About Hospitals Without Walls™
Building a Healthcare System Around the Whole Person
Hospitals Without Walls™ is a healthcare delivery and collaboration organization designed to connect appropriate care, qualified professionals, technology, and community resources around the needs of each patient.
We believe healthcare should be coordinated across settings not confined by the physical boundaries of any single hospital, clinic, medical office, or facility.
Who we are
One Connected Healthcare Organization
Hospitals Without Walls™ brings together healthcare organizations and professionals through one integrated model of care.
Our work is centered on patients whose needs may extend across multiple settings, services, and stages of illness particularly older adults, people living with multiple chronic conditions, individuals experiencing functional decline, and patients requiring substantial clinical, social, or caregiver support.
Rather than treating every healthcare encounter as an isolated event, our model emphasizes continuity, communication, accountability, and coordination throughout the patient’s healthcare journey.
Depending on the specific program
Participating organizations, geographic area, payer requirements, and applicable law, the model may connect
- Hospitals and health systems
- Physicians and other licensed healthcare professionals
- Medical groups and specialty practices
- Health plans and insurance organizations
- Home health and community-based providers
- Skilled nursing and post-acute facilities
- Assisted living and senior communities
- Rehabilitation professionals
- Pharmacies, laboratories, and diagnostic providers
- Behavioral and psychosocial support services
- Palliative and supportive-care professionals
- Patients, families, and caregivers
- Government, military, employer, and community partners
Hospitals Without Walls™ does not assume that every service is appropriate for every patient. Services must be selected according to individual need, clinical eligibility, professional judgment, informed choice, contractual authorization, operational availability, and applicable law.
Our purpose
Connecting the Parts of Healthcare That Patients Depend Upon
A patient’s health may be affected by far more than a single diagnosis.
Physical illness, medication burden, mobility, cognition, emotional health, nutrition, housing, transportation, family support, financial circumstances, cultural values, personal goals, and the safety of the home environment may all influence health and healthcare utilization.
Yet these needs are often addressed by different organizations that may not share information or operate under a coordinated plan.
Hospitals Without Walls™ was created to help bridge those divisions.
Our purpose is to help participating organizations develop a more connected continuum of care in which
- The patient is understood as a whole person
- The patient’s goals, values, and preferences help guide planning
- Appropriate professionals understand their defined responsibilities
- Material information follows the patient across authorized settings
- Changes in condition are identified and communicated promptly
- Families and caregivers receive appropriate education and support
- Transitions between care settings are actively managed
- Services are matched to actual clinical and functional needs
- Higher-acuity care is obtained whenever medically necessary
- Quality, outcomes, utilization, and cost are measured responsibly
Our mission
To transform healthcare delivery by coordinating appropriate clinical, functional, behavioral, social, technological, and community resources around the whole person wherever that person receives care.
We seek to improve continuity, strengthen patient and caregiver support, promote responsible healthcare utilization, and help participating organizations deliver high quality, evidence informed, person centered care.
Our vision
A healthcare system without unnecessary boundaries in which people can obtain coordinated, compassionate, and appropriate care across hospitals, medical offices, facilities, homes, and communities.
We envision a future in which:
- Healthcare follows the patient across settings
- Information is available to authorized professionals when needed
- Care is proactive rather than merely reactive
- Patients and families participate meaningfully in decisions
- Healthcare organizations collaborate instead of operating in isolation
- Technology strengthens human care rather than replacing it
- Prevention, treatment, rehabilitation, palliation, and caregiver support are connected
- Clinical quality and financial responsibility reinforce one another
- Every participant has an opportunity to benefit through a genuine 360° Win relationship
Our philosophical foundation
EntireoPathic Medicine™
The philosophical foundation of Hospitals Without Walls™ is informed by EntireoPathic Medicine™, a whole-person framework developed by Professor Dr. Daniel Shane Sheibani Davidson beginning in 1996.
The word “EntireoPathic” reflects attention to the entire person and the interconnected dimensions that may influence health, illness, healing, function, and quality of life.
