Home Hospital for Suddenly Ill Adults

This trial tests whether acutely ill adults can be safely treated at home with hospital-level care instead of being admitted to the hospital, for conditions like pneumonia, heart failure, infections, and COPD flare-ups. **You may be eligible if...** - You are 18 years or older - You live within 5 miles or 20 minutes of the emergency department - You are able to consent to treatment - You can identify someone to check on you during the first 24 hours - Your main diagnosis is one of the eligible conditions (such as cellulitis, heart failure, urinary tract infection, pneumonia, COPD or asthma flare-up, kidney disease, or certain other conditions) **You may NOT be eligible if...** - You do not have a stable place to live - Your home lacks working heat, air conditioning, or running water - You need daily in-person methadone pickup - You are in police custody - You live in a skilled nursing facility - You have screened positive for domestic violence - You have acute delirium (sudden severe confusion) Talk to your doctor to see if this trial is right for you.