partner violence) * High-risk features: oHigh Risk Signs, if available: Heart rate \> 120 Systolic blood pressure \< 90 Shock Index (heart rate divided by systolic blood pressure) \> 1 Oxygen \< 93% on ambient air Increase in oxygen requirement new or \> 2 liters Respiratory rate \> 28 Diaphoresis oHigh Risk Symptoms: Active chest pain Severe work of breathing Syncope Hemoptysis Seizure Other concerning symptom per nurse triage * Requires inpatient-level care * Requires specialty consultation * Requires physical, occupational, or speech therapy * Requires blood transfusion * Requires internal physical exam maneuver (e.g. rectal exam, genitourinary exam) * Requ…