EntireoPathic Medicine™ considers the person’s:
- Physical and medical condition
- Psychological and emotional health
- Cognitive function
- Functional abilities
- Social circumstances
- Family and caregiver environment
- Cultural background
- Personal values
- Spiritual beliefs or concerns, when important to the patient
- Living environment
- Economic and practical barriers
- Individual goals and priorities
This framework is intended to complement not replace appropriate medical evaluation, evidence-based treatment, professional standards, and the independent judgment of qualified licensed clinicians.
No patient is required to accept spiritual or religious discussion or services. Such matters should be addressed only when desired by the patient and appropriate to the patient’s expressed values and preferences.
Our model
From Fragmented Encounters to Coordinated Care
Hospitals Without Walls™ is designed as an interconnected healthcare platform rather than a single isolated service
- 1
Comprehensive Assessment
Identification of relevant medical, functional, cognitive, emotional, social, environmental, medication-related, and caregiver needs.
- 2
Individualized Care Planning
Development of an appropriate plan based on the patient’s condition, risks, goals, preferences, available resources, and authorized services.
- 3
Defined Responsibilities
Clear assignment of responsibility among participating professionals and organizations.
- 4
Information Sharing
Timely exchange of necessary information among authorized participants, subject to privacy and security requirements.
- 5
Care Delivery
Provision or coordination of authorized clinical, virtual, mobile, home-based, facility-based, and community services.
- 6
Monitoring and Follow-Up
Ongoing review of the patient’s progress, risks, changing needs, and response to the care plan.
- 7
Escalation When Necessary
Prompt referral to physicians, specialists, urgent care, emergency services, or hospital care when the patient’s condition requires a higher level of evaluation or treatment.
- 8
Outcomes Measurement
Responsible evaluation of quality, experience, utilization, safety, and financial performance using defined measures and reliable data.
Who we are designed to help
Patients With Complex and Continuing Needs
The model may be especially relevant for appropriately selected individuals who:
- Older adults with complex health needs
- People who live with multiple chronic conditions
- People who experience frailty or functional decline
- People who have difficulty accessing conventional healthcare settings
- People who need support after hospitalization
- People at elevated risk during transitions of care
- People who need continuing medication review or monitoring
- People who live with dementia or cognitive impairment
- People with significant mobility or home-safety concerns
- People who need palliative or supportive care
- People who depend substantially on family or informal caregivers
- People who face social or environmental barriers affecting care
- People who need coordination among multiple professionals or organizations
Eligibility for any particular service must be determined individually. Inclusion in one of these groups does not establish medical necessity, insurance coverage, or entitlement to a specific service.
Our commitment to patients and families
Every Patient Is a Person First
We are committed to a model of care that respects:
- Human dignity
- Patient autonomy
- Informed consent
- Individual goals and preferences
- Cultural and linguistic differences
- Religious and spiritual freedom
- Privacy and confidentiality
- Family and caregiver participation when authorized
- The patient’s right to accept or decline services
- The patient’s right to receive medically necessary higher acuity care
Patients and families should receive understandable information about available services, responsible providers, expected benefits, material risks, alternatives, financial obligations, and whom to contact when needs change.
Our commitment to healthcare partners
Collaboration With Accountability
Hospitals Without Walls™ seeks contractual relationships based on transparency, defined responsibilities, lawful conduct, measurable performance, and mutual value.
Each participating organization remains responsible for its own:
- Professional services
- Personnel
- Licensure and credentialing
- Clinical decisions
- Scope-of-practice compliance
- Documentation
- Billing and coding
- Privacy and data-security obligations
- Regulatory compliance
- Quality assurance
- Contractual commitments
The exact allocation of responsibilities must be established in the applicable written agreement.
Our objective is not to create ambiguity about accountability. It is to create an organized structure through which independent responsibilities can function together around the patient.
Our evidence standard
Claims Must Be Supported not Invented
Hospitals Without Walls™ is committed to accuracy in its clinical, scientific, financial, operational, and public communications.
