Mobile Inpatient Care @ Home (MIC@Home)
17 July 2026
MIC@Home is a hospital-at-home healthcare model that enables clinically stable patients to receive hospital-level care in the comfort of their home instead of an inpatient ward. Patients remain under the care of a hospital team, with support including: 1) Round-the-clock access to hospital-level care; 2) Tele/mobile care with remote monitoring; 3) Clear escalation protocols; and 4) Coordinated transport and supply logistics.
By safely enabling suitable patients to receive care at home, MIC@Home helps free up hospital bed capacity, supports recovery in a familiar environment, and strengthens system resilience.
MIC@Home was developed and scaled nationally through MOHT’s partnership with NHG Health, NUHS and SingHealth, and has since been mainstreamed as part of Singapore’s broader move towards home-based acute care.
Aim Statement
To establish MIC@Home as a safe, clinically viable, financially sustainable, value-driven alternative to regular inpatient care.
Why It Matters
Hospital capacity is under growing pressure. MIC@Home supports national strategies for capacity expansion and value-based care by enabling suitable patients to receive hospital-level care from home without compromising safety. Evidence shows direct admissions deliver more bed savings, laying the foundation for broader “Home-first” care approaches. MIC@Home also paved the way in enabling premise-neutral regulatory and financing policies for the provision of acute-level care in community settings.
Summary
Population: Clinically stable patients requiring acute care who are able to self-care or have adequate caregiver support in the community
Intervention: Hospital-at-home care supported by remote monitoring, tele/mobile review, escalation protocols and coordinated logistics
Comparator: Usual inpatient ward care
Outcomes: Comparable clinical efficacy and safety outcomes with comparable resourcing to a general ward setting
Key Results To Date
MIC@Home is part of mainstream inpatient service with effect from 1 April 2024, after two years as a sandbox.
During the two years of sandbox, approximately 2,800 cases were enrolled, substituting >15,000 hospital bed days.
Post-mainstreaming in FY2024, nearly 6,000 patients were enrolled, substituting nearly 30,000 hospital bed days.
As of Mar 2026, there are 300 operational MIC@Home beds across public hospitals at a Bed Occupancy Rate (BOR) of 65%, with a national total recruitment at 1,000 patients per month.
The MOH clinical evaluation in FY2024 showed that one MIC@Home bed would save 0.4 hospital beds, with direct admission cases saving 0.8 hospital beds. This translated the nearly 100 MIC beds utilised into approximately 40 acute hospital physical beds saved in FY2024.
The MOH clinical evaluation also demonstrated that MIC@Home was non-inferior to traditional inpatient care in terms of clinical safety (inpatient mortality, care escalation, 30-day unplanned readmission, 30-day ED reattendance rate).
The MOH-commissioned MIC@Home clinical audit with FY24Q2 data demonstrated that 98.8% of audited episodes were appropriate and acute, and 100% of cases were clinically safe to be cared for at home.
85% patient acceptance rates for eligible referred cases during the two-year MIC@Home Sandbox from FY2022-2023, with >80% patient satisfaction rates reported by participating Sandbox MIC@Home sites. Testimonials highlighted that patients felt safe as the care teams were proactive and contactable, and that they could rest better in the comfort of their own homes.
Auto referral tools such as Best Practice Advisory (BPAs) implemented in NGEMR. National IT enhancements for MIC@Home completed in May 2026.
National contract for MIC@Home vendors established, resulting in annual cost savings of approximately $1 million across the essential services against each site’s current spend.