When credible evidence provides a range, the range should be reported accurately. When evidence is uncertain, that uncertainty should be disclosed. Results from one population, location, or program should not be represented as guaranteed outcomes for another.
Marketing language must never take precedence over scientific integrity.
Material claims should be supported by appropriate evidence, which may include:
- Peer reviewed scientific literature
- Government data
- Authoritative clinical guidance
- Validated organizational data
- Properly designed program evaluations
- Transparent financial analyses
- Clearly stated assumptions and limitations
Our quality principles
Quality, Safety, and Continuous Improvement
Our organizational model is guided by the following principles:
- 1
Person Centeredness
Care should respond to the patient’s needs, goals, values, and preferences.
- 2
Clinical Appropriateness
Services should be based on individual need, professional judgment, and applicable standards.
- 3
Safety
Risks should be identified, communicated, managed, and escalated appropriately.
- 4
Coordination
Authorized participants should receive the information necessary to fulfill their responsibilities.
- 5
Continuity
Care planning should extend across settings and transitions whenever possible.
- 6
Equity and Respect
People should receive respectful care without unlawful discrimination.
- 7
Accountability
Responsibilities, performance expectations, and reporting requirements should be clearly defined.
- 8
Measurement
Outcomes should be evaluated using relevant, reliable, and transparent measures.
- 9
Financial Responsibility
Healthcare resources should be used wisely without withholding medically necessary care.
- 10
Continuous Improvement
Programs should be reviewed and improved as evidence, technology, regulations, and patient needs evolve.
Our leadership
Founder-Led Vision. Unified Organizational Direction.
The organization operates through one integrated leadership structure. Clinical, operational, technological, financial, educational, administrative, and partnership functions contribute to one coordinated organizational mission.
Licensed healthcare professionals retain responsibility for clinical services and decisions within their individual licensure, qualifications, privileges, and scopes of practice.
The Founder and Chief Executive Officer provides the organization’s strategic, administrative, programmatic, and executive direction. This executive role does not supersede state professional-licensure requirements or authorize the unlicensed practice of medicine in any jurisdiction.
Our 360° Win commitment
Healthcare Transformation Must Benefit the Whole System
We believe lasting collaboration requires value for every responsible participant. Our 360° Win-Win approach seeks to create:
Hospitals Without Walls™ was founded under the leadership of Professor Dr. Daniel Shane Sheibani Davidson, who serves as Founder and Chief Executive Officer.
Patients
Better support and continuity for patients
Families and caregivers
Clearer communication for families and caregivers
Clinicians
Stronger coordination for clinicians
Hospitals and facilities
More organized transitions for hospitals and facilitie
Health plans and purchasers
Responsible utilization for health plans and purchasers
Healthcare partners
Sustainable relationships for healthcare partners
Communities
Better alignment of resources for communities
The patient stays central
The interests of the patient remain central to every legitimate partnership.
Help Us Build Healthcare Without Unnecessary Boundaries
If your organization serves patients whose needs extend beyond a single healthcare setting, we invite you to explore a relationship with Hospitals Without Walls™.
Together, we can develop a clearly defined program aligned with your population, objectives, responsibilities, resources, quality standards, and regulatory requirements.
Important notice
Hospitals Without Walls™ is an independent organizational healthcare delivery and collaboration model. Its name does not, by itself, indicate that the organization is a Medicare certified hospital, licensed healthcare facility, health plan, government program, or participant in the Centers for Medicare & Medicaid Services Acute Hospital Care at Home initiative.
The organization does not claim affiliation with or endorsement by the Centers for Medicare & Medicaid Services, the United States Department of Health and Human Services, the Department of Veterans Affairs, the Department of Defense, or any other governmental entity unless such a relationship is expressly established in a valid written agreement.
Specific healthcare services are provided only through appropriately licensed, certified, enrolled, credentialed, or otherwise authorized professionals and organizations, as required.
This website provides general organizational information and is not a substitute for individualized medical advice, diagnosis, or treatment. In a medical emergency, call 911 immediately.